{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T11:56:24Z","timestamp":1765886184858,"version":"3.37.3"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T00:00:00Z","timestamp":1576627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"New South Wales Population and Health Services Research Ethics Committee","award":["HREC\/14\/CIPHS\/39"],"award-info":[{"award-number":["HREC\/14\/CIPHS\/39"]}]},{"DOI":"10.13039\/100014467","name":"Western Sydney Local Health District","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014467","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Mid North Coast Local Health District"},{"name":"North Coast Primary Health Network"},{"name":"New South Wales Agency for Clinical Innovation"},{"name":"University Centre for Rural Health"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Potentially preventable hospitalizations (PPH) are defined as unplanned hospital admissions which could potentially have been prevented with the provision of effective, timely outpatient care. To better understand and ultimately reduce rates of PPH, a means of identifying those which are actually preventable is required. The Preventability Assessment Tool (PAT) was designed for use by hospital clinicians to assess the preventability of unplanned admissions for chronic conditions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The present study examined the ability of the PAT to distinguish between those unplanned admissions which are preventable and those which are not, compared to the assessments of an Expert Panel.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data were collected between November 2014 and June 2017 at three hospitals in NSW, Australia. Participants were community-dwelling patients with unplanned hospital admissions for congestive heart failure, chronic obstructive pulmonary disease, diabetes complications or angina pectoris. A nurse and a doctor caring for the patient made assessments of the preventability of the admission using the PAT. Expert Panels made assessments of the preventability of each admission based on a comprehensive case report and consensus process.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was little concordance between the hospital doctors and nurses regarding the preventability of admissions, nor between the assessments of the Expert Panel and the hospital nurse or the Expert Panel and the hospital doctor.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The PAT demonstrated poor concurrent validity and is not a valid tool for assessing the preventability of unplanned hospital admissions. The use of Expert Panels provides a more rigorous approach to assessing the preventability of such admissions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/fampra\/cmz086","type":"journal-article","created":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T12:11:00Z","timestamp":1573819860000},"page":"390-394","source":"Crossref","is-referenced-by-count":8,"title":["Validity of a tool designed to assess the preventability of potentially preventable hospitalizations for chronic conditions"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6564-0728","authenticated-orcid":false,"given":"Jennifer J","family":"Johnston","sequence":"first","affiliation":[{"name":"University Centre for Rural Health, The University of Sydney, Lismore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo M","family":"Longman","sequence":"additional","affiliation":[{"name":"University Centre for Rural Health, The University of Sydney, Lismore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan P","family":"Ewald","sequence":"additional","affiliation":[{"name":"University Centre for Rural Health, The University of Sydney, Lismore"},{"name":"North Coast Primary Health Network, Ballina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret I","family":"Rolfe","sequence":"additional","affiliation":[{"name":"University Centre for Rural Health, The University of Sydney, Lismore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Diez Alvarez","sequence":"additional","affiliation":[{"name":"Maitland Hospital, Maitland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian H B","family":"Gilliland","sequence":"additional","affiliation":[{"name":"North Coast Primary Health Network, Coff Harbour"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven C","family":"Chung","sequence":"additional","affiliation":[{"name":"Highfields Thoracic and Sleep Specialists, Port Macquarie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumon K","family":"Das","sequence":"additional","affiliation":[{"name":"University Centre for Rural Health, The University of Sydney, Lismore"},{"name":"Child Health Division, Menzies School of Health, Casuarina, Northern Territory"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan M","family":"King","sequence":"additional","affiliation":[{"name":"University Centre for Rural Health, The University of Sydney, Lismore"},{"name":"The Kirby Institute, University of New South Wales, Kensington, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan E","family":"Passey","sequence":"additional","affiliation":[{"name":"University Centre for Rural Health, The University of Sydney, Lismore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,12,18]]},"reference":[{"key":"2020072312064484500_CIT0001","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1097\/MLR.0b013e3182992c7b","article-title":"Changes in the source of unscheduled hospitalizations in the United States","volume":"51","author":"Kocher","year":"2013","journal-title":"Med Care"},{"author":"National Audit Office","key":"2020072312064484500_CIT0002"},{"key":"2020072312064484500_CIT0003","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1186\/s12913-015-0964-3","article-title":"A systematic review of the magnitude and cause of geographic variation in unplanned hospital admission rates and length of stay for ambulatory care sensitive conditions","volume":"15","author":"Busby","year":"2015","journal-title":"BMC Health Serv Res"},{"key":"2020072312064484500_CIT0004","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1377\/hlthaff.12.1.162","article-title":"Impact of socioeconomic status on hospital use in New York City","volume":"12","author":"Billings","year":"1993","journal-title":"Health Aff (Millwood)"},{"key":"2020072312064484500_CIT0005","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1057\/jphp.2010.3","article-title":"Predictors of preventable hospitalization in chronic disease: priorities for change","volume":"31","author":"Muenchberger","year":"2010","journal-title":"J Public Health Policy"},{"volume-title":"Admitted Patient Care: Australian Hospital Statistics Health Services Series No. 68. 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