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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 3 of 3 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
Lee SJC, Hamann HA, Browning T
Stakeholder engagement to initiate lung cancer screening in an urban safety-net health system.
The authors sought to develop a population-based lung cancer screening program using low-dose computed tomography imaging at Parkland Health & Hospital System, Dallas County, Texas, providing coverage of uninsured patients through a combination of Medicare, Medicaid, and the Dallas medical assistance program for under- and uninsured, low-income county residents. They found that establishing a uniform clinical pathway connecting different clinical specialists requires a system-level view of care coordination to ensure that referrals trigger appointments, result reporting, and follow-up. Additionally, primary care providers need to educate and refer patients, address smoking cessation needs, and document shared decision-making counseling between the referring provider and the patient.
AHRQ-funded; HS022418.
Citation: Lee SJC, Hamann HA, Browning T .
Stakeholder engagement to initiate lung cancer screening in an urban safety-net health system.
Healthc 2020 Mar;8(1):100370. doi: 10.1016/j.hjdsi.2019.100370.
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Keywords: Cancer: Lung Cancer, Cancer, Screening, Prevention, Urban Health, Rural/Inner-City Residents