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Risk factors associated with preventable hospitalisation among rural community-dwelling patients: A systematic review


Ridge, A and Peterson, GM and Nash, R, Risk factors associated with preventable hospitalisation among rural community-dwelling patients: A systematic review, International Journal of Environmental Research and Public Health, 19, (24) pp. 1-15. ISSN 1660-4601 (2023) [Refereed Article]

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DOI: doi:10.3390/ijerph192416487


Potentially preventable hospitalisations (PPHs) are common and increase the burden on already stretched healthcare services. Increasingly, psychosocial factors have been recognised as contributing to PPHs and these may be mitigated through greater attention to social capital. This systematic review investigates the factors associated with PPHs within rural populations. The review was designed, conducted, and reported according to PRISMA guidelines and registered with Prospero (ID: CRD42020152194). Four databases were systematically searched, and all potentially relevant papers were screened at the title/abstract level, followed by full-text review by at least two reviewers. Papers published between 2000-2022 were included. Quality assessment was conducted using Newcastle-Ottawa Scale and CASP Qualitative checklist. Of the thirteen papers included, eight were quantitative/descriptive and five were qualitative studies. All were from either Australia or the USA. Access to primary healthcare was frequently identified as a determinant of PPH. Socioeconomic, psychosocial, and geographical factors were commonly identified in the qualitative studies. This systematic review highlights the inherent attributes of rural populations that predispose them to PPHs. Equal importance should be given to supply/system factors that restrict access and patient-level factors that influence the ability and capacity of rural communities to receive appropriate primary healthcare.

Item Details

Item Type:Refereed Article
Keywords:rural; primary care; preventable hospitalisation; risk factors; determinants; access; socioeconomic
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Primary health care
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Determinants of health
UTAS Author:Ridge, A (Mr Andrew Ridge)
UTAS Author:Peterson, GM (Professor Gregory Peterson)
UTAS Author:Nash, R (Dr Rosie Nash)
ID Code:155751
Year Published:2023
Deposited By:Pharmacy
Deposited On:2023-03-14
Last Modified:2023-03-14

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