Health care access in rural areas: Evidence that hospitalization for ambulatory care-sensitive conditions in the United States may increase with the level of rurality

We examined whether levels of rurality are associated with hospitalization for ambulatory care-sensitive conditions (ACSH) in eight states of the United States. ACSH is an indicator of access to reasonably effective primary health care. ACSH for children did not vary systematically with rurality. Co...

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Bibliographic Details
Published in:Health & place 2009-09, Vol.15 (3), p.761-770
Main Authors: Laditka, James N., Laditka, Sarah B., Probst, Janice C.
Format: Article
Language:English
Subjects:
Access to health care
Adolescent
Adult
Aged
Ambulatory Care - utilization
Ambulatory care-sensitive conditions
Child
Child, Preschool
Children
Comparative analysis
Databases as Topic
Doctors
Female
Health inequalities
Health Services Accessibility
Health technology assessment
Healthcare Disparities
Hospitalization
Humans
Infant
Infant, Newborn
Male
Middle Aged
Physician supply
Primary care access
Primary health care
Rural
Rural areas
Rural communities
Rural Population
U.S.A
United States
Young Adult
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Summary:We examined whether levels of rurality are associated with hospitalization for ambulatory care-sensitive conditions (ACSH) in eight states of the United States. ACSH is an indicator of access to reasonably effective primary health care. ACSH for children did not vary systematically with rurality. Compared to the most urban counties, the adjusted rate in the most rural was 90% greater for ages 18–64 and 45% greater for ages 65+ (both p
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2008.12.007