کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6222409 1607478 2012 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Insurance Status and the Care of Children in the Emergency Department
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
Insurance Status and the Care of Children in the Emergency Department
چکیده انگلیسی

ObjectivesTo determine whether insurance status is associated with the use of diagnostic testing or intervention in the emergency department (ED) care of children.Study designRetrospective cross-sectional analysis of ED visits using data from the National Hospital Ambulatory Medical Care Survey (1999-2008). Children <19 years old were categorized as having private insurance, public insurance, or no insurance. The main outcome measure was the adjusted odds of testing (laboratory or radiologic) or intervention (medication or procedure), controlling for demographic, clinical, and hospital specific factors. Illness severity was controlled for using triage and admission status.ResultsForty-five percent (95% CI; 44, 47) of visits were characterized as having private insurance compared with 43% with public insurance (95% CI; 42, 44) and 12% without insurance (95% CI; 11, 13). Children with public insurance and no insurance received less testing compared with those with private insurance (adjusted OR 0.78, 95% CI; 0.73, 0.84 and adjusted OR 0.78, 95% CI; 0.72, 0.84, respectively). Similar patterns were seen in the use of medications and performance of procedures.ConclusionsNon-private insurance status is associated with decreased utilization of diagnostic testing and intervention in children visiting the ED. It is unclear whether these patterns represent appropriate utilization, overutilization in patients with private insurance, or underutilization in patients without private insurance. Further studies are needed to evaluate whether these disparate care patterns impact health outcomes and could have important implications for the allocation of healthcare resources within the ED as well as the primary care setting.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Pediatrics - Volume 161, Issue 3, September 2012, Pages 536-541.e3
نویسندگان
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