ArticleInternational journal of chronic obstructive pulmonary disease2016
Explaining the link between access-to-care factors and health care resource utilization among individuals with COPD.
Article in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- RuralEuropean respiratory review : an official journal of the European Respiratory Society · 2026Pooled it
- Facilitators and barriers affecting the implementation of e-health for chronic respiratory diseases in remote settings: a qualitative evidence synthesis.BMC health services research · 2025Pooled it
- A Systematic Literature Review of the Humanistic, Economic, Sociodemographic, and Environmental Burden Associated with Severe COPD.International journal of chronic obstructive pulmonary disease · 2025Pooled it
- Integrated Care for COPD in the Elderly: Impact on Healthcare Utilization Across Healthcare Settings.International journal of chronic obstructive pulmonary disease · 2026Article
- Improving Research for COPD in Rural Areas: A Statement from the COPD Foundation Medical and Scientific Advisory Committee.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025Article
- Relationship between patient-perceived quality of primary care and self-reported hospital utilisation in China: A cross-sectional study.The European journal of general practice · 2024Article
- Variations in COPD Health Care Access and Outcomes: A Rapid Review.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Association of rural living with COPD-related hospitalizations and deaths in US veterans.Scientific reports · 2023Article
- Challenges Faced by Rural Primary Care Providers When Caring for COPD Patients in the Western United States.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2021Article
- Efficiency of fine scale and spatial regression in modelling associations between healthcare service spatial accessibility and their utilization.International journal of health geographics · 2021Article
- The Association Between Neighborhood Socioeconomic Disadvantage and Chronic Obstructive Pulmonary Disease.International journal of chronic obstructive pulmonary disease · 2020Article
- Risk factors associated with physical and mental distress in people who report a COPD diagnosis: latent class analysis of 2016 behavioral risk factor surveillance system data.International journal of chronic obstructive pulmonary disease · 2019Article
- Rural Residence and Chronic Obstructive Pulmonary Disease Exacerbations. Analysis of the SPIROMICS Cohort.Annals of the American Thoracic Society · 2018Article
- Is there an association between spatial accessibility of outpatient care and utilization? Analysis of gynecological and general care.BMC health services research · 2018Article
- Access to routine care and risks for 30-day readmission in patients with cardiovascular disease.American heart journal · 2018Article
- Effects of TRPC1 on epithelial mesenchymal transition in human airway in chronic obstructive pulmonary disease.Medicine · 2017Article
- Association Between Rural Residence and In-Hospital and 30-Day Mortality Among Veterans Hospitalized with COPD Exacerbations.International journal of chronic obstructive pulmonary diseaseArticle
- Unequal Access, Unequal Outcomes: Analyzing Chronic Obstructive Pulmonary Disease Hospital Admissions Across Clinical Commissioning Groups.Open respiratory archivesArticle
- Digital exclusion faced by people living with chronic respiratory disease: Challenges, implications and solutions.Chronic respiratory diseaseReview
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLimited accessibility to health care may be a barrier to obtaining good care. Few studies have investigated the association between access-to-care factors and COPD hospitalizations. The objective of this study is to estimate the association between access-to-care factors and health care utilization including hospital/emergency department (ED) visits and primary care physician (PCP) office visits among adults with COPD utilizing a nationally representative survey data.
methodsWe conducted a pooled cross-sectional analysis based upon a bivariate probit model, utilizing datasets from the 2011-2012 Behavioral Risk Factor Surveillance System linked with the 2014 Area Health Resource Files among adults with COPD. Dichotomous outcomes were hospital/ED visits and PCP office visits. Key covariates were county-level access-to-care factors, including the population-weighted numbers of pulmonary care specialists, PCPs, hospitals, rural health centers, and federally qualified health centers.
resultsAmong a total of 9,332 observations, proportions of hospital/ED visits and PCP office visits were 16.2% and 44.2%, respectively. Results demonstrated that access-to-care factors were closely associated with hospital/ED visits. An additional pulmonary care specialist per 100,000 persons serves to reduce the likelihood of a hospital/ED visit by 0.4 percentage points (pp) (P=0.028). In contrast, an additional hospital per 100,000 persons increases the likelihood of hospital/ED visit by 0.8 pp (P=0.008). However, safety net facilities were not related to hospital utilizations. PCP office visits were not related to access-to-care factors.
conclusionPulmonary care specialist availability was a key factor in reducing hospital utilization among adults with COPD. The findings of our study implied that an increase in the availability of pulmonary care specialists may reduce hospital utilizations in counties with little or no access to pulmonary care specialists and that since availability of hospitals increases hospital utilization, directing patients with COPD to pulmonary care specialists may decrease hospital utilizations.
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