Ambulatory Care Sensitive Hospitalizations and Emergency Department Visits in Baltimore City

by Carole Roan Gresenz, Teague Ruder, Nicole Lurie

Download eBook for Free

Full Document

FormatFile SizeNotes
PDF file 2.3 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Summary Only

FormatFile SizeNotes
PDF file 0.1 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Provides an in-depth analysis of ambulatory care sensitive (ACS) inpatient hospitalizations and emergency department visits among Baltimore City residents. ACS inpatient hospitalization rates and ACS emergency department visit rates are commonly used as markers for the availability and efficacy of primary care in an area.

ACS rates in Baltimore City are substantially higher than those in other Maryland counties, in Maryland as a whole, and in the District of Columbia. While a range of factors contributes to ACS rates, evidence suggests that a key determinant is the availability of primary care. Baltimore City appears to need additional primary care and may also need to focus on the quality and effectiveness of care in order to lower ACS rates.

The research described in this report was sponsored by the Aaron and Lillie Straus Foundation. The research was conducted in RAND Health, a division of the RAND Corporation.

This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.