Association between spatial access and hospitalization for ambulatory care sensitive conditions: A retrospective cohort study using claims data.

ABSTRACT:

Background

Hospitalization for ambulatory care sensitive conditions (ACSCs) is potentially preventable with timely and effective primary care but may increase owing to poor access. Spatial access inequalities exist between Japan and other countries. This retrospective cohort study examined the association between admission for ACSC and spatial accessibility to primary care.

Methods

We used claims data and spatial data of 50-74 years-old beneficiaries of the National Health Insurance program in a large city in Japan from April 2013-March 2014 and followed them until March 2015. We used a multilevel Poisson regression model to assess the association between the number of ACSC admissions, the distance to the nearest clinic, and the number of physicians in a given area, adjustin

SUBMITTER: Iba A 

PROVIDER: S-EPMC10711506 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature