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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
|September 21, 2023
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.
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.
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