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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

Author

Listed:
  • 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. 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.
    2. 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.
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    1. Augurzky, Boris & Dördelmann, Sandra & Pilny, Adam, 2016. "Überblick Krankenhausstrukturen Rheinland-Pfalz und Saarland," RWI Projektberichte, RWI - Leibniz-Institut für Wirtschaftsforschung, number 149878.
    2. 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.
    3. 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.
    4. 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).
    5. 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.
    6. 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.
    7. Thomas, Rhys Llewellyn & Millett, Christopher & Sousa Soares, Ricardo de & Hone, Thomas, 2024. "More doctors, better health? A generalised synthetic control approach to estimating impacts of increasing doctors under Brazil's Mais Medicos programme," Social Science & Medicine, Elsevier, vol. 358(C).
    8. 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.
    9. Salm, Martin & Wübker, Ansgar, 2020. "Sources of regional variation in healthcare utilization in Germany," Journal of Health Economics, Elsevier, vol. 69(C).
    10. 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.
    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. 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.
    13. 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.
    14. 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.
    15. 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.
    16. Snilsberg, Øyvind & Iversen, Tor, 2025. "The impact of team-based primary care on quality-related healthcare services and access to primary care: Norway's primary healthcare teams pilot program," Journal of Health Economics, Elsevier, vol. 101(C).
    17. 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.

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