ArticleAmerican journal of preventive medicine2021
Racial Disparities in Potentially Avoidable Hospitalizations During the COVID-19 Pandemic.
Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Using Ambulatory Care Sensitive Conditions to Assess Primary Health Care Performance during Disasters: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- 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
- Examining racial, ethnic, and gender representation of applicants and matriculants to emergency medicine residency programs from 2005 to 2021.AEM education and training · 2025Article
- Socioeconomically Disadvantaged Groups May Have Underused The Emergency Department For Nonavoidable Visits, 2018-22.Health affairs (Project Hope) · 2025Article
- Accountable care organization changes in equity of ambulatory care quality by patient race and ethnicity, 2019-2022.Health affairs scholar · 2024Article
- Trends in Diverticular Disease Hospitalizations and Racial Disparities in Outcomes Across the United States.Cureus · 2024Article
- The Influence of the COVID-19 Pandemic on Hospitalizations for Ambulatory Care-Sensitive Conditions in Split-Dalmatia County, Croatia.Medicina (Kaunas, Lithuania) · 2024Article
- Development of the China's list of ambulatory care sensitive conditions (ACSCs): a study protocol.Global health research and policy · 2024Article
- Trends in inequalities in avoidable hospitalisations across the COVID-19 pandemic: a cohort study of 23.5 million people in England.BMJ open · 2024Observational
- Differences in diabetes control in telemedicine vs. in-person only visits in ambulatory care setting.Preventive medicine reports · 2022Article
- Association between Covid-19 Vaccination and Influenza Vaccination Rates.The New England journal of medicine · 2022Article
- Transmissibility, hospitalization, and intensive care admissions due to omicron compared to delta variants of SARS-CoV-2 in Catalonia: A cohort study and ecological analysis.Frontiers in public health · 2022Article
- Is Avoidable Hospitalization Experienced Prior to Infection Associated With COVID-19-Related Deaths?International journal of public health · 2022Article
- Improvements in Transitional Care Among Medicaid-Insured Patients With Serious Mental Illness.Journal of nursing care qualityArticle
- Amplifying patient voices amid pandemic: Perspectives on tracheostomy care, communication, and connection.American journal of otolaryngologyArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
introductionPotentially avoidable hospitalizations are disproportionately experienced by racial and ethnic minorities and expose these groups to unnecessary iatrogenic harm (including the risk of nosocomial COVID-19) and undue financial burden. In working toward an overarching goal of eliminating racial and ethnic health disparities, it is important to understand whether and to what extent potentially avoidable hospitalizations have changed by race and ethnicity during the COVID-19 pandemic.
methodsThis single-center pre-post study included patients admitted to any UCLA Health hospital for an ambulatory care-sensitive condition between March-August 2019 (prepandemic period) and March-August 2020 (postpandemic period). Investigators measured the change in the number of potentially avoidable hospitalizations (defined per the Agency for Healthcare Research and Quality guidelines) stratified by race and ethnicity and calculated the 95% CIs for these hospitalizations using a cluster bootstrap procedure.
resultsBetween March 1, 2020 and August 31, 2020, 347 of 4,838 hospitalizations (7.2%) were potentially avoidable, compared with 557 of 6,248 (8.9%) during the same 6-month period in 2019. Potentially avoidable hospitalizations decreased by 50.3% (95% CI=41.2, 60.9) among non-Hispanic Whites but only by 8.0% (95% CI= -16.2, 39.9) among African Americans (50.3% vs 8.0%, p=0.015).
conclusionsRacial disparities in potentially avoidable hospitalizations increased during the COVID-19 pandemic at a large urban health system. Given that the prepandemic rates of potentially avoidable hospitalizations were already higher among racial and ethnic minorities, especially among African Americans, this finding should cause alarm and lead to further exploration of the complex factors contributing to these disparities.
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