miércoles, 17 de diciembre de 2014

Geographic Variation in Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2005-2011 #178

Geographic Variation in Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2005-2011 #178

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Preventable Hospitalizations Vary Widely by Region, AHRQ Analysis Finds

Rates of potentially preventable hospitalizations in the United States declined 14 percent from 2005 to 2011, but rates varied widely by geographic region, according to a new statistical brief from AHRQ. Potentially preventable hospitalizations are admissions for certain acute illnesses or worsening chronic conditions that may have been avoided with higher-quality outpatient treatment and disease management. Data from AHRQ’s Healthcare Cost and Utilization Project showed that rates of potentially preventable hospitalizations in 2011 were lowest in the West (at 1,220 discharges per 100,000 population) and highest in the South (at 1,845 discharges per 100,000). Hospitals in the South had a 17.2 percent higher rate of potentially preventable hospitalizations than the overall national rate in 2005, but by 2011 it was reduced to 10.5 percent higher than the national rate. The new statistical brief, “Geographic Variation in Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2005–2011,” is authored by Celeste M. Torio, Ph.D., M.P.H., and Roxanne M. Andrews, Ph.D., of AHRQ.
Geographic Variation in Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2005-2011


Celeste M. Torio, Ph.D., M.P.H. and Roxanne M. Andrews, Ph.D. 
Highlights
  • Rates of potentially preventable hospitalizations for adults declined by 14.0 percent between 2005 and 2011.


  • During the period 2005 to 2011, potentially preventable hospitalizations decreased by 20.2 percent for acute conditions but only 9.5 percent for chronic conditions.


  • The South had a 17.2 percent higher rate of potentially preventable hospitalizations than the overall national rate in 2005, but their rate declined so that by 2011 they were just 10.5 percent higher than the national rate.


  • Rates of potentially preventable hospitalizations were consistently lowest in the West in 2005 and 2011.


  • The rate of potentially preventable hospitalizations for acute conditions exhibited a downward trend in all geographic regions between 2005 and 2011 (ranging from a decline of 13.6 percent to 23.8 percent).


  • The rate of potentially preventable hospitalizations for chronic conditions in the South fell 16.0 percent between 2005 and 2011.


  • In 2005, remote rural areas had a 49.9 percent higher rate of potentially preventable hospitalizations than the urban-rural area with the lowest rate (small metropolitan). This difference grew to 57.2 percent by 2011, despite a decline in the rate for remote rural areas.

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