This project is to develop and validate a method for identifying communities with high rates of unnecessary hospitalization which could be reduced by improved access to primary care. The project is to: (1) refine techniques to identify communities with high rates of avoidable hospital admissions and re-admissions (e.g., hypertension, asthma, and otitis media); (2) apply the method to local communities in New York City using hospital discharge data (n>1,000,000) for 1988; (3) review 2,000 medical records to verify the presence of primary care problems and to identify correlates of those problems; and (4) conduct 30 indepth case studies of patients, their families and their communities to garner an understanding of why the primary care system failed to meet their needs. It is expected that this project will develop a method applicable in many jurisdictions to identify primary care system problems, and to evaluate efforts to improve those care systems.
Amount Awarded $286,756.00
Awarded on: 7/26/1990
Time frame: 8/1/1990 - 7/31/1991
Grant Number: 16739