Continuity of care and hospitalization frequency for ambulatory care-sensitive conditions after hearing-disability onset: a retrospective cohort study
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Enhanced continuity of care (COC) significantly reduced hospitalizations for ambulatory care-sensitive conditions (ACSCs) in individuals with hearing disabilities. This highlights the importance of consistent healthcare for vulnerable populations.
Area Of Science
- Health Services Research
- Public Health
- Disability Studies
Background
- Continuity of care (COC) is crucial for managing health, especially for individuals with disabilities.
- Ambulatory care-sensitive conditions (ACSCs) are preventable hospitalizations that indicate potential gaps in primary care.
- The impact of COC on ACSC hospitalizations among those with hearing disabilities requires further investigation.
Purpose Of The Study
- To assess the effect of continuity of care (COC) on hospitalization frequency for ambulatory care-sensitive conditions (ACSCs).
- To estimate the impact of COC and hearing disability on ACSC hospitalizations.
- To compare the effectiveness of COC in hearing-impaired individuals versus controls.
Main Methods
- Retrospective cohort study utilizing Korean National Health Insurance Service claim data.
- Propensity score matching used to create a control group based on age, sex, and Charlson Comorbidity Index.
- Poisson regression analyzed the frequency of ACSC hospitalizations, with COC measured by the Bice-Boxerman Continuity of Care Index (COCI).
Main Results
- Disability status was found to modify the effect of COCI on hospitalization incidence.
- High continuity of care (COCI=1) significantly reduced ACSC hospitalizations in the hearing-impaired group (aIRR: 0.30).
- This protective effect of high COCI was not statistically significant in the control group.
Conclusions
- Enhanced continuity of care is more effective in preventing ACSC hospitalizations for individuals with hearing disabilities compared to those without disabilities.
- Targeted improvements in healthcare continuity can mitigate preventable hospitalizations in vulnerable populations.
- Hearing disability status interacts with continuity of care to influence ACSC hospitalization rates.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
• Purpose: Documentation in long-term care facilities is critical for interprofessional resident assessment and planning. It ensures that all aspects of a resident's care - from medical needs to daily living assistance - are thoroughly...
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
• Overview of Hospital Stay: This section offers a concise summary of the patient's hospitalization, detailing the...
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...