Evidence map›Paper›PMID 26378898›Full record

ArticlePreventing chronic disease2015

Disparities in Potentially Preventable Hospitalizations for Chronic Conditions Among Korean Americans, Hawaii, 2010-2012.

Hyun-Hee Heo, Tetine L Sentell, Dongmei Li, Hyeong Jun Ahn, Jill Miyamura, Kathryn Braun

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Preventing chronic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hyun-Hee HeoBK21 PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences, Graduate School, Korea University, 145 Anam-Ro, Seongbuk-Gu, Hana Science Hall B-364, Seoul 02841, Republic of Korea. Email: manoah930@gmail.com.
Tetine L SentellOffice of Public Health Studies, University of Hawaii at Manoa, Honolulu, Hawaii.
Dongmei LiOffice of Public Health Studies, University of Hawaii at Manoa, Honolulu, Hawaii. Dr Li is currently affiliated with the Clinical and Translational Science Institute, University of Rochester, Rochester, New York.
Hyeong Jun AhnBiostatistics Core, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii.
Jill MiyamuraHawaii Health Information Corporation, Honolulu, Hawaii.
Kathryn BraunOffice of Public Health Studies, University of Hawaii at Manoa, Honolulu, Hawaii.
University of Hawaiʻi at Mānoa · USHawaii Department of Health · US

Funding

UH Hilo COP A&RP20GM103466 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI Peter R Hoffmann · 2012 to 2026
$60.3M
RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI HEDGES, JERRIS ROBERT, MOKUAU, NOREEN · 2012 to 2018
$21.1M
UNDERSTANDING AND REDUCING ETHNIC DISPARITIES IN PREVENTABLE HOSPITALIZATIONSP20MD000173 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI MAU, MARJORIE K. LEIMOMI MALA · 2002 to 2017
$21.0M
RESEARCH DESIGN, BIOSTATISTICS AND RESEARCH ETHICS COREG12MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI BERRY, MARLA J · 2012 to 2016
$13.0M
Enhancing Hawaii Hospital Information ContentR01HS019990 · AHRQ · QUEEN'S MEDICAL CENTER · PI SETO, TODD B · 2010 to 2010
$1.3M
AHRQ HHS R01 HS019990AHRQ HHS R01HS019990NIGMS NIH HHS P20 GM103466NIGMS NIH HHS P20GM103466NIMHD NIH HHS G12 MD007601NIMHD NIH HHS G12MD007601NIMHD NIH HHS P20 MD000173NIMHD NIH HHS P20MD000173NIMHD NIH HHS U54 MD007584NIMHD NIH HHS U54MD007584
6 · The paper itself

Abstract

introductionKorean Americans are a growing but understudied population group in the United States. High rates of potentially preventable hospitalizations suggest that primary care is underutilized. We compared preventable hospitalizations for chronic conditions in aggregate and for congestive heart failure (CHF) for Korean Americans and whites in Hawaii.

methodsDischarge data from 2010 to 2012 for all hospitalizations of adults in Hawaii for preventable hospitalizations in aggregate and for CHF included 4,345 among Korean Americans and 81,570 among whites. Preventable hospitalization rates for chronic conditions and CHF were calculated for Korean Americans and whites by sex and age group (18-64 y vs ≥65 y). Unadjusted rate ratios for Korean Americans were calculated relative to whites. Multivariate models, controlling for insurance type and comorbidity, provided adjusted rate ratios (aRRs).

resultsKorean American women and men aged 65 or older were at greater risk of preventable hospitalization overall than white women (aRR, 2.48; P = .003) and white men (aRR, 1.82; P = .049). Korean American men aged 65 or older also were at greater risk of hospitalization for CHF relative to white men (aRR, 1.87; P = .04) and for older Korean American women (aRR, 1.75; P = .07). Younger age groups did not differ significantly.

conclusionOlder Korean American patients may have significant disparities in preventable hospitalizations, which suggests poor access to or poor quality of primary health care. Improving primary care for Korean Americans may prevent unnecessary hospitalizations, improve quality of life for Korean Americans with chronic illness, and reduce health care costs.

Indexed as

AdolescentAdultAsianChronic DiseaseComorbidityFemaleHawaiiHealthcare DisparitiesHeart FailureHospitalizationHumansKoreaMaleMiddle AgedPatient DischargeQuality Assurance, Health Care

Identifiers

PMID26378898
PMCPMC4576508
OpenAlexW1886745020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.