Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
CME
Outcomes
Research
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
 
JCOM
BACK ISSUE articles are $15 each.
 
International credit cards NOT accepted.



JCOM Paid Subscribers
LOG IN
user name:
password:
 
Forgot password?

JCOM Abstract


J Clin Outcomes Manage 
2005 Nov;12(11):559-562, 566-568
Hospitalization rates for ambulatory care-sensitive conditions in California Medicare HMOs
Zeng F, O'Leary JF, Sloss EM, Dhanani N, Melnick G

Abstract Objective: To examine annual hospitalization rates for ambulatory care–sensitive conditions (ACSCs) among Medicare HMO beneficiaries. Design: Cross-sectional descriptive study. Setting and participants: Medicare beneficiaries aged 65 years and older continuously enrolled in 1 of 15 California Medicare HMOs from 1 January through 31 December 2001. Measurements: Hospitalization rates overall and for each of 15 ACSCs (bacterial pneumonia, cellulitis, dehydration, gastric and duodenal ulcer, hypoglycemia, hypokalemia, severe ear/nose/throat infections, urinary tract infections, asthma/chronic obstructive pulmonary disease, congestive heart failure, diabetes, hypertension, seizure disorder, influenza, and malnutrition). The rate for the 15 ACSCs combined as well as acute, chronic, and preventable indices were also estimated. Results: Of the 1.2 million Medicare beneficiaries enrolled in California HMOs during 2001, 24% were 80 years or older (range among plans, 15%–34%), 5% were African American (range, 1%–25%), and 6% were Medicaid-eligible (range, 3%–16%). Enrollees experienced a total of 315,503 hospitalizations in 2001 (267 per 1000), 22% of which were for an ACSC. ACSC hospitalization rates varied widely by plan and were higher among older enrollees, males, and those eligible for Medicaid. Conclusion: ACSC hospitalization rates are easy to calculate based on administrative data. These rates can be used by individual plans as a method to screen for possible access and quality of care problems.

Original Research

Search the Turner White index to find abstracts of articles published in JCOM.





New issues are posted one month following publication of the printed journal.



View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999



Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2014, Turner White Communications
Updated 1/20/14 • jdw