The impact of ambulatory care spending, continuity and processes of care on ambulatory care sensitive hospitalizations.

ABSTRACT: Ambulatory care sensitive hospitalizations are widely considered as important measures of access to as well as quality and performance of primary care. In our study, we investigate the impact of spending, process quality and continuity of care in the ambulatory care sector on ambulatory care sensitive hospitalizations in patients with type 2 diabetes. We used observational data from Germany's major association of insurance companies from 2012 to 2014 with 55,924 patients, as well as data from additional sources. We conducted negative binomial regression analyses with random effects at the district level. To control for potential endogeneity of spending and physician density in the ambulatory care sector, we used an instrumental variable approach. We controlled for a wide range of covariate

SUBMITTER: Schuettig W 

PROVIDER: S-EPMC9550748 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature