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The Effects of Chronic Disease on Ambulatory Care-Sensitive Hospitalizations for Children or Youth

Charles D Phillips1, Chau Truong2, Hye-Chung Kum1

  • 1Department of Health Policy and Management, School of Public Health, Texas A&M Health Science Center, College Station, TX, USA.

Health Services Insights
|October 31, 2019
PubMed

Insights

Chronic diseases in children and youth (C/Y) appear protective against ambulatory care-sensitive conditions (ACSHs). Having multiple or complex chronic conditions significantly reduced the likelihood of an ACSH hospitalization for C/Y.

Area of Science:

  • Pediatric Health
  • Healthcare Management
  • Chronic Disease Epidemiology

Background:

  • Ambulatory Care-Sensitive Conditions (ACSHs) are a significant focus in healthcare research.
  • Limited research has explored the impact of chronic diseases on ACSHs specifically in children and youth (C/Y).

Purpose of the Study:

  • To investigate the effect of chronic disease on the likelihood of ACSHs in children and youth.
  • To analyze individual and contextual factors influencing ACSH hospitalizations in C/Y.

Main Methods:

  • Utilized a Texas database of 699,473 hospital discharges for individuals under 18 (2011-2015).
  • Employed logistic regression to estimate the effects of chronic disease, individual, and contextual factors on ACSH likelihood.

Main Results:

  • Contrary to adult findings, chronic diseases were protective in C/Y, reducing ACSH likelihood for non-chronic conditions.
  • The presence of two or more chronic conditions, or at least one complex chronic condition, significantly decreased the probability of an ACSH.
  • Heightened ambulatory care utilization by C/Y with chronic diseases appears to be largely protective.

Conclusions:

  • Chronic disease in children and youth acts as a protective factor against ambulatory care-sensitive condition hospitalizations.
  • Effective management and access to ambulatory care for C/Y with chronic conditions are crucial for preventing unnecessary hospitalizations.

Keywords:
abulatory care sensitive hospitalizationschildren with special health care needspediatrics

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