ArticleInternational journal of environmental research and public health2020
Comparison and Impact of Four Different Methodologies for Identification of Ambulatory Care Sensitive Conditions.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Proposed ICD-10 framework for identifying emergency department visits that may be impacted by community pharmacy care clinics.International journal of clinical pharmacy · 2026Article
- Defining chronic ambulatory care sensitive conditions in Malaysia: a collaborative consensus study.BMJ open · 2026Article
- Interpretable deep learning for functional MRI-based auxiliary diagnosis of major depressive disorder with suicidal ideation.Frontiers in computational neuroscience · 2026Article
- Effect of primary health care on hospitalizations: health services analysis based on Estonian data.Primary health care research & development · 2025Article
- 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
- Development and validation of predictive models for unplanned hospitalization in the Basque Country: analyzing the variability of non-deterministic algorithms.BMC medical informatics and decision making · 2023Article
- Patients' Perspectives on Determinants Avoidable Hospitalizations: Development and Validation of a Questionnaire.International journal of environmental research and public health · 2022Article
- Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan.International journal of environmental research and public health · 2021Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ambulatory care sensitive conditions (ACSCs) are conditions for which hospitalizations are thought to be avoidable if effective and accessible primary health care is available. However, to define which conditions are considered ACSCs, there is a considerable number of different lists. Our aim was to compare the impact of using different ACSC lists considering mainland Portugal hospitalizations. A retrospective study with inpatient data from Portuguese public hospital discharges between 2011 and 2015 was conducted. Four ACSC list sources were considered: Agency for Healthcare Research and Quality (AHRQ), Canadian Institute for Health Information (CIHI), the Victorian Ambulatory Care Sensitive Conditions study, and Sarmento et al. Age-sex-adjusted rates of ACSCs were calculated by district (hospitalizations per 100,000 inhabitants). Spearman's rho, the intraclass correlation coefficient (ICC), the information-based measure of disagreement (IBMD), and Bland and Altman plots were computed. Results showed that by applying the four lists, different age-sex-adjusted rates are obtained. However, the lists that seemed to demonstrate greater agreement and consistency were the list proposed by Sarmento et al. compared to AHRQ and the AHRQ method compared to the Victorian list. It is important to state that we should compare comparable indicators and ACSC lists cannot be used interchangeably.
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