Skip to main content

Table 4 Factors influencing county-level hospital ACS hospitalization rates among estimated uninsured populations, eight states, 2002

From: Association between community health center and rural health clinic presence and county-level hospitalization rates for ambulatory care sensitive conditions: an analysis across eight US states

 

Children (ages 0 – 17)

249 counties

Working age adults

(ages 18 – 64)

571 counties

 

Model Coefficient

SE

p-value

Model Coefficient

SE

p-value

Facilities (ref: neither)

      

   CHC Only

-0.0778

0.2048

0.7042

-0.0089

0.0546

0.8702

   RHC Only

-0.1159

0.1606

0.4706

-0.0315

0.0321

0.3266

   RHC&CHC

0.4973

0.2125

0.0193

0.0702

0.0579

0.2255

Resources in county:

      

   MD/DO per 10,000 population

-0.0002

0.0062

0.9760

0.0001

0.0018

0.9340

   Beds per 1,000 population

0.0106

0.0265

0.6878

0.0122

0.0045

0.0070

   Number of hospitals with Emergency Dept.

0.0130

0.0384

0.7355

0.0227

0.0094

0.0154

   HMO penetration rate

-0.0088

0.0045

0.0518

-0.0014

0.0013

0.2761

   ED visits per 100

0.0040

0.0028

0.1605

0.0036

0.0005

< .0001

   Non-metropolitan county (v metro)

-0.2756

0.1597

0.0843

-0.0549

0.0405

0.1761

Characteristics of county population

      

   Percent population that is:

      

African American

-0.0043

0.0048

0.3724

0.0019

0.0011

0.0840

Hispanic white

-0.0456

0.0280

0.1036

-0.0101

0.0025

< .0001

Asian

0.0710

0.0418

0.0898

-0.0096

0.0161

0.5527

American Indian/Native American

0.2141

0.0390

< .0001

-0.0056

0.0045

0.2193

   Population change, 1990 – 2000, %

-0.0216

0.0072

0.0025

-0.0017

0.0014

0.2269

   Percent with less than high school education

0.0073

0.0104

0.4787

0.0401

0.0023

< .0001

   Population per square mile (/100)

0.0043

0.0013

0.0011

-0.0002

0.0006

0.6908

   Percent unemployed (/10)

-0.7131

0.2180

0.0011

0.0884

0.0410

0.0310

   Percent uninsured*

-0.0147

0.0139

0.2902

0.0006

0.0052

0.9095

   Median household income (thousands)

-0.0241

0.0139

0.0819

-0.0011

0.0013

0.4113

Death rates (×10,000) for:

      

   Cardiovascular disease

0.0031

0.0093

0.7412

0.0124

0.0023

< .0001

   Chronic obstructive pulmonary disease

0.0890

0.0444

0.0447

0.0090

0.0090

0.3194

   Diabetes

-0.1353

0.0584

0.0206

0.0194

0.0126

0.1226

   Liver disease

-0.3647

0.1294

0.0048

0.0620

0.0230

0.0070

  1. * Estimated percent uninsured among children (ages 0–17) in the model for children, among working age adults (ages 18–64) for the model for adults.