Table 2A. Studies of ACSC indicators

StudyPayerLevelValidating variables
Begley, 1994 allarea (city/state)none
Bierman, 2000 allpersonincome (area, all), Medicaid (asthma, diabetes), race (asthma, diabetes), race (asthma, diabetes)
Billings, 1993 allarea (zip code)income, race (diagnosis-specific findings in Billings, 1992)
Billings, 1996 all and Canadian health systemarea (zip code)Income, national health insurance
Bindman, 1995 allarea (zip code cluster/MSSA)self-rated access (all, but strongest for asthma, CHF, DM), income, education, uninsured, Medicaid
Blustein, 1998 Medicarepersoneducation, income, usual source of care, race, supplemental Medicaid or other insurance, prior physician visits
Casanova, 1995 Spanish national health systempersonilliteracy (area), unemployment (area), income (area), school enrollment (area), availability of health center, availability of pediatrician
Casanova, 1996 Spanish national health systempersonfamily income, paternal/maternal employment, social class, paternal/maternal education, prior physician visit, pediatrician
Claudio, 1999 allareaincome, % minority, % children under 18, lack of access to preventative health care, poor housing conditions, environmental exposures, genetic suseptibility
Connell, 1984 Medicare and Medicaidhospitalizationreside in nursing home, payment source, quality of care (appropriate diagnostic tests, use of IV insulin)_
Culler, 1998 Medicarepersonrace, education, living alone/with spouse, income, supplemental Medicaid or other insurance, problems obtaining care, health professional shortage area, core SMSA or rural county
Djojonegoro 2000 allarea (zip code)income, race (person)
Gadomski, 1998 Medicaidperson/quarterenrollment in Maryland Access to Care (Medicaid managed care with gatekeeper), SSI or AFDC recipients, urban residence, race
Gill, 1997 Medicaidpersonregular source of care, regular care from primary care physician
Gill, 1998 Medicaidpersoncontinuity index (function of number of ambulatory visits and unique providers)
Giuffrida, 1999 English Health Services Areaareasupply of secondary care (physicians, hosp beds), morbidity measures (limiting l.t. illness, permanently sick), socioeconomic characteristics (pop density, unemploy, no central heating, crowded accomodations, no car, new commonwealth, retired living alone, students, social class 1 & 2, pop mobility), year
Kaestner, 2000 allhospital-income category -yearincome
Krakauer, 1996 Medicarearea (HCSA)race/ethnicity, supplemental Medicaid or HMO coverage, urban residence, income, unemployment, active, generalist, med spec, & surg spec MD/pop ratio, generalists/MD, med spec/MD, surg spec/MD
Laditka, 1999 (JWA) Medicarearea (hospital market area)income
Laditka, 1999 (JHSP) Medicaidarea (hospital market area)Medicaid proportion
McConnochie1997 allarea (zip code)inner city or "other urban" residence (person), late prenatal care, maternal education, uninsured, Medicaid, race, unemployment, lack of telephone/automobile, childhood poverty
Millman, 1993 allareaincome (all except congenital syphilis, immunization/preventable, dental; gastroenteritis O:E<2)
O' Sullivan 1996 allareageographic region, insurance status
Pappas, 1997 allpersonrace, income (area), uninsured, Medicaid)
Parchman, 1994 allarea, (HSA)FP-GP/pop ratio, gen IM/pop ratio, gen ped/pop ratio, income
Parchman, 1999 Medicarepersonprimary care shortage area, supplemental Medicaid, income, race, education, marital status
Rohrer, 1997 allareageographic region
Schreiber, 1997 allarea (zip code)poverty, race, pop density, primary care MD/pop ratio, health professional shortage area, proximity to hospital
Shi, 1999 allpersonrace, income (area), non-MSA, primary care MD, uninsured, Medicare/Medicaid
Shukla, 1997 allpersonrace (all conditions), insurance type (diabetes, hypertension, asthma), localities
Silver, 1997 Medicarearea (county)rural regions of Utah (0/4 anemia, 2/4 asthma, 4/4 cellulitis, 2/4 CHF, ¼ DM, ¾ gastric, 2/4 hypertension, 4/4 pneumonia
Solet, 2000 allareaincome/ poverty status
Taroni, 1997 Italian health systemarea (local health unit)low overall hospital use
Weissman, 1992 allpersonuninsured (0/2 rupt appendix, ½ asthma, 2/2 cellulitis, ½ CHF, 2/2 DM, 2/2 gangrene,½ hypokalemia, ½ immunizable, 2/2 malig. htn. 2/2 pneumonia, ½ pyelo, 2/2 ulcer), Medicaid, race

From: APPENDIX 8, Literature Tables for Utilization and ACSC Indicators

Cover of Refinement of the HCUP Quality Indicators
Refinement of the HCUP Quality Indicators.
Technical Reviews, No. 4.
Davies SM, Geppert J, McClellan M, et al.

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