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Preventable hospitalizations from ambulatory care sensitive conditions in nursing homes: evidence from Switzerland

Author

Listed:
  • Ulrike Muench

    (University of California San Francisco, School of Nursing)

  • Michael Simon

    (University of Basel
    Inselspital Bern University Hospital)

  • Raphaëlle-Ashley Guerbaai

    (University of Basel)

  • Carlo Pietro

    (Health and Social Care at the University of Applied Sciences and Arts of Southern Switzerland)

  • Andreas Zeller

    (University of Basel
    University of Basel)

  • Reto W. Kressig

    (University of Basel
    University Medicine of Aging)

  • Franziska Zúñiga

    (University of Basel)

Abstract

Objectives Reducing nursing home hospitalizations for ambulatory care sensitive conditions (ACSC) has been identified as an opportunity to improve patient well-being and reduce costs. The aim of this study was to identify number of hospitalizations for ACSCs for nursing home residents in a Swiss national sample, examine demographic characteristics of nursing home hospitalizations due to ACSCs, and calculate hospital expenses from these hospitalizations. Methods Using merged hospital administrative data with payment data based on diagnosis-related groups (DRGs) for the year 2013, we descriptively examined nursing home residents who were 65 years of age or older and were admitted to an acute care hospital. Results Approximately 42% of all nursing home admissions were due to ACSCs. Payments to Swiss hospitals for ACSCs can be estimated at between 89 and 105 million Swiss francs in 2013. Conclusions A sizable share of hospitalizations for nursing home residents is for ACSCs, and the associated costs are substantial. Programs and policies designed to reduce these potentially avoidable hospitalizations from the nursing home setting could lead to an increased patient well-being and lower costs.

Suggested Citation

  • Ulrike Muench & Michael Simon & Raphaëlle-Ashley Guerbaai & Carlo Pietro & Andreas Zeller & Reto W. Kressig & Franziska Zúñiga, 2019. "Preventable hospitalizations from ambulatory care sensitive conditions in nursing homes: evidence from Switzerland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(9), pages 1273-1281, December.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:9:d:10.1007_s00038-019-01294-1
    DOI: 10.1007/s00038-019-01294-1
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    Cited by:

    1. Yu-Han Hung & Yu-Chieh Chung & Pi-Yueh Lee & Hao-Yun Kao, 2021. "Exploration of Preventable Hospitalizations for Colorectal Cancer with the National Cancer Control Program in Taiwan," IJERPH, MDPI, vol. 18(17), pages 1-9, September.
    2. Gutiérrez-Robledo, Luis Miguel & Jácome-Maldonado, Luis David & González-Rivero, Cynthia Beatriz & Lozano-Juárez, Luis Raymundo & Tella-Vega, Pamela & García-Peña, Carmen, 2022. "Monetary cost estimation of care for functionally dependent older adults in Mexico," The Journal of the Economics of Ageing, Elsevier, vol. 21(C).
    3. Caroline Bähler & Roland Rapold & Andri Signorell & Oliver Reich & Radoslaw Panczak & Eva Blozik, 0. "Regional differences in healthcare costs at the end of life: an observational study using Swiss insurance claims data," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-11.
    4. Caroline Bähler & Roland Rapold & Andri Signorell & Oliver Reich & Radoslaw Panczak & Eva Blozik, 2020. "Regional differences in healthcare costs at the end of life: an observational study using Swiss insurance claims data," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(6), pages 969-979, July.

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