Table 3.
Adjusted Odds of ACSC ED Visits to High ACSC Hospitals, by three definitions of safety net status
| High ACSC Hospital aOR [95% CI] |
High Chronic ACSC Hospital aOR [95% CI] |
High Acute ACSC Hospital aOR [95% CI] |
|
|---|---|---|---|
| DSH Model | |||
| High DSH | 1.43 [1.42, 1.44]*** | 1.59 [1.58, 1.60]*** | 1.02 [1.01, 1.03]*** |
| Dual Eligibility Model | |||
| High Dual-Eligibility | 2.23 [2.21, 2.25]*** | 2.60 [2.58, 2.62]*** | 1.48 [1.47, 1.50]*** |
| Ownership Model | |||
| Ownership (Ref Not-for-profit) | |||
| For-Profit | 1.38 [1.37, 1.39]*** | 1.41 [1.40, 1.42]*** | 1.17 [1.17, 1.18]*** |
| Public | 0.64 [0.64, 0.65]*** | 0.63 [0.62, 0.64]*** | 0.94 [0.93, 0.94]*** |
***p < 0.001, **p < 0.01, *p < 0.05
Notes. “ED” emergency department, “ACSCs” ambulatory care sensitive conditions, “DSH” disproportionate share
The table shows three different logistic regression models (DSH model, dual eligibility model, and ownership model) examining the association between ACSC ED visits by Medicare patients to hospitals with high proportion of ACSC visits (overall, chronic ACSCs only, or acute ACSCs only), and safety net status. Each of the models has robust standard errors and adjusts for patient, hospital, and hospital community characteristics presented in Table 2, except for individual patient dual-eligibility