Riddhi P Doshi1, Robert H Aseltine2,3, Alyse B Sabina4, Garth N Graham4. 1. Department of Community Medicine and Healthcare, UConn Health, 263 Farmington Avenue, MC 6030, Farmington, 06030, CT, USA. 2. Department of Community Medicine and Healthcare, UConn Health, 263 Farmington Avenue, MC 6030, Farmington, 06030, CT, USA. aseltine@uchc.edu. 3. Division of Behavioral Science and Community Health and Center for Public Health and Health Policy, UConn Health, Farmington, CT, USA. aseltine@uchc.edu. 4. Aetna Foundation, Hartford, CT, USA.
Abstract
BACKGROUND: Hospitalizations due to ambulatory care sensitive conditions (ACSCs) result in high morbidity and economic burden on the American healthcare system. Admissions due to chronic ACSCs, in particular, cost the American healthcare system over 30 billion dollars annually. OBJECTIVES AND METHODS: This paper presents the current research on racial and ethnic disparities in the burden of hospitalizations due to chronic ACSCs. For this narrative review, we evaluated over 800 abstracts from MEDLINE and Google Scholar and cited 62 articles. RESULTS: Since 1998, racial and ethnic disparities in hospitalizations from chronic ACSCs have increased resulting in over 430,000 excess hospitalizations among non-Hispanic Blacks compared to non-Hispanic Whites. CONCLUSIONS: Racial disparities in chronic ACSCs hospitalizations are pervasive in the USA. There is need for more research on the pathways through which an individual's race modifies the risk for hospitalizations due to chronic ACSCs.
BACKGROUND: Hospitalizations due to ambulatory care sensitive conditions (ACSCs) result in high morbidity and economic burden on the American healthcare system. Admissions due to chronic ACSCs, in particular, cost the American healthcare system over 30 billion dollars annually. OBJECTIVES AND METHODS: This paper presents the current research on racial and ethnic disparities in the burden of hospitalizations due to chronic ACSCs. For this narrative review, we evaluated over 800 abstracts from MEDLINE and Google Scholar and cited 62 articles. RESULTS: Since 1998, racial and ethnic disparities in hospitalizations from chronic ACSCs have increased resulting in over 430,000 excess hospitalizations among non-Hispanic Blacks compared to non-Hispanic Whites. CONCLUSIONS: Racial disparities in chronic ACSCs hospitalizations are pervasive in the USA. There is need for more research on the pathways through which an individual's race modifies the risk for hospitalizations due to chronic ACSCs.
Keywords:
Chronic ambulatory care sensitive conditions; Hospitalizations; Racial disparities
Authors: Sasigant S O'Neil; Timothy Lake; Angela Merrill; Ander Wilson; David A Mann; Linda M Bartnyska Journal: Am J Prev Med Date: 2010-04 Impact factor: 5.043
Authors: Dimitry S Davydow; Kara Zivin; Wayne J Katon; Gregory M Pontone; Lydia Chwastiak; Kenneth M Langa; Theodore J Iwashyna Journal: J Gen Intern Med Date: 2014-10 Impact factor: 5.128
Authors: Amin Sanei-Moghaddam; Chaeryon Kang; Robert P Edwards; Paula J Lounder; Naveed Ismail; Sharon L Goughnour; Suketu M Mansuria; John T Comerci; Faina Linkov Journal: J Racial Ethn Health Disparities Date: 2017-08-24
Authors: Sarah M Wood; Elizabeth Lowenthal; Susan Lee; Sarah J Ratcliffe; Nadia Dowshen Journal: AIDS Patient Care STDS Date: 2017-09 Impact factor: 5.078
Authors: José F Figueroa; Laura G Burke; Kathryn E Horneffer; Jie Zheng; E John Orav; Ashish K Jha Journal: Health Aff (Millwood) Date: 2020-06 Impact factor: 6.301
Authors: Nadra E Lisha; Torsten B Neilands; Xavier A Erguera; Parya Saberi Journal: Int J Environ Res Public Health Date: 2021-04-15 Impact factor: 3.390