Preventable hospitalizations and socioeconomic status

Jan Blustein, Karla Hanson, Steven Shea

Research output: Contribution to journalArticle

Abstract

"Preventable" hospitalizations have been proposed as indicators of poor health plan performance. In this study of elderly Medicare beneficiaries, however, we found that preventable hospitalizations are also more common among elders of lower socioeconomic status (SES). The relationship persisted even when an up-to-date severity-of-illness adjustment system was used. To the extent that indicators of health plan "performance" reflect enrollees' characteristics, plans will be rewarded for marketing their services to wealthier, healthier, and better-educated patients. Further work is needed to clarify issues of accountability for preventable hospitalizations and other putative indices of health plan performance.

Original languageEnglish (US)
Pages (from-to)177-189
Number of pages13
JournalHealth Affairs
Volume17
Issue number2
StatePublished - 1998

Fingerprint

hospitalization
Social Class
social status
Hospitalization
Health
Social Adjustment
health
Social Responsibility
Medicare
Marketing
performance
marketing
illness
responsibility

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Blustein, J., Hanson, K., & Shea, S. (1998). Preventable hospitalizations and socioeconomic status. Health Affairs, 17(2), 177-189.

Preventable hospitalizations and socioeconomic status. / Blustein, Jan; Hanson, Karla; Shea, Steven.

In: Health Affairs, Vol. 17, No. 2, 1998, p. 177-189.

Research output: Contribution to journalArticle

Blustein, J, Hanson, K & Shea, S 1998, 'Preventable hospitalizations and socioeconomic status', Health Affairs, vol. 17, no. 2, pp. 177-189.
Blustein, Jan ; Hanson, Karla ; Shea, Steven. / Preventable hospitalizations and socioeconomic status. In: Health Affairs. 1998 ; Vol. 17, No. 2. pp. 177-189.
@article{eadc84f4e4c54ca8bc7e4586ced87654,
title = "Preventable hospitalizations and socioeconomic status",
abstract = "{"}Preventable{"} hospitalizations have been proposed as indicators of poor health plan performance. In this study of elderly Medicare beneficiaries, however, we found that preventable hospitalizations are also more common among elders of lower socioeconomic status (SES). The relationship persisted even when an up-to-date severity-of-illness adjustment system was used. To the extent that indicators of health plan {"}performance{"} reflect enrollees' characteristics, plans will be rewarded for marketing their services to wealthier, healthier, and better-educated patients. Further work is needed to clarify issues of accountability for preventable hospitalizations and other putative indices of health plan performance.",
author = "Jan Blustein and Karla Hanson and Steven Shea",
year = "1998",
language = "English (US)",
volume = "17",
pages = "177--189",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "2",

}

TY - JOUR

T1 - Preventable hospitalizations and socioeconomic status

AU - Blustein, Jan

AU - Hanson, Karla

AU - Shea, Steven

PY - 1998

Y1 - 1998

N2 - "Preventable" hospitalizations have been proposed as indicators of poor health plan performance. In this study of elderly Medicare beneficiaries, however, we found that preventable hospitalizations are also more common among elders of lower socioeconomic status (SES). The relationship persisted even when an up-to-date severity-of-illness adjustment system was used. To the extent that indicators of health plan "performance" reflect enrollees' characteristics, plans will be rewarded for marketing their services to wealthier, healthier, and better-educated patients. Further work is needed to clarify issues of accountability for preventable hospitalizations and other putative indices of health plan performance.

AB - "Preventable" hospitalizations have been proposed as indicators of poor health plan performance. In this study of elderly Medicare beneficiaries, however, we found that preventable hospitalizations are also more common among elders of lower socioeconomic status (SES). The relationship persisted even when an up-to-date severity-of-illness adjustment system was used. To the extent that indicators of health plan "performance" reflect enrollees' characteristics, plans will be rewarded for marketing their services to wealthier, healthier, and better-educated patients. Further work is needed to clarify issues of accountability for preventable hospitalizations and other putative indices of health plan performance.

UR - http://www.scopus.com/inward/record.url?scp=0032018238&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032018238&partnerID=8YFLogxK

M3 - Article

VL - 17

SP - 177

EP - 189

JO - Health Affairs

JF - Health Affairs

SN - 0278-2715

IS - 2

ER -