Abstract
Specific features of ambulatory care, such as accessibility, may influence hospital use for patients with HIV infection. To identify clinic features associated with a lower risk of hospitalization, 6,280 New York state Medicaid enrollees diagnosed with AIDS in 1987-1992 and managed by one of 157 surveyed clinics were studied. The odds of hospitalization in the year before AIDS diagnosis were associated with five clinic features that facilitate the accessibility of care: (1) evening/weekend hours, (2) case manager, (3) appointments within 48 hours, (4) telephone consultation, and (5) whether the clinic handled urgent care. Hospitalization in the year before AIDS diagnosis occurred for 49 percent of patients. Three of the five accessibility features had unadjusted associations with lower hospitalization rates. The adjusted odds of hospitalization were lower for patients in clinics with extended hours (OR = 0.77, 95% CI = 0.63,0.93) and for patients in clinics with four or more accessibility features compared with those in clinics with less than two features (OR = 0.67; 95% CI = 0.50, 0.89).
| Original language | English (US) |
|---|---|
| Pages (from-to) | 313-327 |
| Number of pages | 15 |
| Journal | Journal of Health Care for the Poor and Underserved |
| Volume | 10 |
| Issue number | 3 |
| State | Published - Aug 1999 |
| Externally published | Yes |
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Keywords
- Ambulatory care
- Health services research
- Hospitalization
- Human immunodeficiency virus
- Medicaid
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Health Policy
- Social Sciences (miscellaneous)
Cite this
Relationship between ambulatory care accessibility and hospitalization for persons with advanced HIV disease. / Laine, Christine; Markson, Leona E.; Fanning, Thomas R.; Turner, Barbara J.
In: Journal of Health Care for the Poor and Underserved, Vol. 10, No. 3, 08.1999, p. 313-327.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Relationship between ambulatory care accessibility and hospitalization for persons with advanced HIV disease
AU - Laine, Christine
AU - Markson, Leona E.
AU - Fanning, Thomas R.
AU - Turner, Barbara J.
PY - 1999/8
Y1 - 1999/8
N2 - Specific features of ambulatory care, such as accessibility, may influence hospital use for patients with HIV infection. To identify clinic features associated with a lower risk of hospitalization, 6,280 New York state Medicaid enrollees diagnosed with AIDS in 1987-1992 and managed by one of 157 surveyed clinics were studied. The odds of hospitalization in the year before AIDS diagnosis were associated with five clinic features that facilitate the accessibility of care: (1) evening/weekend hours, (2) case manager, (3) appointments within 48 hours, (4) telephone consultation, and (5) whether the clinic handled urgent care. Hospitalization in the year before AIDS diagnosis occurred for 49 percent of patients. Three of the five accessibility features had unadjusted associations with lower hospitalization rates. The adjusted odds of hospitalization were lower for patients in clinics with extended hours (OR = 0.77, 95% CI = 0.63,0.93) and for patients in clinics with four or more accessibility features compared with those in clinics with less than two features (OR = 0.67; 95% CI = 0.50, 0.89).
AB - Specific features of ambulatory care, such as accessibility, may influence hospital use for patients with HIV infection. To identify clinic features associated with a lower risk of hospitalization, 6,280 New York state Medicaid enrollees diagnosed with AIDS in 1987-1992 and managed by one of 157 surveyed clinics were studied. The odds of hospitalization in the year before AIDS diagnosis were associated with five clinic features that facilitate the accessibility of care: (1) evening/weekend hours, (2) case manager, (3) appointments within 48 hours, (4) telephone consultation, and (5) whether the clinic handled urgent care. Hospitalization in the year before AIDS diagnosis occurred for 49 percent of patients. Three of the five accessibility features had unadjusted associations with lower hospitalization rates. The adjusted odds of hospitalization were lower for patients in clinics with extended hours (OR = 0.77, 95% CI = 0.63,0.93) and for patients in clinics with four or more accessibility features compared with those in clinics with less than two features (OR = 0.67; 95% CI = 0.50, 0.89).
KW - Ambulatory care
KW - Health services research
KW - Hospitalization
KW - Human immunodeficiency virus
KW - Medicaid
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UR - http://www.scopus.com/inward/citedby.url?scp=0033174889&partnerID=8YFLogxK
M3 - Article
VL - 10
SP - 313
EP - 327
JO - Journal of Health Care for the Poor and Underserved
JF - Journal of Health Care for the Poor and Underserved
SN - 1049-2089
IS - 3
ER -