Do hospitals influence geographic variation in admission for preventable hospitalisation? A data linkage study in New South Wales, Australia.

ABSTRACT:

Objective

Preventable hospitalisations are used internationally as a performance indicator for primary care, but the influence of other health system factors remains poorly understood. This study investigated between-hospital variation in rates of preventable hospitalisation.

Setting

Linked health survey and hospital admissions data for a cohort study of 266 826 people aged over 45 years in the state of New South Wales, Australia.

Method

Between-hospital variation in preventable hospitalisation was quantified using cross-classified multiple-membership multilevel Poisson models, adjusted for personal sociodemographic, health and area-level contextual characteristics. Variation was also explored for two conditions unlikely to be influenced by discretionary admission pra

SUBMITTER: Falster MO 

PROVIDER: S-EPMC6398792 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature