First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity?
In this study, we focused on readmissions for Ambulatory Care Sensitive Conditions (ACSC) ending in death, to capture those admissions and readmissions that might have been prevented if responsive primary healthcare was accessible. We propose this as a sentinel indicator of equity. We conducted anal...
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ftpubmed:oai:pubmedcentral.nih.gov:7738285 2023-05-15T15:55:23+02:00 First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity? Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Kyoon-Achan, Grace Katz, Alan 2020-12-13 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738285/ http://www.ncbi.nlm.nih.gov/pubmed/33308085 https://doi.org/10.1080/22423982.2020.1859824 en eng Taylor & Francis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738285/ http://www.ncbi.nlm.nih.gov/pubmed/33308085 http://dx.doi.org/10.1080/22423982.2020.1859824 © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. CC-BY-NC Int J Circumpolar Health Original Research Article Text 2020 ftpubmed https://doi.org/10.1080/22423982.2020.1859824 2021-01-03T01:33:28Z In this study, we focused on readmissions for Ambulatory Care Sensitive Conditions (ACSC) ending in death, to capture those admissions and readmissions that might have been prevented if responsive primary healthcare was accessible. We propose this as a sentinel indicator of equity. We conducted analyses of Manitoba-based 30-day hospital readmission rates for ACSC which resulted in death, using data from 1986-2016 adjusted for age, sex, and socio-economic status. Our findings show that, across Manitoba, overall rates of readmissions ending in death are slowly increasing, and increasing more dramatically among northern First Nations, larger First Nations not affiliated with Tribal Councils, and in the western region of the province. These regions have continuously been highlighted as disadvantaged in terms of access to care, suggesting that the time for action is overdue. Rising rates of readmissions for ACSC ending in death suggest that greater attention should be placed on access to responsive primary healthcare. These findings have broader implications for territorial healthcare systems which purchase acute care services from provinces south of them. As an indicator of quality, monitoring readmissions ending in death could provide territorial governments insights into the quality of care provided to their constituents by provincial authorities. Text Circumpolar Health First Nations PubMed Central (PMC) International Journal of Circumpolar Health 80 1 1859824 |
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Original Research Article |
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Original Research Article Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Kyoon-Achan, Grace Katz, Alan First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity? |
topic_facet |
Original Research Article |
description |
In this study, we focused on readmissions for Ambulatory Care Sensitive Conditions (ACSC) ending in death, to capture those admissions and readmissions that might have been prevented if responsive primary healthcare was accessible. We propose this as a sentinel indicator of equity. We conducted analyses of Manitoba-based 30-day hospital readmission rates for ACSC which resulted in death, using data from 1986-2016 adjusted for age, sex, and socio-economic status. Our findings show that, across Manitoba, overall rates of readmissions ending in death are slowly increasing, and increasing more dramatically among northern First Nations, larger First Nations not affiliated with Tribal Councils, and in the western region of the province. These regions have continuously been highlighted as disadvantaged in terms of access to care, suggesting that the time for action is overdue. Rising rates of readmissions for ACSC ending in death suggest that greater attention should be placed on access to responsive primary healthcare. These findings have broader implications for territorial healthcare systems which purchase acute care services from provinces south of them. As an indicator of quality, monitoring readmissions ending in death could provide territorial governments insights into the quality of care provided to their constituents by provincial authorities. |
format |
Text |
author |
Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Kyoon-Achan, Grace Katz, Alan |
author_facet |
Lavoie, Josée Phillips-Beck, Wanda Kinew, Kathi Avery Kyoon-Achan, Grace Katz, Alan |
author_sort |
Lavoie, Josée |
title |
First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity? |
title_short |
First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity? |
title_full |
First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity? |
title_fullStr |
First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity? |
title_full_unstemmed |
First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity? |
title_sort |
first nations’ hospital readmission ending in death: a potential sentinel indicator of inequity? |
publisher |
Taylor & Francis |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738285/ http://www.ncbi.nlm.nih.gov/pubmed/33308085 https://doi.org/10.1080/22423982.2020.1859824 |
genre |
Circumpolar Health First Nations |
genre_facet |
Circumpolar Health First Nations |
op_source |
Int J Circumpolar Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738285/ http://www.ncbi.nlm.nih.gov/pubmed/33308085 http://dx.doi.org/10.1080/22423982.2020.1859824 |
op_rights |
© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1080/22423982.2020.1859824 |
container_title |
International Journal of Circumpolar Health |
container_volume |
80 |
container_issue |
1 |
container_start_page |
1859824 |
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1766390880470564864 |