National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.
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1 to 1 of 1 Research Studies DisplayedCrook H, Horta M, Michelson KA
Performance of health care service area definitions for capturing variation in inpatient care and social determinants of health.
The objective of this study was to quantify the degree to which health care service area (HCSA) definitions captured hospitalizations and heterogeneity in social determinants of health (SDOH). The authors used geospatial data from the Centers for Medicare and Medicaid Services, the Census Bureau, and the Dartmouth Institute, Fee-For-Service Medicare data from 48 states, drive-time isochrones from MapBox. And 2017 inpatient discharge data from HCUP State Inpatient Databases for Arizona, Florida, Iowa, Maryland, Nebraska, New Jersey, New York, and Wisconsin. The principal findings showed that HCSA definitions captured a wide range of inpatient discharges. The proportion of hospital discharges captured by each HCSA varied; Metropolitan Statistical Areas (MSAs) captured the highest proportion of discharges and Public Use Microdata Areas (PUMAs) captured the lowest. The authors noted that researchers face a trade-off between capture rate and population homogeneity when deciding which HCSA to use.
AHRQ-funded; HS025976.
Citation: Crook H, Horta M, Michelson KA .
Performance of health care service area definitions for capturing variation in inpatient care and social determinants of health.
Health Serv Res 2024 Aug; 59(4):e14312. doi: 10.1111/1475-6773.14312..
Keywords: Healthcare Cost and Utilization Project (HCUP), Social Determinants of Health, Inpatient Care
