A new way to compare health systems: Avoidable hospital conditions in Manhattan and Paris

Michael K. Gusmano, Victor G. Rodwin, Daniel Weisz

Research output: Contribution to journalReview article

Abstract

Based on a comparison of discharges for avoidable hospital conditions (AHCs), we find that Paris provides greater access to primary care than Manhattan. Age-adjusted AHC rates are more than 2.5 times as high in Manhattan as in Paris. In contrast, the difference in rates of hospital discharge for "marker conditions" are only about 20 percent higher in Manhattan. Rates of discharges for AHCs are higher among residents of low-income neighborhoods in both cities, but the disparity among high- and low-income neighborhoods is more than twice as great in Manhattan. Our analysis highlights the consequences of access barriers to care in Manhattan, particularly among vulnerable residents.

Original languageEnglish (US)
Pages (from-to)510-520
Number of pages11
JournalHealth Affairs
Volume25
Issue number2
DOIs
StatePublished - Mar 2006

ASJC Scopus subject areas

  • Health Policy

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