Health Insurance Status and the Use of Emergency and Other Outpatient Services by Adults With Sickle Cell Disease
| Autor: | Louise Dorn, Mabel Koshy, Minu Patel, Roger Hand |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Gerontology medicine.medical_specialty Outpatient Clinics Hospital Hospital Bed Capacity 300 to 499 Anemia Sickle Cell Disease Medicare Hospitals University Hospitals Urban Pregnancy medicine Health insurance Humans Outpatient clinic Retrospective Studies Chicago Medically Uninsured Insurance Health Medicaid business.industry Public health Emergency department University hospital medicine.disease United States Sickle cell anemia Family medicine Emergency Medicine Female Emergency Service Hospital business |
| Zdroj: | Annals of Emergency Medicine. 25:224-229 |
| ISSN: | 0196-0644 |
| DOI: | 10.1016/s0196-0644(95)70328-4 |
| Popis: | Study objective: To evaluate insurance status and frequency of use of emergency services in adults with sickle cell disease. Design: Retrospective analysis of visits. Setting: Emergency department and outpatient clinics of an urban university hospital. Participants: One hundred seventy-two subjects, who made 771 visits to the ED during 1990. Results: Of the 172 subjects, 31 were covered by commercial insurance, 32 were covered by Medicare, and 109 were covered by Medicaid or were uninsured. Insurance status and frequency of use of emergency services were independent ( P >.05). On discriminant analysis, Medicaid-covered and uninsured subjects were correctly classified, but commercially insured and Medicare subjects were not. Medicaid and uninsured subjects were more likely to be younger and to live closer to the hospital ( P P =.0004). Conclusion: Provision of primary-care services or stable insurance in the form of commercial insurance or Medicare did not decrease use of emergency services in subjects with sickle cell disease in a group of patients selected from one urban academic ED. [Hand R, Koshy M, Dorn L, Patel M: Health insurance status and the use of emergency and other outpatient services by adults with sickle cell disease. Ann Emerg Med February 1995;25:224-229.] |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect