Article Figures & Data
Tables
- Table 1.
Description of Medicaid Beneficiaries with Chronic Ambulatory Care Sensitive Conditions (CACSC) with and without Interpersonal Primary Care Continuity/Chronic Condition Continuity (CCC) in 26 States in 2009 (n = 2,674,587)
Variable CCC Yes (n = 971,733) No (n = 1,702,854) Mean (sd)/n (%) Mean (sd)/n (%) P value Age (years) <0.0001 18 to 29 78,892 (8.1) 242,808 (14.2) 30 to 39 125,378 (12.9) 263,895 (15.5) 40 to 49 236,775 (24.4) 407,958 (24.0) 50 to 64 530,688 (54.6) 788,193 (46.3) Sex <0.0001 Female 588,896 (60.6) 1,059,783 (62.2) Male 382,837 (39.4) 643,071 (37.8) Race <0.0001 Non-Hispanic White 427,790 (44.0) 759,212 (44.6) Non-Hispanic Black 266,947 (27.5) 493,267 (29.0) Hispanic 119,292 (12.3) 189,256 (11.1) Other 157,704 (16.2) 261,119 (15.3) Elixhauser Comorbidity Index (0 to 31) <0.0001 0 1,646 (0.2) 14,773 (0.9) 1, 2 604,729 (62.2) 1,035,786 (60.8) 3, 4 248,486 (25.6) 407,570 (23.9) ≥5 116,872 (12.0) 244,725 (14.4) ED visit <0.0001 Yes 408,831 (42.1) 887,794 (52.1) No 562,902 (57.9) 815,060 (47.9) Hospitalization <0.0001 Yes 163,492 (16.8) 594,741 (34.9) No 808,241 (83.2) 1,108,113 (65.1) Rurality of residence <0.0001 Large metro 500,523 (51.5) 936,361 (55.0) Small metro 271,649 (28.0) 470,034 (27.6) Rural 199,561 (20.5) 296,459 (17.4) Number of ACS conditions 1.6 (1.2) 1.6 (1.4) <0.0001 Counties represented 1,795 1,805 NA Notes: P values were calculated using chi-square tests for categorical variables and t test for continuous variables. Other races include Asian, American Indian, Alaska Native, Pacific Islander, multiple races, or unknown.
Abbreviations: ACS, Acute Coronary Syndrome; CACSC, chronic ambulatory care sensitive conditions; CCC, chronic condition continuity; ED, emergency department; SD, standard deviation.
- Table 2.
Association of Chronic Condition Continuity (CCC) Status on Emergency Department (ED) Visit (Yes/No) among Medicaid Beneficiaries with Chronic Ambulatory Care Sensitive Conditions (CACSC) in 2009 in 26 States Using Multivariable Logistic Regression
Variable aOR (95% CI) P value CCC status Yes 0.717 (0.714, 0.721) <0.0001 No Ref Age (years) 18 to 29 Ref 30 to 39 0.764 (0.757, 0.772) <0.0001 40 to 49 0.573 (0.568, 0.578) <0.0001 50 to 64 0.396 (0.392, 0.399) <0.0001 Sex Female 1.268 (1.262, 1.275) <0.0001 Male Ref Race Non-Hispanic White Ref Non-Hispanic Black 1.159 (1.152, 1.166) <0.0001 Hispanic 0.794 (0.787, 0.801) <0.0001 Other 0.795 (0.789, 0.802) <0.0001 Elixhauser Comorbidity Index (0 to 31) 0 Ref 1, 2 0.454 (0.439, 0.469) <0.0001 3, 4 0.970 (0.939, 1.003) 0.075 ≥5 2.591 (2.505, 2.679) <0.0001 Rurality of residence Large metro 0.906 (0.900, 0.913) <0.0001 Small metro 0.977 (0.970, 0.984) <0.0001 Rural Ref Notes: Other races include Asian, American Indian, Alaska Native, Pacific Islander, multiple races, or unknown.
Abbreviations: aOR, adjusted odds ratio; CACSC, chronic ambulatory care sensitive conditions; CCC, chronic condition continuity; CI, confidence interval.
- Table 3.
Association of Chronic Condition Continuity Status (CCC) on Hospitalization (Yes/No) Among Medicaid Beneficiaries with Chronic Ambulatory Care Sensitive Conditions in 2009 in 26 States Using a Multivariable Logistic Regression Model
Variable aOR (95% CI) P value CCC status Yes 0.330 (0.327, 0.332) <0.0001 No Ref Age (years) 18 to 29 Ref 30 to 39 0.603 (0.596, 0.609) <0.0001 40 to 49 0.461 (0.456, 0.466) <0.0001 50 to 64 0.409 (0.405, 0.413) <0.0001 Sex Female 1.090 (1.083, 1.097) 0.004 Male Ref Race Non-Hispanic White Ref Non-Hispanic Black 0.972 (0.965, 0.980) <0.0001 Hispanic 0.974 (0.964, 0.984) 0.001 Other 0.975 (0.966, 0.984) <0.0001 Elixhauser Comorbidity Index (0 to 31) 0 Ref 1, 2 2.872 (2.716, 3.037) <0.0001 3, 4 12.987 (12.279, 13.376) <0.0001 ≥5 56.346 (53.257, 59.614) <0.0001 Rurality of residence Large metro 1.227 (1.216, 1.237) <0.0001 Small metro 0.993 (0.983, 1.002) 0.127 Rural Ref Notes: Other races include Asian, American Indian, Alaska Native, Pacific Islander, multiple races, or unknown.
Abbreviations: aOR, adjusted odds ratio; CCC, chronic condition continuity; CI, confidence interval.
Condition ICD-9-CM codes Convulsions 345, 780.3 Chronic Obstructive Pulmonary Disease 491, 492, 494, 496 Asthma 493 Congestive Heart Failure 428, 402.01, 402.11, 402.91, 518.4 Hypertension 401.0, 401.9, 402.00, 402.10, 402.90 Angina 411.1, 411.8, 413 Diabetes 250.1, 250.2, 250.3, 250.8, 250.9, 250.0 Hypoglycemia 251.2 Abbreviation: ICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical Modification.
