Preventable hospitalizations and socioeconomic status.

Published: March 1, 1998
Category: Bibliography > Papers
Authors: Blustein J, Hanson K, Shea S
Countries: United States
Language: null
Types: Care Management, Population Health
Settings: Academic

Health Aff 17:177-189.

Wagner Graduate School, New York University, New York, NY, USA.

“Preventable” hospitalizations have been proposed as indicators of poor health plan performance. In this study of elderly Medicare beneficiaries, however, we found that preventable hospitalizations are also more common among elders of lower socioeconomic status (SES). The relationship persisted even when an up-to-date severity-of-illness adjustment system was used. To the extent that indicators of health plan “performance” reflect enrollees’ characteristics, plans will be rewarded for marketing their services to wealthier, healthier, and better-educated patients. Further work is needed to clarify issues of accountability for preventable hospitalizations and other putative indices of health plan performance.

PMID: 9558796

Practice Patterns Comparison,Population Markers,Payment,Performance Assessment,United States,Aged,Chi-Square Distribution,Hospitalization/economics,Gender,Medicare/statistics & numerical data,Medicare/utilization,Odds Ratio,Social Responsibility,Socioeconomic Factors

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