ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2016
Rates of admission for ambulatory care sensitive conditions in France in 2009-2010: trends, geographic variation, costs, and an international comparison.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 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
- Trial
- Quality Assessment Indicators for Well-Child Care in Primary Health Care: A Scoping Review of Global Trends, Standardization, and Dimensions of Care.Children (Basel, Switzerland) · 2026Review
- Assessment of potentially avoidable hospitalizations in Ningxia, China: application of a China-specific ACSCs list.Frontiers in public health · 2026Article
- Regional Factors and Ambulatory Care-Sensitive Condition Hospitalizations in Older Japanese Adults.JAMA network open · 2025Article
- Association between transitional care in acute care hospitals and ambulatory care sensitive condition-related readmission.Age and ageing · 2025Observational
- Avoidable hospitalizations for ambulatory care sensitive conditions in children under five years in Ecuador, 2000-2023.Cadernos de saude publica · 2025Article
- Prescription opioids and economic hardship in France.The European journal of health economics : HEPAC : health economics in prevention and care · 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
- Hospitalizations for Ambulatory Care Sensitive Conditions in a Large City of Japan: a Descriptive Analysis Using Claims Data.Journal of general internal medicine · 2022Observational
- Understanding geographical variations in health system performance: a population-based study on preventable childhood hospitalisations.BMJ open · 2022Observational
- Hospitalization for ambulatory care sensitive conditions: What conditions make inter-country comparisons possible?Health policy OPEN · 2021Article
- Emergency hospital admissions among older adults living alone in the community.BMC health services research · 2021Article
- Regional variation of potentially avoidable hospitalisations in Switzerland: an observational study.BMC health services research · 2021Observational
- Inequalities in avoidable hospitalisation in large urban areas: retrospective observational study in the metropolitan area of Milan.BMJ open · 2020Observational
- Comparison and Impact of Four Different Methodologies for Identification of Ambulatory Care Sensitive Conditions.International journal of environmental research and public health · 2020Article
- Defining ambulatory care sensitive conditions for adults in Portugal.BMC health services research · 2020Article
- Healthcare consumption after a change in health insurance coverage: a French quasi-natural experiment.Health economics review · 2020Article
- Geographic variation in preventable hospitalisations across Canada: a cross-sectional study.BMJ open · 2020Article
- Medicare's per-Beneficiary Potentially Avoidable Admission Measures Mask True Performance.Journal of general internal medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdmissions for ambulatory care sensitive conditions (ACSCs) are considered preventable and indicators of poor access to primary care. We wondered whether per-capita rates of admission for ACSCs in France demonstrated geographic variation, were changing, were related to other independent variables, or were comparable to those in other countries; further, we wanted to quantify the resources such admissions consume.
methodsWe calculated per-capita rates of admission for five categories (chronic, acute, vaccination preventable, alcohol-related, and other) of ACSCs in 94 departments in mainland France in 2009 and 2010, examined measures and causes of geographic variation in those rates, computed the costs of those admissions, and compared rates of admission for ACSCs in France to those in several other countries.
resultsThe highest ACSC admission rates generally occurred in the young and the old, but rates varied across French regions. Over the 2-year period, rates of most categories of ACSCs increased; higher ACSC admission rates were associated with lower incomes and a higher supply of hospital beds. We found that the local supply of general practitioners was inversely associated with rates of chronic and total ACSC admission rates, but that this relationship disappeared if we accounted for patients' use of general practitioners in neighboring departments. ACSC admissions cost 4.755 billion euros in 2009 and 5.066 billion euros in 2010; they consumed 7.86 and 8.74 million bed days of care, respectively. France had higher rates of ACSC admissions than most other countries examined.
conclusionsBecause admissions for ACSCs are generally considered a failure of outpatient care, cost French taxpayers substantial monetary and hospital resources, and appear to occur more frequently in France than in other countries, policymakers should prioritize targeted efforts to reduce them.
Indexed as
Identifiers
25951924What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.