TY - JOUR
AU - I. Foley
AU - M. C. Basabas
AU - A. Jury
AU - T. Haitana
AU - D. Peterson
AU - P. Hider
AU - R. Cunningham
A1 - 
AB - AIM: Ambulatory sensitive hospitalisations (ASHs) are hospital admissions for conditions potentially avoidable through timely and effective primary healthcare. ASH rates can indicate healthcare quality and access. This study examines ASH rates among people accessing mental health and addiction (MHA) services in Aotearoa New Zealand. METHOD: Retrospective analyses of national MHA service use linked to hospital admission records, compared to total population between 1 July 2012 and 30 June 2018, were conducted. The MHA cohort includes people aged 45-64 with at least one MHA service contact during the study period or 2 years prior. RESULTS: MHA service users were most commonly hospitalised for angina (26.0%) and chronic obstructive pulmonary disease (COPD; 11.6%). Adjusting for age and ethnicity, the MHA cohort's ASH rate was 2.38 times that of the total population, with higher rates for epilepsy (adjusted rate ratio [ARR]=5.96), COPD (ARR=4.32), diabetes (ARR=3.47) and angina (ARR=2.40). CONCLUSION: Findings indicate potentially preventable physical health disparities within and between people accessing MHA services, highlighting the need to improve primary care access. Practice implications include integrated care, prevention and workforce development to reduce ASH and health disparities for people using MHA services.
AD - Public Health Medicine Registrar, University of Otago, Wellington, Aotearoa New Zealand.; Researcher, Te Pou, Auckland, Aotearoa New Zealand.; Research Manager, Te Pou, Auckland, Aotearoa New Zealand.; Clinical Senior Lecturer, University of Otago, Christchurch, Aotearoa New Zealand.; Senior Research Fellow, University of Otago, Wellington, Aotearoa New Zealand.; Associate Professor, University of Otago, Christchurch, Aotearoa New Zealand.; Associate Professor, University of Otago, Wellington, Aotearoa New Zealand.
AN - 40876032
BT - N Z Med J
C5 - Opioids & Substance Use
CP - 1621
DA - Aug 29
DO - 10.26635/6965.6969
DP - NLM
ET - 20250829
IS - 1621
JF - N Z Med J
LA - eng
N2 - AIM: Ambulatory sensitive hospitalisations (ASHs) are hospital admissions for conditions potentially avoidable through timely and effective primary healthcare. ASH rates can indicate healthcare quality and access. This study examines ASH rates among people accessing mental health and addiction (MHA) services in Aotearoa New Zealand. METHOD: Retrospective analyses of national MHA service use linked to hospital admission records, compared to total population between 1 July 2012 and 30 June 2018, were conducted. The MHA cohort includes people aged 45-64 with at least one MHA service contact during the study period or 2 years prior. RESULTS: MHA service users were most commonly hospitalised for angina (26.0%) and chronic obstructive pulmonary disease (COPD; 11.6%). Adjusting for age and ethnicity, the MHA cohort's ASH rate was 2.38 times that of the total population, with higher rates for epilepsy (adjusted rate ratio [ARR]=5.96), COPD (ARR=4.32), diabetes (ARR=3.47) and angina (ARR=2.40). CONCLUSION: Findings indicate potentially preventable physical health disparities within and between people accessing MHA services, highlighting the need to improve primary care access. Practice implications include integrated care, prevention and workforce development to reduce ASH and health disparities for people using MHA services.
PY - 2025
SN - 0028-8446
SP - 55
EP - 64+
ST - Ambulatory sensitive hospitalisations among people accessing mental health and addiction services: a retrospective cross-sectional study using national population data
T1 - Ambulatory sensitive hospitalisations among people accessing mental health and addiction services: a retrospective cross-sectional study using national population data
T2 - N Z Med J
TI - Ambulatory sensitive hospitalisations among people accessing mental health and addiction services: a retrospective cross-sectional study using national population data
U1 - Opioids & Substance Use
U3 - 10.26635/6965.6969
VL - 138
VO - 0028-8446
Y1 - 2025
ER -