IMPACT OF SOCIOECONOMIC-STATUS ON HOSPITAL USE IN NEW-YORK-CITY

被引:706
作者
BILLINGS, J
ZEITEL, L
LUKOMNIK, J
CAREY, TS
BLANK, AE
NEWMAN, L
机构
[1] UNIV N CAROLINA, DIV GEN MED, CHAPEL HILL, NC 27514 USA
[2] UNITED HOSP FUND NEW YORK, DEPT RES ANAL & PLANNING, NEW YORK, NY 10022 USA
[3] US PHS, BUR HLTH CARE DELIVERY & ASSISTANCE, WASHINGTON, DC USA
关键词
D O I
10.1377/hlthaff.12.1.162
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This DataWatch examines the potential impact of socioeconomic differences on rates of hospitalization, based on patterns of hospital use in New York City in 1988. The research suggests that lack of timely and effective outpatient care may lead to higher hospitalization rates in low-income areas. For certain conditions identified as ambulatory care sensitive, hospitalization rates were higher in low-income areas than they were in higher-income areas where appropriate outpatient care was more readily available. Further study is needed to determine the relative impact of various economic, structural, and cultural factors that affect access to care.
引用
收藏
页码:162 / 173
页数:12
相关论文
共 19 条
  • [1] ARNOLD J, 1987, INCORPORATING HLTH S
  • [2] Billings J, 1989, USE SMALL AREA ANAL
  • [3] BILLINGS J, 1990, DHHS HRSAPE911A PUB
  • [5] DOES INAPPROPRIATE USE EXPLAIN GEOGRAPHIC VARIATIONS IN THE USE OF HEALTH-CARE SERVICES - A STUDY OF 3 PROCEDURES
    CHASSIN, MR
    KOSECOFF, J
    PARK, RE
    WINSLOW, CM
    KAHN, KL
    MERRICK, NJ
    KEESEY, J
    FINK, A
    SOLOMON, DH
    BROOK, RH
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1987, 258 (18): : 2533 - 2537
  • [6] VARIATIONS IN THE USE OF MEDICAL AND SURGICAL SERVICES BY THE MEDICARE POPULATION
    CHASSIN, MR
    BROOK, RH
    PARK, RE
    KEESEY, J
    FINK, A
    KOSECOFF, J
    KAHN, K
    MERRICK, N
    SOLOMON, DH
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (05) : 285 - 290
  • [7] Christoffersson J G, 1988, DRG Monit, V6, P1
  • [8] CONKLIN JE, 1987, DRG REFINEMENT USING
  • [9] CLINICAL CORRELATES OF SMALL AREA VARIATIONS IN POPULATION-BASED ADMISSION RATES FOR DIABETES
    CONNELL, FA
    BLIDE, LA
    HANKEN, MA
    [J]. MEDICAL CARE, 1984, 22 (10) : 939 - 949
  • [10] DO THE POOR COST MORE - A MULTIHOSPITAL STUDY OF PATIENTS SOCIOECONOMIC-STATUS AND USE OF HOSPITAL RESOURCES
    EPSTEIN, AM
    STERN, RS
    WEISSMAN, JS
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1990, 322 (16) : 1122 - 1128