ArticleJournal of the Royal Society of Medicine2006
Association of population and practice factors with potentially avoidable admission rates for chronic diseases in London: cross sectional analysis.
Article in Journal of the Royal Society of Medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- Using Ambulatory Care Sensitive Conditions to Assess Primary Health Care Performance during Disasters: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Which features of primary care affect unscheduled secondary care use? A systematic review.BMJ open · 2014Pooled it
- Combined inhaled anticholinergics and short-acting beta2-agonists for initial treatment of acute asthma in children.The Cochrane database of systematic reviews · 2013Pooled it
- Trends in Avoidable Hospitalizations Before and During the COVID-19 Pandemic: Multiple Cross-Sectional Study Using Administrative Data From Beijing, China.JMIR public health and surveillance · 2025Article
- Impact of hypertension-related avoidable hospitalization on all-cause mortality in older patients with hypertension: a nationwide retrospective cohort study in Korea.Epidemiology and health · 2025Article
- Avoidable hospitalization after family physician and rural health insurance: interrupted time series and regression analyses, Tehran province, Iran.Primary health care research & development · 2022Article
- Associations between attainment of incentivised primary care indicators and emergency hospital admissions among type 2 diabetes patients: a population-based historical cohort study.Journal of the Royal Society of Medicine · 2021Article
- Frequent avoidable admissions amongst Aboriginal and non-Aboriginal people with chronic conditions in New South Wales, Australia: a historical cohort study.BMC health services research · 2020Article
- Article
- Comorbidity prevalence among cancer patients: a population-based cohort study of four cancers.BMC cancer · 2020Article
- The burden of preventable hospitalizations before and after implementation of the health transformation plan in a hospital in west of Iran.Primary health care research & development · 2019Article
- Avoidable hospitalizations in Brazil and Portugal: Identifying and comparing critical areas through spatial analysis.PloS one · 2019Article
- Quality of diabetes follow-up care and hospital admissions.International journal of health economics and management · 2018Article
- Impact of Disease Prevalence Adjustment on Hospitalization Rates for Chronic Ambulatory Care-Sensitive Conditions in Germany.Health services research · 2018Article
- The impact of rural health insurance and the family physician program on hospitalizations, a beforeafter study at the county level conducted in Tehran province, Iran.Medical journal of the Islamic Republic of Iran · 2018Article
- Impact of Type of Medical Specialist Involvement in Chronic Illness Care on Emergency Department Use.Healthcare policy = Politiques de sante · 2016Article
- Article
- Does the quality and outcomes framework reduce psychiatric admissions in people with serious mental illness? A regression analysis.BMJ open · 2015Article
- Comparison of two methods to report potentially avoidable hospitalizations in France in 2012: a cross-sectional study.BMC health services research · 2015Article
- Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo examine the association between underlying ill health, material deprivation and primary care supply factors and hospital admission rates for potentially avoidable admissions in primary care trusts in London.
designCross sectional analysis at primary care trusts level using routine data from multiple sources.
settingAll 31 primary care trusts in London with a total resident population of 7 million patients.
main outcome measuresAge-standardized hospital admission rates for asthma, diabetes, heart failure, hypertension and chronic obstructive pulmonary disease.
resultsAdmission rates varied widely for the conditions examined across the 31 primary care trusts. In 2001, age adjusted admission rates for asthma varied from 76 to 189 per 100,000 and for diabetes from 38 to 183 per 100,000. There was a significant association between higher admission rates and measures of underlying ill health and material deprivation but not quantitative measures of primary care service provision. Provision of specialist chronic disease services in primary care for diabetes but not for asthma were significantly associated with reduced admission rates. There was no association of prescribing levels in primary care trusts with admission rates for any of the conditions examined.
conclusionsAlthough hospital admission for some chronic diseases is potentially avoidable and rates of hospital admission for these conditions are possible indicators of the quality of care, they should be interpreted in conjunction with measures of population composition and deprivation. Failure to do this may result in primary care trusts and general practitioners being criticized for aspects of health care utilization that are not under their direct control.
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