ArticleBMC health services research2019
Hospitalizations for ambulatory care sensitive conditions as an indicator of access to primary care and excess of bed supply.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Healthcare Utilisation and Barriers and Facilitators of Healthcare Access for Young People With Intellectual Disability: A Systematic Review.Journal of intellectual disability research : JIDR · 2026Pooled it
- National Trends in Healthcare Quality in Korea: A Multidimensional Assessment Using OECD Health Care Quality Indicators (2008-2023).Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2026Article
- Comparison of health care utilisation and spending among National Health Insurance and Medical Aid beneficiaries in Korea.BMC health services research · 2026Article
- Article
- The Association Between Home-Visit Nursing Use and the Incidence of Potentially Avoidable Hospitalisation and Its Duration Among Community-Dwelling Older People: A 12-Month Prospective Cohort Study.International journal of older people nursing · 2026Article
- 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
- Polydoctoring and health outcomes among the very old population with multimorbidity: a retrospective cohort study in Japan.Scientific reports · 2025Article
- Variability in the Length of Stay and Daily Medical Expenses in Inpatient Care in Korea, 2010-2019: Hypertension and Pneumonia.Journal of Korean medical science · 2025Article
- Widely Integrated Services in Home (WISH) for homebound older adults: a study protocol for a randomized encouragement trial.BMC geriatrics · 2024Article
- Impact of Palivizumab in Preventing Severe Acute Lower Respiratory Infection in Moderate-to-Late Preterm Infants: A Nationwide Cohort Study.Journal of Korean medical science · 2024Article
- Continuity of care and hospitalization frequency for ambulatory care-sensitive conditions after hearing-disability onset: a retrospective cohort study.Scientific reports · 2024Article
- Greater need but reduced access: a population study of planned and elective surgery rates in adult mental health service users.Epidemiology and psychiatric sciences · 2024Article
- Association between spatial access and hospitalization for ambulatory care sensitive conditions: A retrospective cohort study using claims data.SSM - population health · 2024Article
- Factors Affecting the Preference for Hospitals Over Clinics in Primary Care in Korea.Journal of Korean medical science · 2024Article
- 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
- 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
- Geographic Distribution of Central Nervous System Rehabilitation Treatment in Korea and Its Associated Factors.Journal of Korean medical science · 2023Article
- Trends in the Quality of Primary Care and Acute Care in Korea From 2008 to 2020: A Cross-sectional Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Article
- Article
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4 authors.
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Abstract
backgroundAmbulatory care sensitive conditions (ACSC) hospitalization is a widely accepted measure of the access to primary care. However, given its discretionary characteristics, the ACSC hospitalization can be a measure reflecting the influence of hospital bed supply. In Korea, where the quality of primary care and oversupply of hospital beds are coexistent concerns, ACSC hospitalization can be used to examine the impact of both factors. This study was performed to investigate the ACSC hospitalization rate as a measure of the hospital bed supply as well as access to primary care.
methodsData were obtained from the National Health Insurance Database for 2015. We calculated the age-sex standardized hospitalization rates for ACSC in the total population and crude rates of ACSC hospitalization for three different age groups in 252 districts in Korea. We calculated the variation statistics of ACSC hospitalization rates, and we estimated a linear regression model to investigate the factors for ACSC hospitalization.
resultsThere was a very high geographic variation in ACSC hospitalization rates. Higher density of primary care physicians was associated with a decreased ACSC hospitalization rate while a higher density of hospital beds in small to medium sized hospitals was associated with an increased rate. The deprivation index score had a strongly positive association with the ACSC hospitalization rates.
conclusionACSC hospitalization, while being a negative index of primary care access, can also be a measure indicating the impact of the hospital bed supply, and it is still a valid measure of the disparity of health care, the original motivation for this topic.
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