PMID: 7015887Jun 1, 1981Paper

Hospitalization of medicaid children: analysis of small area variations in admission rates

American Journal of Public Health
F A ConnellJ P LoGerfo

Abstract

Population-based hospitalization rates were computed and analyzed for AFDC children among 14 small area subdivisions of the State of Washington. Medical-surgical admission rates ranged from 65.3 to 161.7 per 1,000 person-years among the 14 areas. Surgical admission rates were significantly higher in urban areas; medical admission rates were significantly higher in rural areas. The majority of variance in overall rates was accounted for by admissions for four diagnostic categories: gastroenteritis (18-fold differences), lower respiratory infections (15-fold differences), upper respiratory infections (8-fold differences), and ear, nose, and throat (ENT) surgery (6-fold differences). Secondary analysis indicates that these differences in admission rates were not associated with: medical need or demographic factors, epidemic patterns of disease, physician supply, hospital bed supply or occupancy rates, or severity of disease or delay in seeking medical care as reflected by average length of stay. It is possible that the observed variations may reflect either differences in the propensity of local physicians to hospitalize or differences in the use or adequacy of community, ambulatory, and preventive care.

References

Feb 1, 1976·American Journal of Public Health·A I Mushlin, F A Appel
Dec 14, 1973·Science·J Wennberg, Gittelsohn
Nov 1, 1971·The Journal of Pediatrics·F H LovejoyJ Kosa
May 1, 1970·Medical Care·A C Twaddle, R H Sweet
Oct 16, 1969·The New England Journal of Medicine·C E Lewis
Jan 1, 1964·Annals of Internal Medicine·E M SCHIMMEL

❮ Previous
Next ❯

Citations

Dec 11, 1987·Socio-economic Planning Sciences·C G McLaughlin
Nov 25, 1982·The New England Journal of Medicine
Jan 30, 1986·The New England Journal of Medicine·M R ChassinD H Solomon
Jan 23, 2004·BMC Health Services Research·Mark F GuagliardoDavid C Goodman
Sep 1, 1995·American Journal of Public Health·M J HodgeI B Pless
Jul 1, 1988·American Journal of Public Health·L S WissowM Mussman
Aug 8, 2009·Pediatric Clinics of North America·David C Goodman
Dec 11, 1984·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·I Moscovice, R A Rosenblatt
Jun 8, 1988·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·L M LeveyS Levey
Jan 21, 2006·Accident; Analysis and Prevention·Stephen J KunitzW Gill Woodall
Jan 30, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Allison BahmAstrid Guttmann
Oct 8, 1999·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·L M BaldwinL G Hart
Apr 2, 1999·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·M P SilverM K Magill
May 4, 1989·The New England Journal of Medicine·J M PerrinJ E Wennberg
May 9, 1991·Evaluation & the Health Professions·I E Raskin, C W Maklan
Jun 3, 1999·Evaluation & the Health Professions·K M McConnochieG S Liptak
May 5, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Melissa M TavarezRobert W Hickey
May 1, 1987·Quality Assurance and Utilization Review : Official Journal of the American College of Utilization Review Physicians·R J Schuch
Apr 12, 2013·Journal of Child Neurology·Alan LevitonScott L Pomeroy
Sep 1, 1996·Clinical Pediatrics·N MerrickS Fox
Sep 1, 1992·Indian Journal of Pediatrics·S ShrivastavaR Tandon
Aug 13, 2013·The Pediatric Infectious Disease Journal·Kohei HasegawaCarlos A Camargo
Jun 1, 1990·Advances in Dental Research·G A Maryniuk
Jan 1, 1990·American Journal of Medical Genetics. Supplement·C A StevensB L Blackburn
Mar 1, 1989·QRB. Quality Review Bulletin·K J KemperP L McCarthy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.