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Which hospitalisations are ambulatory care-sensitive, to what degree, and how could the rates be reduced? Results of a group consensus study in Germany

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  • Sundmacher, Leonie
  • Fischbach, Diana
  • Schuettig, Wiebke
  • Naumann, Christoph
  • Augustin, Uta
  • Faisst, Cristina

Abstract

Much has been written lately regarding hospitalisations for ambulatory care-sensitive conditions (ACSH) and their strengths and weaknesses as a quality management indicator. The idea underlying ambulatory care-sensitive conditions (ACSC) is that effective treatment of acute conditions, good management of chronic illnesses and immunisation against infectious diseases can reduce the risk of a specified set of hospitalisations.

Suggested Citation

  • Sundmacher, Leonie & Fischbach, Diana & Schuettig, Wiebke & Naumann, Christoph & Augustin, Uta & Faisst, Cristina, 2015. "Which hospitalisations are ambulatory care-sensitive, to what degree, and how could the rates be reduced? Results of a group consensus study in Germany," Health Policy, Elsevier, vol. 119(11), pages 1415-1423.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:11:p:1415-1423
    DOI: 10.1016/j.healthpol.2015.08.007
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    References listed on IDEAS

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    1. Fink, A. & Kosecoff, J. & Chassin, M. & Brook, R.H., 1984. "Consensus methods: Characteristics and guidelines for use," American Journal of Public Health, American Public Health Association, vol. 74(9), pages 979-983.
    2. Bradley M. Gray & Jonathan L. Vandergrift & Mary M. Johnston & James D. Reschovsky & Lorna A. Lynn & Eric S. Holmboe & Jeffrey S. McCullough & Rebecca S. Lipner, "undated". "Association Between Imposition of a Maintenance of Certification Requirement and Ambulatory Care-Sensitive Hospitalizations and Health Care Costs," Mathematica Policy Research Reports c5dbfe946d7440838d9cc80a8, Mathematica Policy Research.
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    1. Bofinger, Peter & Feld, Lars P. & Schmidt, Christoph M. & Schnabel, Isabel & Wieland, Volker, 2018. "Vor wichtigen wirtschaftspolitischen Weichenstellungen. Jahresgutachten 2018/19 [Setting the Right Course for Economic Policy. Annual Report 2018/19]," Annual Economic Reports / Jahresgutachten, German Council of Economic Experts / Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung, volume 127, number 201819.
    2. Andreia Pinto & João Vasco Santos & Júlio Souza & João Viana & Cristina Costa Santos & Mariana Lobo & Alberto Freitas, 2020. "Comparison and Impact of Four Different Methodologies for Identification of Ambulatory Care Sensitive Conditions," IJERPH, MDPI, vol. 17(21), pages 1-14, November.
    3. Salm, Martin & Wübker, Ansgar, 2020. "Sources of regional variation in healthcare utilization in Germany," Journal of Health Economics, Elsevier, vol. 69(C).
    4. Christian Kümpel, 2019. "Do financial incentives influence the hospitalization rate of nursing home residents? Evidence from Germany," Health Economics, John Wiley & Sons, Ltd., vol. 28(11), pages 1235-1247, November.
    5. Augurzky, Boris & Dördelmann, Sandra & Pilny, Adam, 2016. "Überblick Krankenhausstrukturen Rheinland-Pfalz und Saarland," RWI Projektberichte, RWI - Leibniz-Institut für Wirtschaftsforschung, number 149878.
    6. Mensen, Anne, 2022. "Concentration of hospital capacities and patients' access to care," Ruhr Economic Papers 952, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    7. Kümpel, Christian & Schneider, Udo, 2020. "Additional reimbursement for outpatient physicians treating nursing home residents reduces avoidable hospital admissions: Results of a reimbursement change in Germany," Health Policy, Elsevier, vol. 124(4), pages 470-477.
    8. Augurzky, Boris & Kolodziej, Ingo, 2018. "Fachkräftebedarf im Gesundheits- und Sozialwesen 2030: Gutachten im Auftrag des Sachverständigenrates zur Begutachtung der Gesamtwirtschaftlichen Entwicklung," Working Papers 06/2018, German Council of Economic Experts / Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung.
    9. Heidrun Sturm & Florian Kaiser & Philipp Leibinger & Edgar Drechsel-Grau & Stefanie Joos & Andreas Schmid, 2023. "The Contribution of Intersectoral Healthcare Centres with an Extended Outpatient Care Model to Improve Regional Care-Structures—A Qualitative Study," IJERPH, MDPI, vol. 20(7), pages 1-11, April.
    10. Nicodemo, Catia & Barzin, Samira & Lasserson, Daniel S. & Moscone, Francesco & Redding, Stuart & Shaikh, Mujaheed & Cavalli, Nicolò, 2020. "Measuring Geographical Disparities in England at the Time of COVID-19: Results Using a Composite Indicator of Population Vulnerability," IZA Discussion Papers 13757, Institute of Labor Economics (IZA).
    11. Sarah M. Hofmann & Andrea M. Muehlenweg, 2016. "Gatekeeping in German Primary Health Care - Impacts on Coordination of Care, Quality Indicators and Ambulatory Costs," CINCH Working Paper Series 1605, Universitaet Duisburg-Essen, Competent in Competition and Health, revised Sep 2016.
    12. Wiebke Schuettig & Leonie Sundmacher, 2022. "The impact of ambulatory care spending, continuity and processes of care on ambulatory care sensitive hospitalizations," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(8), pages 1329-1340, November.
    13. Timo Schulte & Tillmann Wurz & Oliver Groene & Sabine Bohnet-Joschko, 2023. "Big Data Analytics to Reduce Preventable Hospitalizations—Using Real-World Data to Predict Ambulatory Care-Sensitive Conditions," IJERPH, MDPI, vol. 20(6), pages 1-16, March.
    14. Duminy, Lize & Ress, Vanessa & Wild, Eva-Maria, 2022. "Complex community health and social care interventions – Which features lead to reductions in hospitalizations for ambulatory care sensitive conditions? A systematic literature review," Health Policy, Elsevier, vol. 126(12), pages 1206-1225.
    15. Vanessa Ress & Eva‐Maria Wild, 2024. "The impact of integrated care on health care utilization and costs in a socially deprived urban area in Germany: A difference‐in‐differences approach within an event‐study framework," Health Economics, John Wiley & Sons, Ltd., vol. 33(2), pages 229-247, February.

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