Hazards of hospitalization for ambulatory care sensitive conditions among older women: Evidence of greater risks for African Americans and Hispanics
Hazards of hospitalization for ambulatory care sensitive conditions among older women: Evidence of greater risks for African Americans and Hispanics
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DOI：
10.1177/1077558703257369
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发表时间：
2003-12-01
影响因子：
2.5
通讯作者：
Laditka, JN
中科院分区：
文献类型：
--
作者：
Laditka, JN
对流动护理敏感条件的住院（ACSH）已被广泛接受为初级卫生保健可及性和总体绩效的指标。先前的研究发现了与种族或民族有关的老年人ACSH差异的相互矛盾的证据。本研究使用多变量控制的纵向数据估计69岁或以上妇女的离散时间ACSH危害。数据来自1984年至1990年的老龄化纵向研究，与医疗保险索赔有关。多变量结果调整了年龄、教育、保险和婚姻状况，以及与健康状况和初级保健获取相关的其他因素，也调整了重要的需求指标，包括自评健康、合并症、身体损伤和以前的住院情况。对于每个人来说，这些因素中的许多都可以随时间变化，从而限制了测量误差。结果表明，老年非裔美国人和西班牙裔女性的ACSH风险明显高于老年非西班牙裔白人女性。
Hospitalization for Ambulatory Care Sensitive conditions (ACSH) has been widely accepted as an indicator of the accessibility and overall performance of primary health care. Previous studies have found conflicting evidence about ACSH disparities associated with race or ethnicity for older persons. This study estimates discrete-time ACSH hazards for women aged 69 or older, using longitudinal data with multivariate controls. Data are from the 1984 to 1990 Longitudinal Study of Aging, linked with Medicare claims. The multivariate results are adjusted for age, education, insurance and marital status, and other factors associated with health status and primary care access, and also for important indicators of need that include self-rated health, comorbidities, physical impairments, and previous hospitalizations. Many of these factors are permitted to vary across time for each individual, thus limiting measurement error. Results suggest that older African American and Hispanic women have markedly higher ACSH risks than older non-Hispanic white women.