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A composite and synthetic index of potentially avoidable hospitalization in adults to assess primary care quality: an application across Italian geopolitical areas

Author

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  • Heidar Alizadeh, Aurora
  • Cuomo, Marcello
  • Burgio, Alessandra
  • Solipaca, Alessandro
  • Arcaro, Paola
  • Catania, Danilo
  • Giordani, Barbara
  • Ricciardi, Walter
  • Baglio, Giovanni
  • Damiani, Gianfranco

Abstract

Avoidable hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) are key proxy indicators of Primary Care (PC) services quality. Challenges in Italy's National Health Service, worsened by COVID-19, have spurred outpatient care reforms to ultimately reduce avoidable hospitalizations.

Suggested Citation

  • Heidar Alizadeh, Aurora & Cuomo, Marcello & Burgio, Alessandra & Solipaca, Alessandro & Arcaro, Paola & Catania, Danilo & Giordani, Barbara & Ricciardi, Walter & Baglio, Giovanni & Damiani, Gianfranco, 2026. "A composite and synthetic index of potentially avoidable hospitalization in adults to assess primary care quality: an application across Italian geopolitical areas," Health Policy, Elsevier, vol. 165(C).
    • Handle: RePEc:eee:hepoli:v:165:y:2026:i:c:s0168851025002829
    DOI: 10.1016/j.healthpol.2025.105528
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    References listed on IDEAS

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    1. Arandelovic, Andelija & Acampora, Anna & Federico, Bruno & Profili, Francesco & Francesconi, Paolo & Ricciardi, Walter & Damiani, Gianfranco, 2018. "The use of preventable hospitalization for monitoring the performance of local health authorities in long-term care," Health Policy, Elsevier, vol. 122(3), pages 309-314.
    2. 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.
    3. Signorelli, C. & Odone, A. & Oradini-Alacreu, A. & Pelissero, G., 2020. "Universal Health Coverage in Italy: lights and shades of the Italian National Health Service which celebrated its 40th anniversary," Health Policy, Elsevier, vol. 124(1), pages 69-74.
    4. Paola Colais & Luigi Pinnarelli & Francesca Mataloni & Barbara Giordani & Giorgia Duranti & Paola D’Errigo & Stefano Rosato & Fulvia Seccareccia & Giovanni Baglio & Marina Davoli, 2022. "The National Outcomes Evaluation Programme in Italy: The Impact of Publication of Health Indicators," IJERPH, MDPI, vol. 19(18), pages 1-11, September.
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