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Association Between Community Social Vulnerability and Preventable Hospitalizations.

Rachel Hogg-Graham1, Joseph A Benitez1, Mary E Lacy1

  • 1University of Kentucky, Lexington, USA.

Medical Care Research and Review : MCRR
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Summary

Social vulnerability significantly increases preventable hospitalizations. Communities with higher social vulnerability face 40% more hospital admissions that could have been avoided with proper healthcare access.

Keywords:
preventable hospitalizationssocial determinants of healthsocial vulnerability

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Area of Science:

  • Public Health
  • Health Services Research
  • Social Determinants of Health

Background:

  • Preventable hospitalizations represent a significant burden on patients and healthcare systems.
  • While ambulatory care access is a known factor, social, environmental, and economic conditions are emerging as critical influences.

Purpose of the Study:

  • To investigate the association between social vulnerability and preventable hospitalization rates.
  • To analyze how county-level social vulnerability impacts the frequency of preventable hospital admissions.

Main Methods:

  • Cross-sectional analysis of county-level preventable hospitalization data from 33 states.
  • Utilized data from the 2020 Social Vulnerability Index (SVI) to quantify social vulnerability.

Main Results:

  • Counties with the highest social vulnerability experienced 40% more preventable hospitalizations than the least vulnerable.
  • Adjusted regression analysis confirmed a strong, significant relationship between social vulnerability and preventable hospitalizations.

Conclusions:

  • Community-level social vulnerability is a key driver of variations in preventable hospitalization rates.
  • Addressing social inequities is a national priority to mitigate the human toll and societal costs of preventable hospitalizations.