ArticleInternational journal for equity in health2017
"Evolution and financial cost of socioeconomic inequalities in ambulatory care sensitive conditions: an ecological study for Portugal, 2000-2014".
Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Is Population Density Associated with Non-Communicable Disease in Western Developed Countries? A Systematic Review.International journal of environmental research and public health · 2022Pooled 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
- Hospital care direct costs due to ambulatory care sensitive conditions related to diabetes mellitus in the Mexican public healthcare system.BMC health services research · 2024Article
- Healthcare Equity and Commissioning: A Four-Year National Analysis of Portuguese Primary Healthcare Units.International journal of environmental research and public health · 2022Article
- Predicting Future Geographic Hotspots of Potentially Preventable Hospitalisations Using All Subset Model Selection and Repeated K-Fold Cross-Validation.International journal of environmental research and public health · 2021Article
- Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan.International journal of environmental research and public health · 2021Article
- Economic and financial crisis based on Troika's intervention and potentially avoidable hospitalizations: an ecological study in Portugal.BMC health services research · 2021Article
- 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
- Impact of family physician integrated care program on decreasing utilization of emergency department visit and hospital admission: a population-based retrospective cohort study.BMC health services research · 2020Article
- Direct and lost productivity costs associated with avoidable hospital admissions.BMC health services research · 2020Article
- A turnaround strategy: improving equity in order to achieve quality of care and financial sustainability in Italy.International journal for equity in health · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospitalizations for Ambulatory Care Sensitive Conditions (ACSC) are specific conditions for which hospitalization is thought to be avoidable through patient education, health promotion initiatives, early diagnosis and by appropriate chronic disease management, and have been shown to be greatly influenced by socioeconomic (SE) characteristics. We examined the SE inequalities in hospitalization rates for ACSC in Portugal, their evolution over time (2000-2014), and their associated financial burden.
methodsWe modeled municipality-level ACSC hospitalization rates per 1000 inhabitants and ACSC hospitalization-related costs per inhabitant, for the 2000-2014 period (n = 4170), as a function of SE indicators (illiteracy and purchasing power, in quintiles), controlling for the proportion of elderly, sex, disease specific mortality rate, population density, PC supply, and time trend. The evolution of inequalities was measured interacting SE indicators with a time trend. Costs attributable to ACSC related hospitalization inequalities were measured by the predicted values for each quintile of the SE indicators.
resultsHospitalization rate for ACSC was significantly higher in the 4th quintile of illiteracy compared with the 1st quintile (beta = 1.97; p < 0.01), and significantly lower in the 5th quintile of purchasing power, compared with the 1st quintile (beta = - 1.19; p < 0.05). ACSC hospitalization-related costs were also significantly higher in the 4th quintile of illiteracy compared with the 1st quintile (beta = 4.04€; p < 0.05), and significantly lower in the 5th quintile of purchasing power, compared with the 1st quintile (beta = - 4,69€; p < 0.01). The SE gradient significantly increased over the 2000-2014 period, and the annual cost of inequalities were estimated at more than 15 million euros for the Portuguese NHS.
conclusionThere was an increasing SE patterning in ACSC related hospitalizations, possibly reflecting increasing SE inequalities in early and preventive high-quality care, imposing a substantial financial burden to the Portuguese NHS.
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