Jordan A Carlson, Jessa K Engelberg, Kelli L Cain, Terry L Conway, Alex M Mignano, Edith A Bonilla, Carrie Geremia, James F Sallis
Implementing classroom physical activity breaks: Associations with student physical activity and classroom behavior
Preventive medicine
significant inequalities access healthcare system exist residents world megacities even different healthcare systems aim study estimate avoidable hospitalisations metropolitan area milan italy explore inequalities access healthcare patients across areas residence retrospective observational study public accredited private hospitals metropolitan area milan data obtained hospital discharge database italian health ministry 472 579 patients hospitalised ambulatory care sensitive conditions resident metropolitan area milan 2005 2016 ageadjusted rates avoidable hospitalisations hospital admissions ambulatory care sensitive conditions ageadjusted rates avoidable hospitalisations metropolitan area milan estimated 2005 2016 using direct standardisation hospitalised population multilevel logistic regression model patient random effects used identify patients hospitals municipalities characteristics associated risk avoidable hospitalisation period 20122016 rate avoidable hospitalisation milan fell steadily 2005 2016 166 105 per 1000 among hospitalised population odds hospitalised ambulatory care sensitive condition higher male 142 95 ci 136 148 older 1012 95 ci 101 1014 loweducated elementary school vs degree 423 95 ci 372 481 single vs married 208 95 ci 201 216 patients comorbidities 147 95 ci 138 156 avoidable admissions frequent public nonteaching hospitals municipalitys characteristics appear correlated hospitalisation ambulatory care sensitive conditions health system metropolitan milan experienced reduction avoidable hospitalisations 2005 2016 quite homogeneously across 134 municipalities study design allowed explore inequalities among hospitalised population found specific sociodemographic disadvantages