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This discussion paper, published by the Health, Nutrition, and Population Global Practice of the World Bank, explores the concept and measurement of hospitalizations for ambulatory-care-sensitive conditions (ACSCs). ACSCs are conditions that can be treated effectively in an outpatient setting, but which may still result in hospitalization if not properly managed. The paper examines the challenges in accurately measuring ACSC hospitalizations and proposes a new framework for doing so. The authors argue that a better understanding of ACSC hospitalizations is crucial for improving the quality of care and reducing unnecessary hospitalizations.