Insurance status and hospital discharge disposition after trauma: Inequities in access to postacute care

Journal of Trauma - Injury, Infection and Critical Care

Volumn 71, Issue 4, 2011, Pages 1011-1015

  Sacks, Greg D ^a   Hill, Caterina ^b   Rogers, Selwyn O ^c  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Discharge disposition; Inequities; Insurance status; Trauma; Uninsured

Indexed keywords

ADULT; ARTICLE; EMERGENCY CARE; ETHNICITY; FEMALE; HEALTH CARE DISPARITY; HEALTH INSURANCE; HOME CARE; HOSPITAL DISCHARGE; HUMAN; INJURY; INJURY SEVERITY; MAJOR CLINICAL STUDY; MALE; MANAGED CARE ORGANIZATION; MEDICAID; MEDICARE; NURSING HOME; PRIORITY JOURNAL; REHABILITATION CENTER; RETROSPECTIVE STUDY;

ADOLESCENT; ADULT; CONFIDENCE INTERVALS; CONTINENTAL POPULATION GROUPS; DATABASES, FACTUAL; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HISPANIC AMERICANS; HUMANS; INJURY SEVERITY SCORE; INSURANCE COVERAGE; INSURANCE, HEALTH; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; ODDS RATIO; PATIENT DISCHARGE; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; TRAUMA CENTERS; UNITED STATES; WOUNDS AND INJURIES; YOUNG ADULT;

EID: 80054019725     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3182092c27     Document Type: Article

References (24)

1. Institute of Medicine (IOM). Care Without Coverage: Too Little, Too Late. Washington, DC: National Academy Press; 2002.
2. Sudano JJ, Baker DW. Intermittent lack of health insurance coverage and use of preventive services. Am J Public Health. 2003;93:130-137. (Pubitemid 36055288)
3. McWilliams JM, Zaslavsky AM, Meara E, Ayanian JZ. Impact of medicare coverage on basic clinical services for previously uninsured adults. JAMA. 2003;290:757-764. (Pubitemid 37432952)
4. Busch SH, Duchovny N. Family coverage expansions: Impact on insurance coverage and health care utilization of parents. J Health Econ. 2005;24:876-890. (Pubitemid 41207900)
5. Volpp KG, Williams SV, Waldfogel J, Silber JH, Schwartz JS, Pauly MV. Market reform in new jersey and the effect on mortality from acute myocardial infarction. Health Serv Res. 2003;38:515-533. (Pubitemid 36570026)
6. Card D, Dobkin C, Maestas N. Does medicare save lives? Q J Econ. 2009;124:597-636.
7. Shen JJ, Washington EL. Disparities in outcomes among patients with stroke associated with insurance status. Stroke. 2007;38:1010-1016. (Pubitemid 46568467)
8. Chen AY, Schrag NM, Halpern MT, Ward EM. The impact of health insurance status on stage at diagnosis of oropharyngeal cancer. Cancer. 2007;110:395-402. (Pubitemid 47121901)
9. Himmelstein DU, Thorne D, Warren E, Woolhandler S. Medical bankruptcy in the United States, 2007: Results of a national study. Am J Med. 2009;122:741-746.
10. Kramer AM, Steiner JF, Schlenker RE, et al. Outcomes and costs after hip fracture and stroke. A comparison of rehabilitation settings. JAMA. 1997;277:396-404. (Pubitemid 27061269)
11. Kane RL, Chen Q, Blewett LA, Sangl J. Do rehabilitative nursing homes improve the outcomes of care? J Am Geriatr Soc. 1996;44:545-554. (Pubitemid 26137235)
12. Stuck AE, Aronow HU, Steiner A, et al. A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community. N Engl J Med. 1995;333:1184-1189.
13. Rich MW, Beckham V, Wittenberg C, et al. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med. 333:1190-1195.
14. Retchin SM, Brown RS, Yeh SC, Chu D, Moreno L. Outcomes of stroke patients in Medicare fee for service and managed care. JAMA. 1997; 278:119-124. (Pubitemid 27287668)
15. Buntin MB, Colla CH, Escarce JJ. Effects of payment changes on trends in post-acute care. Health Serv Res. 2009;44:1188-1210.
16. Gerszten PC, Witham TF, Clyde BL, Welch WC. Relationship between type of health insurance and time to inpatient rehabilitation placement for surgical subspecialty patients. Am J Med Qual. 2001;16:212-215.
17. Selassie AW, Pickelsimer EE, Frazier L Jr, Ferguson PL. The effect of insurance status, race, and gender on ED disposition of persons with traumatic brain injury. Am J Emerg Med. 2004;22:465-473. (Pubitemid 39446251)
18. Nirula R, Nirula G, Gentilello LM. Inequity of rehabilitation services after traumatic injury. J Trauma. 2009;66:255-259.
19. American College of Surgeons Committee on Trauma. National Trauma Data Bank (NTDB) version 7.2. Chicago, IL: American College of Surgeons Committee on Trauma; 2007.
20. Rosen H, Saleh F, Lipsitz S, Rogers SO Jr, Gawande AA. Downwardly mobile: The accidental cost of being uninsured. Arch Surg. 2009;144: 1006-1011.
21. Greene WR, Oyetunji TA, Bowers U, et al. Insurance status is a potent predictor of outcomes in both blunt and penetrating trauma. Am J Surg. 2010;199:554-557.
22. Haider AH, Chang DC, Efron DT, Haut ER, Crandall M, Cornwell EE III. Race and insurance status as risk factors for trauma mortality. Arch Surg. 2008;143:945-949.
23. Claridge JA, Croce MA, Weinberg JA, Forsythe RM, Miller C, Fabian TC. The real predictors of disposition in patients with spinal cord injuries. J Trauma. 2006;60:178-186.
24. Frequently asked questions about the Emergency Medical Treatment and Active Labor Act (EMTALA). Available at: Http://www.emtala.com/ faq.htm. Accessed April 25, 2010.