Preventable hospitalizations: Does rurality or non-physician clinician supply matter?

Preethy Nayar, Anh T. Nguyen, Bettye Apenteng, Fang Yu

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

This study examines the relationship between rurality as well as the proportion of non-physician clinicians and county rates of ambulatory care sensitive hospitalizations (ACSHs) for pediatric, adult and elderly populations in Nebraska. The study design was a crosssectional observational study of county level factors that affect the county level rates of ACSHs using Poisson regression models. Rural (non-metro) counties have significantly higher ACSHs for both pediatric and adult population, but not for the elderly. Frontier counties have significantly higher adult ACSHs. The proportion of primary care providers who are non-physician clinicians does not have a significant association with ACSHs for any of the age groups. The results indicate that rurality may have a greater impact on pediatric and adult ACSHs and the proportion of NPCs in the primary care provider workforce does not significantly impact ACSH rates.

Original languageEnglish (US)
Pages (from-to)487-494
Number of pages8
JournalJournal of Community Health
Volume37
Issue number2
DOIs
StatePublished - Apr 1 2012

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Keywords

  • Access to care
  • Ambulatory care sensitive hospitalizations
  • Non-physician clinician supply
  • Rurality

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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