ArticleHealth affairs (Project Hope)2020
Avoidable Hospitalizations And Observation Stays: Shifts In Racial Disparities.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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Who cites it
14 citing papers in PubMed.
- Ambulatory Care Sensitive Hospitalizations and Disparities Among Older Adults With Dementia Before and During the Pandemic.Journal of the American Geriatrics Society · 2025Observational
- Trends in Avoidable Hospitalizations Before and During the COVID-19 Pandemic: Multiple Cross-Sectional Study Using Administrative Data From Beijing, China.JMIR public health and surveillance · 2025Article
- Trends in Preventable Hospitalization Rates for Children With or Without Observation Stay Data.JAMA network open · 2025Article
- Institutional Betrayal in Inpatient Psychiatry: Effects on Trust and Engagement With Care.Psychiatric services (Washington, D.C.) · 2025Article
- Association between governmental spending on social services and health care use among low-income older adults.Health affairs scholar · 2025Article
- Trends in observation stays for Medicare beneficiaries with and without Alzheimer's disease and related dementias.Journal of the American Geriatrics Society · 2024Article
- Racialized economic segregation and potentially preventable hospitalizations among Medicaid/CHIP-enrolled children.Health services research · 2023Article
- Evaluation of Potentially Avoidable Acute Care Utilization Among Patients Insured by Medicare Advantage vs Traditional Medicare.JAMA health forum · 2023Article
- Hospitals That Serve Many Black Patients Have Lower Revenues and Profits: Structural Racism in Hospital Financing.Journal of general internal medicine · 2023Article
- Accounting for the Growth of Observation Stays in the Assessment of Medicare's Hospital Readmissions Reduction Program.JAMA network open · 2022Article
- The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over.BMC health services research · 2022Observational
- Trends in Health Care Use Among Black and White Persons in the US, 1963-2019.JAMA network open · 2022Article
- Observational
- Racial Disparities in Potentially Avoidable Hospitalizations During the COVID-19 Pandemic.American journal of preventive medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Racial disparities in hospitalization rates for ambulatory care-sensitive conditions are concerning and may signal differential access to high-quality ambulatory care. Whether racial disparities are improving as a result of better ambulatory care versus artificially narrowing because of increased use of observation status is unclear. Using Medicare data for 2011-15, we sought to determine whether black-white disparities in avoidable hospitalizations were improving and evaluated the degree to which changes in observations for ambulatory care-sensitive conditions may be contributing to changes in these gaps. We found that while the racial gap in avoidable hospitalizations due to such conditions has decreased, that seems to be explained by a concomitant increase in the gap of avoidable observation stays. This suggests that changes from inpatient admissions to observation status seem to be driving the reduction in racial disparities in avoidable hospitalizations, rather than changes in the ambulatory setting.
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