ArticleHealth services research2005
Physician visits, hospitalizations, and socioeconomic status: ambulatory care sensitive conditions in a canadian setting.
Article in Health services research, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
98 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Drivers of Emergency Department Use Among Oncology Patients in the Era of Novel Cancer Therapeutics: A Systematic Review.The oncologist · 2023Pooled it
- Socioeconomic inequalities in hospitalizations for chronic ambulatory care sensitive conditions: a systematic review of peer-reviewed literature, 1990-2018.International journal for equity in health · 2020Pooled it
- Income-related inequalities in ACSC hospitalization in Canada: evidence from 2005-2019 surveys linked with hospitalization and tax data.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Trends and inequities in primary and emergency care use among older adults in British Columbia: an analysis across age, sex, income, and rurality (2018-2023).International journal for equity in health · 2026Article
- International comparison of equity gradients in hospitalizations for ambulatory care sensitive conditions.BMC health services research · 2026Article
- Article
- Association between transitional care in acute care hospitals and ambulatory care sensitive condition-related readmission.Age and ageing · 2025Observational
- Correlation of Income Instability With 12 Non-Communicable Disease Risks in Korea: A Prospective Cohort Study.Journal of Korean medical science · 2025Article
- Association of Outpatient Follow-Up With 30-Day Readmission After Epilepsy or Seizure Discharge in Medicare Beneficiaries Aged 65 and Older.Neurology · 2025Article
- Acute care utilization for ambulatory care-sensitive conditions among publicly insured children.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- A study protocol for a predictive model to assess population-based avoidable hospitalization risk: Avoidable Hospitalization Population Risk Prediction Tool (AvHPoRT).Diagnostic and prognostic research · 2024Article
- Implementation analysis of a case management intervention for people with complex care needs in primary care: a multiple case study across Canada.BMC health services research · 2023Article
- Socioeconomic differences in older adults' unplanned hospital admissions: the role of health status and social network.Age and ageing · 2023Article
- Evaluation of Survey Nonresponse in Measuring Cardiometabolic Health Risk Factors and Outcomes among Sexual Minority Populations: A National Data Linkage Analysis.International journal of environmental research and public health · 2023Article
- Hospice Enrollment, Future Hospitalization, and Future Costs Among Racially and Ethnically Diverse Patients Who Received Palliative Care Consultation.The American journal of hospice & palliative care · 2022Article
- Medicare Beneficiaries In Disadvantaged Neighborhoods Increased Telemedicine Use During The COVID-19 Pandemic.Health affairs (Project Hope) · 2022Article
- Primary care visits and ambulatory care sensitive diabetes hospitalizations among adult Alabama Medicaid beneficiaries.Primary care diabetes · 2022Article
- Regional variation of potentially avoidable hospitalisations in Switzerland: an observational study.BMC health services research · 2021Observational
- Article
- How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease.NPJ primary care respiratory medicine · 2021Article
38 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether rates of physician visits for ambulatory care sensitive (ACS) conditions are lower for people of low-socioeconomic status than of high-socioeconomic status in an urban population with universal health care coverage. DATA SOURCES/STUDY
settingPhysician claims and hospital discharge abstracts from fiscal years 1998 to 2001 for urban residents of Manitoba, Canada. The 1996 Canadian Census public use database provided neighborhood household income information. The study included all continuously enrolled urban residents in the Manitoba Health Services Insurance Plan. STUDY
designTwelve ACS conditions definable using 3-digit ICD-9-CM codes permitted cross-sectional and longitudinal comparison of ambulatory visits and hospitalizations. Neighborhood household income data provided a measure of socioeconomic status. DATA COLLECTION/EXTRACTION
methodsFiles were extracted from administrative data housed at the Manitoba Centre for Health Policy. PRINCIPAL
findingsAll conditions showed a socioeconomic gradient with residents of the lowest income neighborhoods having both more visits and more hospitalizations than their counterparts in higher income areas. Six of nine conditions with a sufficient N showed individuals living in the lowest income neighborhoods to have significantly more ambulatory visits before hospitalization for an ACS condition than did those in the most affluent neighborhoods. Many conditions showed a gradient in rate of hospitalization even after controlling for the number of ambulatory care visits.
conclusionsIn the Canadian universal health care plan, the poor have reasonable access to ambulatory care for ACS conditions. Ambulatory care may be more effective in preventing hospitalizations among relatively affluent individuals than among the less well off.
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