ArticleMedical care2015
Sociodemographic and health characteristics, rather than primary care supply, are major drivers of geographic variation in preventable hospitalizations in Australia.
Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.
What it found
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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
57 citing papers in PubMed, 1 synthesis or guideline pooled 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
- GP- and practice-related variation in ambulatory sensitive hospitalisations of older primary care patients.BMC family practice · 2020Trial
- 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
- Article
- Multiple Chronic Conditions, Delayed Medical Care and Hospitalization: A Comparison Between the United States and Taiwan.International journal of health policy and management · 2026Article
- Age- and disability-based trends in potentially preventable hospitalizations: evidence from nationwide claims data in Korea.Epidemiology and health · 2026Article
- Hospitalizations and inpatient resource consumption of patients suffering from chronic disease - Past trend and forecast for Switzerland.BMC health services research · 2025Article
- Continuity of Primary Care and Preventable Hospitalization for Acute Conditions: A Machine Learning-Based Record Linkage Study.Annals of family medicine · 2025Article
- Primary health care performance measurement at the service delivery level in Indonesia: a scoping review.BMC health services research · 2025Article
- Investigation of rural-urban differences in hospitalization for ambulatory care-sensitive conditions: Analysis of linked survey, hospitalization, and tax data from Canada.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Utilization of Municipal Healthcare Services Among High-Cost Older Patients in Norwegian Somatic Hospitals: A Cross-Sectional Registry Study.Health services insights · 2025Article
- 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
- Preadmission morbidity and healthcare utilization among older adults with potentially avoidable hospitalizations: a Danish case-control study.European geriatric medicine · 2024Article
- Article
- Preventable hospitalizations through ED: does the number of hospital beds matter under the global budget in a single-payer system in Taiwan?Frontiers in public health · 2024Article
- Unveiling Spatial Associations between COVID-19 Severe Health Index, Racial/Ethnic Composition, and Community Factors in the United States.International journal of environmental research and public health · 2023Article
- Performing up to Nordic principles? Geographic and socioeconomic equity in ambulatory care sensitive conditions among older adults in capital areas of Denmark, Finland and Sweden in 2000-2015.BMC health services research · 2023Article
- Associations between self-reported healthcare disruption due to covid-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.BMJ (Clinical research ed.) · 2023Observational
- Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review.International journal of environmental research and public health · 2023Article
- Explaining regional variation in elective hip and knee arthroplasties in Finland 2010 - 2017-a register-based cohort study.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundGeographic rates of preventable hospitalization are used internationally as an indicator of accessibility and quality of primary care. Much research has correlated the indicator with the supply of primary care services, yet multiple other factors may influence these admissions.
objectiveTo quantify the relative contributions of the supply of general practitioners (GPs) and personal sociodemographic and health characteristics, to geographic variation in preventable hospitalization.
methodsSelf-reported questionnaire data for 267,091 participants in the 45 and Up Study, Australia, were linked with administrative hospital data to identify preventable hospitalizations. Multilevel Poisson models, with participants clustered in their geographic area of residence, were used to explore factors that explain geographic variation in hospitalization.
resultsGP supply, measured as full-time workload equivalents, was not a significant predictor of preventable hospitalization, and explained only a small amount (2.9%) of the geographic variation in hospitalization rates. Conversely, more than one-third (36.9%) of variation was driven by the sociodemographic composition, health, and behaviors of the population. These personal characteristics explained a greater amount of the variation for chronic conditions (37.5%) than acute (15.5%) or vaccine-preventable conditions (2.4%).
conclusionsPersonal sociodemographic and health characteristics, rather than GP supply, are major drivers of preventable hospitalization. Their contribution varies according to condition, and if used for performance comparison purposes, geographic rates of preventable hospitalization should be reported according to individual condition or potential pathways for intervention.
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