{"id":16590,"date":"2022-09-28T13:53:49","date_gmt":"2022-09-28T17:53:49","guid":{"rendered":"https:\/\/www.med.unc.edu\/fammed\/?page_id=16590"},"modified":"2022-09-28T13:54:16","modified_gmt":"2022-09-28T17:54:16","slug":"the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/","title":{"rendered":"The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over"},"content":{"rendered":"<p><span style=\"font-size: 18pt;color: #333399\">Authors<\/span><\/p>\n<p>Oh NL, Potter AJ, Sabik LM, Trivedi AN, Wolinsky F,\u00a0<strong>Wright B. <\/strong><\/p>\n<p><span style=\"font-size: 18pt;color: #333399\">Abstract<\/span><\/p>\n<p>Background:\u00a0Individuals dually-enrolled in Medicare and Medicaid (dual eligibles) are disproportionately sicker, have higher health care costs, and are hospitalized more often for ambulatory care sensitive conditions (ACSCs) than other Medicare beneficiaries. Primary care may reduce ACSC hospitalizations, but this has not been well studied among dual eligibles. We examined the relationship between primary care and ACSC hospitalization among dual eligibles age 65 and older. Methods:\u00a0In this observational study, we used 100% Medicare claims data for dual eligibles ages 65 and over from 2012 to 2018 to estimate the likelihood of ACSC hospitalization as a function of primary care visits and other factors. We used linear probability models stratified by rurality, with subgroup analyses for dual eligibles with diabetes or congestive heart failure. Results:\u00a0Each additional primary care visit was associated with an 0.05 and 0.09 percentage point decrease in the probability of ACSC hospitalization among urban (95% CI: &#8211; 0.059, &#8211; 0.044) and rural (95% CI: &#8211; 0.10, &#8211; 0.08) dual eligibles, respectively. Among dual eligibles with CHF, the relationship was even stronger with decreases of 0.09 percentage points (95% CI: &#8211; 0.10, &#8211; 0.08) and 0.15 percentage points (95% CI: &#8211; 0.17, &#8211; 0.13) among urban and rural residents, respectively. Conclusions:\u00a0Increased primary care use is associated with lower rates of preventable hospitalizations for dual eligibles age 65 and older, especially for dual eligibles with diabetes and congestive heart failure. In turn, efforts to reduce preventable hospitalizations for this dual-eligible population should consider how to increase access to and use of primary care.<\/p>\n<p><span style=\"font-size: 18pt;color: #333399\">Citation<\/span><\/p>\n<p>Oh NL, Potter AJ, Sabik LM, Trivedi AN, Wolinsky F, Wright B. The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over. BMC Health Serv Res. 2022 Jul 19;22(1):927. doi: 10.1186\/s12913-022-08326-2. PMID: 35854303; PMCID: PMC9295296.<\/p>\n<p><span style=\"font-size: 18pt;color: #333399\">Publication Link<\/span><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9295296\/\"><span style=\"font-size: 14pt\">Full Text<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Authors Oh NL, Potter AJ, Sabik LM, Trivedi AN, Wolinsky F,\u00a0Wright B. Abstract Background:\u00a0Individuals dually-enrolled in Medicare and Medicaid (dual eligibles) are disproportionately sicker, have higher health care costs, and are hospitalized more often for ambulatory care sensitive conditions (ACSCs) than other Medicare beneficiaries. Primary care may reduce ACSC hospitalizations, but this has not been &hellip; <a href=\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/\" aria-label=\"Read more about The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over\">Read more<\/a><\/p>\n","protected":false},"author":63861,"featured_media":0,"parent":413,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"class_list":["post-16590","page","type-page","status-publish","hentry","category-news","odd"],"pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over - Department of Family Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over - Department of Family Medicine\" \/>\n<meta property=\"og:description\" content=\"Authors Oh NL, Potter AJ, Sabik LM, Trivedi AN, Wolinsky F,\u00a0Wright B. 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Primary care may reduce ACSC hospitalizations, but this has not been &hellip; Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Family Medicine\" \/>\n<meta property=\"article:publisher\" content=\"http:\/\/facebook.com\/uncfammed\" \/>\n<meta property=\"article:modified_time\" content=\"2022-09-28T17:54:16+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@uncfammed\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/\",\"name\":\"The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over - Department of Family Medicine\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#website\"},\"datePublished\":\"2022-09-28T17:53:49+00:00\",\"dateModified\":\"2022-09-28T17:54:16+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/the-association-between-primary-care-use-and-potentially-preventable-hospitalization-among-dual-eligibles-age-65-and-over\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.med.unc.edu\/fammed\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Research\",\"item\":\"https:\/\/www.med.unc.edu\/fammed\/research\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Research Articles &amp; 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