The Child Opportunity Index 2.0 and Hospitalizations for Ambulatory Care Sensitive Conditions
The Child Opportunity Index 2.0 and Hospitalizations for Ambulatory Care Sensitive Conditions
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DOI：
10.1542/peds.2020-032755
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发表时间：
2021-08-01
期刊：
影响因子：
8
通讯作者：
Beck, Andrew F.
中科院分区：
文献类型：
--
作者：
Krager, Molly K.;Puls, Henry T.;Beck, Andrew F.
背景和目的：门诊护理敏感性疾病（ACSC）的住院治疗被认为是可以通过高质量的门诊护理避免的。与ACSC相关的发病率与社会经济背景因素有关，这些因素不一定能反映儿童环境影响健康结果的复杂途径。我们的主要目的是测试一个多维度的措施，社区水平的儿童机会和儿科住院率ACSC在2个大都市area.METHODS：这是一个回顾性的基于人口的分析ACSC住院内的堪萨斯城和辛辛那提大都市地区从2013年至2018年。如果儿童慈善堪萨斯城或辛辛那提儿童医院医疗中心在儿童住院治疗方面的市场份额超过80%，则纳入人口普查区
BACKGROUND AND OBJECTIVES: Hospitalizations for ambulatory care sensitive conditions (ACSCs) are abstract thought to be avoidable with high-quality outpatient care. Morbidity related to ACSCs has been associated with socioeconomic contextual factors, which do not necessarily capture the complex pathways through which a child's environment impacts health outcomes. Our primary objective was to test the association between a multidimensional measure of neighborhood-level child opportunity and pediatric hospitalization rates for ACSCs across 2 metropolitan areas.METHODS: This was a retrospective population-based analysis of ACSC hospitalizations within the Kansas City and Cincinnati metropolitan areas from 2013 to 2018. Census tracts were included if located in a county where Children's Mercy Kansas City or Cincinnati Children's Hospital Medical Center had >80% market share of hospitalizations for children