Correlates of bacterial pneumonia hospitalizations in Elders, Texas border

Frank C. Lemus, Alai Tan, Karl Eschbach, Daniel H. Freeman, Jean L. Freeman

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background Immunization preventable bacterial pneumonia is an Agency for Healthcare Research and Quality (AHRQ) prevention quality indicator of health care. This study explored associations of individual and county correlates with bacterial pneumonia hospitalization rates for elders residing in 32 Texas counties bordering Mexico. Methods We estimated baseline rates from Texas Health Care Information Collection's hospital discharge data for 1999-2001, and population counts from the 2000 U.S. Census. Results The rate among the total Texas border population was 500/10,000, three times the national rate. Elders 75+, males, and Latinos had the highest rates. An increase of 1 primary care physician per 1000 population is associated with a decrease in pneumonia-related hospitalization rates by 33%, while each 10% increase in Latinos is associated with a 0.1% rate increase. Discussion This baseline bacterial pneumonia hospitalization study demonstrates a systematic approach to estimate county rates, a process that could lead to improved outcomes through effective community interventions. Methodology demonstrates how publicly available hospital discharge data can be used by communities to better measure and improve quality of health care.

Original languageEnglish (US)
Pages (from-to)423-432
Number of pages10
JournalJournal of Immigrant and Minority Health
Volume12
Issue number4
DOIs
StatePublished - Aug 2010
Externally publishedYes

Fingerprint

Bacterial Pneumonia
Hospitalization
Hispanic Americans
Population
Health Care Quality Indicators
Quality of Health Care
Health Services Research
Primary Care Physicians
Censuses
Mexico
Immunization
Pneumonia
Delivery of Health Care

Keywords

  • Bacterial pneumonia hospitalizations
  • Community Based Participatory Research
  • Elderly
  • Health Services Research
  • Prevention quality indicators
  • Racial disparities
  • Residence characteristics
  • Texas-Mexico border

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Correlates of bacterial pneumonia hospitalizations in Elders, Texas border. / Lemus, Frank C.; Tan, Alai; Eschbach, Karl; Freeman, Daniel H.; Freeman, Jean L.

In: Journal of Immigrant and Minority Health, Vol. 12, No. 4, 08.2010, p. 423-432.

Research output: Contribution to journalArticle

Lemus, Frank C. ; Tan, Alai ; Eschbach, Karl ; Freeman, Daniel H. ; Freeman, Jean L. / Correlates of bacterial pneumonia hospitalizations in Elders, Texas border. In: Journal of Immigrant and Minority Health. 2010 ; Vol. 12, No. 4. pp. 423-432.
@article{c70381a05c124d32bc05d103cb1eb37f,
title = "Correlates of bacterial pneumonia hospitalizations in Elders, Texas border",
abstract = "Background Immunization preventable bacterial pneumonia is an Agency for Healthcare Research and Quality (AHRQ) prevention quality indicator of health care. This study explored associations of individual and county correlates with bacterial pneumonia hospitalization rates for elders residing in 32 Texas counties bordering Mexico. Methods We estimated baseline rates from Texas Health Care Information Collection's hospital discharge data for 1999-2001, and population counts from the 2000 U.S. Census. Results The rate among the total Texas border population was 500/10,000, three times the national rate. Elders 75+, males, and Latinos had the highest rates. An increase of 1 primary care physician per 1000 population is associated with a decrease in pneumonia-related hospitalization rates by 33{\%}, while each 10{\%} increase in Latinos is associated with a 0.1{\%} rate increase. Discussion This baseline bacterial pneumonia hospitalization study demonstrates a systematic approach to estimate county rates, a process that could lead to improved outcomes through effective community interventions. Methodology demonstrates how publicly available hospital discharge data can be used by communities to better measure and improve quality of health care.",
keywords = "Bacterial pneumonia hospitalizations, Community Based Participatory Research, Elderly, Health Services Research, Prevention quality indicators, Racial disparities, Residence characteristics, Texas-Mexico border",
author = "Lemus, {Frank C.} and Alai Tan and Karl Eschbach and Freeman, {Daniel H.} and Freeman, {Jean L.}",
year = "2010",
month = "8",
doi = "10.1007/s10903-009-9241-z",
language = "English (US)",
volume = "12",
pages = "423--432",
journal = "Journal of Immigrant and Minority Health",
issn = "1557-1912",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Correlates of bacterial pneumonia hospitalizations in Elders, Texas border

AU - Lemus, Frank C.

AU - Tan, Alai

AU - Eschbach, Karl

AU - Freeman, Daniel H.

AU - Freeman, Jean L.

PY - 2010/8

Y1 - 2010/8

N2 - Background Immunization preventable bacterial pneumonia is an Agency for Healthcare Research and Quality (AHRQ) prevention quality indicator of health care. This study explored associations of individual and county correlates with bacterial pneumonia hospitalization rates for elders residing in 32 Texas counties bordering Mexico. Methods We estimated baseline rates from Texas Health Care Information Collection's hospital discharge data for 1999-2001, and population counts from the 2000 U.S. Census. Results The rate among the total Texas border population was 500/10,000, three times the national rate. Elders 75+, males, and Latinos had the highest rates. An increase of 1 primary care physician per 1000 population is associated with a decrease in pneumonia-related hospitalization rates by 33%, while each 10% increase in Latinos is associated with a 0.1% rate increase. Discussion This baseline bacterial pneumonia hospitalization study demonstrates a systematic approach to estimate county rates, a process that could lead to improved outcomes through effective community interventions. Methodology demonstrates how publicly available hospital discharge data can be used by communities to better measure and improve quality of health care.

AB - Background Immunization preventable bacterial pneumonia is an Agency for Healthcare Research and Quality (AHRQ) prevention quality indicator of health care. This study explored associations of individual and county correlates with bacterial pneumonia hospitalization rates for elders residing in 32 Texas counties bordering Mexico. Methods We estimated baseline rates from Texas Health Care Information Collection's hospital discharge data for 1999-2001, and population counts from the 2000 U.S. Census. Results The rate among the total Texas border population was 500/10,000, three times the national rate. Elders 75+, males, and Latinos had the highest rates. An increase of 1 primary care physician per 1000 population is associated with a decrease in pneumonia-related hospitalization rates by 33%, while each 10% increase in Latinos is associated with a 0.1% rate increase. Discussion This baseline bacterial pneumonia hospitalization study demonstrates a systematic approach to estimate county rates, a process that could lead to improved outcomes through effective community interventions. Methodology demonstrates how publicly available hospital discharge data can be used by communities to better measure and improve quality of health care.

KW - Bacterial pneumonia hospitalizations

KW - Community Based Participatory Research

KW - Elderly

KW - Health Services Research

KW - Prevention quality indicators

KW - Racial disparities

KW - Residence characteristics

KW - Texas-Mexico border

UR - http://www.scopus.com/inward/record.url?scp=77955983844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955983844&partnerID=8YFLogxK

U2 - 10.1007/s10903-009-9241-z

DO - 10.1007/s10903-009-9241-z

M3 - Article

VL - 12

SP - 423

EP - 432

JO - Journal of Immigrant and Minority Health

JF - Journal of Immigrant and Minority Health

SN - 1557-1912

IS - 4

ER -