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Risk Factors Associated with Preventable Hospitalisation among Rural Community-Dwelling Patients: A Systematic Review

Author

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  • Andrew Ridge

    (School of Pharmacy and Pharmacology, College of Health and Medicine, University of Tasmania, Hobart, TAS 7000, Australia
    Huon Valley Health Centre, Huonville, TAS 7109, Australia)

  • Gregory M. Peterson

    (School of Pharmacy and Pharmacology, College of Health and Medicine, University of Tasmania, Hobart, TAS 7000, Australia)

  • Rosie Nash

    (School of Medicine, College of Health and Medicine, University of Tasmania, Hobart, TAS 7000, Australia)

Abstract

Potentially preventable hospitalisations (PPHs) are common and increase the burden on already stretched healthcare services. Increasingly, psychosocial factors have been recognised as contributing to PPHs and these may be mitigated through greater attention to social capital. This systematic review investigates the factors associated with PPHs within rural populations. The review was designed, conducted, and reported according to PRISMA guidelines and registered with Prospero (ID: CRD42020152194). Four databases were systematically searched, and all potentially relevant papers were screened at the title/abstract level, followed by full-text review by at least two reviewers. Papers published between 2000–2022 were included. Quality assessment was conducted using Newcastle–Ottawa Scale and CASP Qualitative checklist. Of the thirteen papers included, eight were quantitative/descriptive and five were qualitative studies. All were from either Australia or the USA. Access to primary healthcare was frequently identified as a determinant of PPH. Socioeconomic, psychosocial, and geographical factors were commonly identified in the qualitative studies. This systematic review highlights the inherent attributes of rural populations that predispose them to PPHs. Equal importance should be given to supply/system factors that restrict access and patient-level factors that influence the ability and capacity of rural communities to receive appropriate primary healthcare.

Suggested Citation

  • Andrew Ridge & Gregory M. Peterson & Rosie Nash, 2022. "Risk Factors Associated with Preventable Hospitalisation among Rural Community-Dwelling Patients: A Systematic Review," IJERPH, MDPI, vol. 19(24), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16487-:d:997713
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    References listed on IDEAS

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    1. Lugo-Palacios, David G. & Cairns, John, 2015. "Using ambulatory care sensitive hospitalisations to analyse the effectiveness of primary care services in Mexico," Social Science & Medicine, Elsevier, vol. 144(C), pages 59-68.
    2. Andrew Ridge & Gregory M. Peterson & Bastian M. Seidel & Vinah Anderson & Rosie Nash, 2021. "Healthcare Providers’ Perceptions of Potentially Preventable Rural Hospitalisations: A Qualitative Study," IJERPH, MDPI, vol. 18(23), pages 1-14, December.
    3. Birte Snilstveit & Sandy Oliver & Martina Vojtkova, 2012. "Narrative approaches to systematic review and synthesis of evidence for international development policy and practice," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 4(3), pages 409-429, September.
    4. Jo Longman & Jennifer Johnston & Dan Ewald & Adrian Gilliland & Michael Burke & Tabeth Mutonga & Megan Passey, 2021. "What could prevent chronic condition admissions assessed as preventable in rural and metropolitan contexts? An analysis of clinicians’ perspectives from the DaPPHne study," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-21, January.
    5. Zahid Ansari & Toni Barbetti & Norman J. Carson & Michael J. Auckland & Flavia Cicuttini, 2003. "The Victorian ambulatory care sensitive conditions study: rural and urban perspectives," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 48(1), pages 33-43, March.
    6. Anna T. Ehmann & Oliver Groene & Monika A. Rieger & Achim Siegel, 2020. "The Relationship between Health Literacy, Quality of Life, and Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany," IJERPH, MDPI, vol. 17(5), pages 1-12, March.
    7. Villalonga-Olives, E. & Kawachi, I., 2017. "The dark side of social capital: A systematic review of the negative health effects of social capital," Social Science & Medicine, Elsevier, vol. 194(C), pages 105-127.
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    1. Ann E. M. Liljas & Natasja K. Jensen & Jutta Pulkki & Janne Agerholm, 2023. "Nurses’ Roles, Responsibilities and Actions in the Hospital Discharge Process of Older Adults with Health and Social Care Needs in Three Nordic Cities: A Vignette Study," IJERPH, MDPI, vol. 20(19), pages 1-14, September.

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