National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 4 of 4 Research Studies DisplayedHogg-Graham R, Gatton KR, Ingram R
Association between insurer connectivity in Appalachian population health networks and preventable hospitalizations: evidence from Kentucky.
Capacity in community health and social services networks may be limited in geographic regions like Appalachia because of the combined effects of rurality and consistently poor health and social outcomes. The purpose of this study was to examine insurer connectivity in cross-sector networks across Kentucky’s geographic regions and the relationship between connectivity and the probability of preventable hospitalizations. The study found sizable geographic differences in the relationship between insurer connectivity in community networks and preventable hospitalization. Insurer connectivity in rural Appalachian communities was related with decreased likelihood that an individual was admitted for a preventable hospitalization.
AHRQ-funded; HS025494.
Citation: Hogg-Graham R, Gatton KR, Ingram R .
Association between insurer connectivity in Appalachian population health networks and preventable hospitalizations: evidence from Kentucky.
J Appalach Health 2023 Aug; 5(2)..
Keywords: Rural Health, Rural/Inner-City Residents, Prevention, Hospitalization, Health Insurance
Hogg-Graham R, Lang J, Waters TM
The Appalachian gap in preventable hospitalizations: are we seeing any progress? .
The purpose of this study was to explore whether within-rural variations in Kentucky’s preventable hospitalization rates exist and how these variations may be changing longitudinally. The study found that rural Appalachian counties had significantly higher preventable hospitalizations rates compared to their rural non-Appalachian and urban counterparts. A decreasing trend in overall preventable hospitalizations was witnessed for rural Appalachia over time, but trends were relatively stable for rural non-Appalachian and urban counties. Regression results revealed no significant longitudinal decrease in the “Appalachian gap.”
AHRQ-funded; HS025494.
Citation: Hogg-Graham R, Lang J, Waters TM .
The Appalachian gap in preventable hospitalizations: are we seeing any progress? .
J Appalach Health 2023 Aug; 5(2)..
Keywords: Rural Health, Rural/Inner-City Residents, Prevention, Hospitalization
Loomer L, Rahman M, Mroz TM
Impact of higher payments for rural home health episodes on rehospitalizations.
This article evaluated the impact of higher Medicare payments for rural home health care on rehospitalizations. In 2010, Medicare began paying home health (HH) providers 3% more to serve rural beneficiaries. The authors used Medicare data on postacute HH episodes from 2007 to 2014 to estimate the impact of higher payments on beneficiaries outcomes using difference-in-differences analysis, comparing rehospitalizations between rural and urban postacute HH episodes before and after 2010. Their sample included 5.6 million post acute HH episodes (18% rural). After 2010 30- and 60-day rehospitalization rates declined by 10.08% and 16.49% for urban HH episodes and 9.87% and 16.08% for rural HH episodes, respectively. The difference-in-difference estimate was 0.29 percentage points and 0.57 percentage points for 30- and 60-day rehospitalization, respectively.
AHRQ-funded; HS027054.
Citation: Loomer L, Rahman M, Mroz TM .
Impact of higher payments for rural home health episodes on rehospitalizations.
J Rural Health 2023 Jun; 39(3):604-10. doi: 10.1111/jrh.12725..
Keywords: Payment, Rural Health, Rural/Inner-City Residents, Hospital Readmissions, Hospitalization
Rinehart DJ, Oronce C, Durfee MJ
Identifying subgroups of adult superutilizers in an urban safety-net system using latent class analysis: implications for clinical practice.
The objective of the study was to identify clinically distinct subgroups of adult superutilizers. The overall cohort had high rates of multiple chronic medical conditions, mental health and substance use disorders, and homelessness. However, the patterns of these conditions were different between subgroups, providing important information for tailoring interventions.
AHRQ-funded; HS023901.
Citation: Rinehart DJ, Oronce C, Durfee MJ .
Identifying subgroups of adult superutilizers in an urban safety-net system using latent class analysis: implications for clinical practice.
Med Care 2018 Jan;56(1):e1-e9. doi: 10.1097/mlr.0000000000000628.
.
.
Keywords: Healthcare Utilization, Hospitalization, Urban Health, Rural/Inner-City Residents