Publication: From Scheme to System: Understanding the Concept and Measurement of Hospitalizations for Ambulatory-Care-Sensitive Conditions
Date
2023-09-18
ISSN
Published
2023-09-18
Author(s)
Tandon, Ajay
Chandrashekar, Sudha
Chhabra, Sheena
Manchanda, Navneet Kaur
Abstract
Ambulatory Care Sensitive Conditions
(ACSCs) - conditions for which hospitalization could be
prevented or reduced with timely access to effective
preventive and early disease management services in primary
health care outpatient settings—has emerged as a valuable
concept for assessing disparities in healthcare access and
utilization among vulnerable populations. This paper
provides an overview of the concept of ACSCs and explores
its potential for measurement in low-and middle-income
countries, using India as a case study. Hospitalization or
claims data for ACSCs are increasingly used globally to
assess the access to and quality of primary health care
services. Analyzing trends in hospital admissions for ACSCs
can provide critical policy-relevant information as
effective management of ACSCs can lead to reduced
hospitalizations, lower morbidity, and mortality, and
reduced cost pressures on health systems. The paper
highlights the relevance of ACSC analysis in the context of
India's flagship health sector reforms—Ayushman
Bharat—which aims to achieve universal health coverage.
Monitoring and analyzing hospitalizations for ACSCs under
Pradhan Mantri Jan Arogya Yojana (PM-JAY)- the world's
largest health insurance scheme and one of the four pillars
of Ayushman Bharat- will allow decision-makers to assess the
magnitude of preventable hospital admissions from an
economic efficiency and patient well-being perspective and
enable them to make informed policy decisions on
strengthening the quality of primary healthcare services. .
Link to Data Set
Citation
“Tandon, Ajay; Chandrashekar, Sudha; Chhabra, Sheena; Manchanda, Navneet Kaur. 2023. From Scheme to System: Understanding the Concept and Measurement of Hospitalizations for Ambulatory-Care-Sensitive Conditions. © Washington, DC: World Bank. http://hdl.handle.net/10986/40361 License: CC BY-NC 3.0 IGO.”