Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012
Objective: The U.S. Agency for Healthcare Research and Quality's Prevention Quality Indicators comprise acute and chronic conditions for which hospitalization can be potentially prevented by high-quality ambulatory care. The Healthy Alaska 2020 initiative (HA2020) targeted reducing potentially...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-12-01
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| Series: | Preventive Medicine Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335516300195 |
| _version_ | 1819079880046804992 |
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| author | Prabhu P. Gounder, MD, MPH Sara M. Seeman, MSPH Robert C. Holman, MS Alice Rarig, PhD, MA, MPH Mary K. McEwen, MPH Claudia A. Steiner, MD, MPH Michael L. Bartholomew, MD Thomas W. Hennessy, MD, MPH |
| author_facet | Prabhu P. Gounder, MD, MPH Sara M. Seeman, MSPH Robert C. Holman, MS Alice Rarig, PhD, MA, MPH Mary K. McEwen, MPH Claudia A. Steiner, MD, MPH Michael L. Bartholomew, MD Thomas W. Hennessy, MD, MPH |
| author_sort | Prabhu P. Gounder, MD, MPH |
| collection | DOAJ |
| description | Objective: The U.S. Agency for Healthcare Research and Quality's Prevention Quality Indicators comprise acute and chronic conditions for which hospitalization can be potentially prevented by high-quality ambulatory care. The Healthy Alaska 2020 initiative (HA2020) targeted reducing potentially preventable hospitalizations (PPH) for acute and chronic conditions among its health indicators. We estimated the PPH rate for adults aged ≥18 years in Alaska during 2010–2012. Methods: We conducted a cross-sectional analysis of state-wide hospital discharge data obtained from the Healthcare Cost and Utilization Project and the Indian Health Service. We calculated average annual PPH rates/1000 persons for acute/chronic conditions. Age-adjusted rate ratios (aRRs) were used for evaluating PPH rate disparities between Alaska Native (AN) and non-AN adults. Results: Among 127,371 total hospitalizations, 4911 and 6721 were for acute and chronic PPH conditions, respectively. The overall crude PPH rate was 7.3 (3.1 for acute and 4.2 for chronic conditions). AN adults had a higher rate than non-AN adults for acute (aRR: 4.7; p < 0.001) and chronic (aRR: 2.6; p < 0.001) PPH conditions. Adults aged ≥85 years had the highest PPH rate for acute (43.5) and chronic (31.6) conditions. Acute conditions with the highest PPH rate were bacterial pneumonia (1.8) and urinary tract infections (0.8). Chronic conditions with the highest PPH rate were chronic obstructive pulmonary disease (COPD; 1.6) and congestive heart failure (CHF; 1.3). Conclusion: Efforts to reduce PPHs caused by COPD, CHF, and bacterial pneumonia, especially among AN people and older adults, should yield the greatest benefit in achieving the HA2020 goal. Keywords: Quality of health care, Health services research, Native American, Healthcare disparities |
| first_indexed | 2024-12-21T19:36:01Z |
| format | Article |
| id | doaj.art-e10247f136a844f79001b5590bfd6755 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-21T19:36:01Z |
| publishDate | 2016-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-e10247f136a844f79001b5590bfd67552022-12-21T18:52:36ZengElsevierPreventive Medicine Reports2211-33552016-12-014614621Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012Prabhu P. Gounder, MD, MPH0Sara M. Seeman, MSPH1Robert C. Holman, MS2Alice Rarig, PhD, MA, MPH3Mary K. McEwen, MPH4Claudia A. Steiner, MD, MPH5Michael L. Bartholomew, MD6Thomas W. Hennessy, MD, MPH7Arctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC), Anchorage, AK, United States; Corresponding author at: 4055 Tudor Centre Drive, Anchorage, AK 99508, United States.Division of High-Consequence Pathogens and Pathology, NCEZID, CDC, Atlanta, GA, United StatesArctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC), Anchorage, AK, United StatesDivision of Public Health, Alaska Department of Health and Social Services, Juneau, AK, United StatesDivision of Public Health, Alaska Department of Health and Social Services, Juneau, AK, United StatesHealthcare Cost and Utilization Project, Center for Delivery, Organization and Markets, Agency for Healthcare and Research and Quality, Rockville, MD, United StatesDivision of Epidemiology and Disease Prevention, Indian Health Service, Rockville, MD, United StatesArctic Investigations Program, Division of Preparedness and Emerging Infections, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC), Anchorage, AK, United StatesObjective: The U.S. Agency for Healthcare Research and Quality's Prevention Quality Indicators comprise acute and chronic conditions for which hospitalization can be potentially prevented by high-quality ambulatory care. The Healthy Alaska 2020 initiative (HA2020) targeted reducing potentially preventable hospitalizations (PPH) for acute and chronic conditions among its health indicators. We estimated the PPH rate for adults aged ≥18 years in Alaska during 2010–2012. Methods: We conducted a cross-sectional analysis of state-wide hospital discharge data obtained from the Healthcare Cost and Utilization Project and the Indian Health Service. We calculated average annual PPH rates/1000 persons for acute/chronic conditions. Age-adjusted rate ratios (aRRs) were used for evaluating PPH rate disparities between Alaska Native (AN) and non-AN adults. Results: Among 127,371 total hospitalizations, 4911 and 6721 were for acute and chronic PPH conditions, respectively. The overall crude PPH rate was 7.3 (3.1 for acute and 4.2 for chronic conditions). AN adults had a higher rate than non-AN adults for acute (aRR: 4.7; p < 0.001) and chronic (aRR: 2.6; p < 0.001) PPH conditions. Adults aged ≥85 years had the highest PPH rate for acute (43.5) and chronic (31.6) conditions. Acute conditions with the highest PPH rate were bacterial pneumonia (1.8) and urinary tract infections (0.8). Chronic conditions with the highest PPH rate were chronic obstructive pulmonary disease (COPD; 1.6) and congestive heart failure (CHF; 1.3). Conclusion: Efforts to reduce PPHs caused by COPD, CHF, and bacterial pneumonia, especially among AN people and older adults, should yield the greatest benefit in achieving the HA2020 goal. Keywords: Quality of health care, Health services research, Native American, Healthcare disparitieshttp://www.sciencedirect.com/science/article/pii/S2211335516300195 |
| spellingShingle | Prabhu P. Gounder, MD, MPH Sara M. Seeman, MSPH Robert C. Holman, MS Alice Rarig, PhD, MA, MPH Mary K. McEwen, MPH Claudia A. Steiner, MD, MPH Michael L. Bartholomew, MD Thomas W. Hennessy, MD, MPH Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012 Preventive Medicine Reports |
| title | Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012 |
| title_full | Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012 |
| title_fullStr | Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012 |
| title_full_unstemmed | Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012 |
| title_short | Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012 |
| title_sort | potentially preventable hospitalizations for acute and chronic conditions in alaska 2010 2012 |
| url | http://www.sciencedirect.com/science/article/pii/S2211335516300195 |
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