The Effects of Chronic Disease on Ambulatory Care–Sensitive Hospitalizations for Children or Youth.

Considerable research has focused on hospitalizations for ambulatory care–sensitive conditions (ACSHs), but little of that research has focused on the role played by chronic disease in ACSHs involving children or youth (C/Y). This research investigates, for C/Y, the effects of chronic disease on the...

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Published in:Health Services Insights Vol. 12
Main Authors: Phillips, Charles D, Truong, Chau, Kum, Hye-Chung, Nwaiwu, Obioma, Ohsfeldt, Robert
Format: research tables/charts Journal Article
Published: Sage Publications Inc. 2019
Online Access:View this record in EBSCOhost
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      dt: 2019
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      pub: Sage Publications Inc.
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        atl: The Effects of Chronic Disease on Ambulatory Care–Sensitive Hospitalizations for Children or Youth.
      aug:
        au:
          Phillips, Charles D
          Truong, Chau
          Kum, Hye-Chung
          Nwaiwu, Obioma
          Ohsfeldt, Robert
        affil: Department of Health Policy and Management, School of Public Health, Texas A&M Health Science Center, College Station, TX, USA
      sug:
        subj:
          Chronic Disease
          Ambulatory Care In Infancy and Childhood
          Ambulatory Care In Adolescence
          Child, Hospitalized
          Adolescent, Hospitalized
          Human
          Texas
          Male
          Female
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          Patient Discharge
          Cross Sectional Studies
          Logistic Regression
          Descriptive Statistics
          Data Analysis Software
          ROC Curve
          Post Hoc Analysis
          Age Factors
          Race Factors
          Sex Factors
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Considerable research has focused on hospitalizations for ambulatory care–sensitive conditions (ACSHs), but little of that research has focused on the role played by chronic disease in ACSHs involving children or youth (C/Y). This research investigates, for C/Y, the effects of chronic disease on the likelihood of an ACSH. The database included 699 473 hospital discharges for individuals under 18 in Texas between 2011 and 2015. Effects of chronic disease, individual, and contextual factors on the likelihood of a discharge involving an ACSH were estimated using logistic regression. Contrary to the results for adults, the presence of chronic diseases or a complex chronic disease among children or youth was protective, reducing the likelihood of an ACSH for a nonchronic condition. Results indicate that heightened ambulatory care received by C/Y with chronic diseases is largely protective. Two of more chronic conditions or at least one complex chronic condition significantly reduced the likelihood of an ACSH.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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