Date of Award


Document Type


Degree Name

Doctor of Health Administration


College of Health Professions

First Advisor

Elizabeth A. Brown

Second Advisor

Kit N. Simpson

Third Advisor

Brandi M. White


It is essential for adolescents with chronic conditions to have appropriate access to primary care. If the adolescents with chronic conditions do not have adequate primary care access, they will likely have a poorer quality of life and more preventable hospitalizations. This can make an already difficult situation on the family even more burdensome. Additionally, this will also become burdensome to the healthcare community. This study is important because the medical community can begin to look at the disparities in health care services. This retrospective cohort study used 2014 state hospitalization data from Georgia (GA), Kentucky (KY), and South Carolina (SC) to examine access to primary care for adolescents from both urban and rural areas. The sample population was adolescents, between 10 years old and 19 years old, with ACS conditions (Carbone et al. 2015) were considered for this study. The study examined the likelihood of adolescent living with chronic illnesses and living in rural areas experiencing higher preventable hospitalization (PH). The most noteworthy findings were that younger, minority, males who have a MHI lower than $40,000, and live in a rural areas were most likely to have PH compared to their counterparts.


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