Relationship between type of health insurance and time to inpatient rehabilitation placement for surgical subspecialty patients
| Autor: | Peter C. Gerszten, Timothy F. Witham, William C. Welch, Brent L. Clyde |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Aftercare Rehabilitation Centers Health Services Accessibility Insurance Coverage Neurosurgical Procedures 03 medical and health sciences 0302 clinical medicine Surgical subspecialty Health insurance medicine Craniocerebral Trauma Humans 030212 general & internal medicine Prospective Studies Aged Aged 80 and over Medically Uninsured Rehabilitation Insurance Health business.industry 030503 health policy & services Health Policy Head injury After discharge Middle Aged Pennsylvania medicine.disease Patient Discharge Rehabilitation facility Time and Motion Studies Emergency medicine Physical therapy Female Neurosurgery Health Services Research 0305 other medical science business Inpatient rehabilitation |
| Zdroj: | American journal of medical quality : the official journal of the American College of Medical Quality. 16(6) |
| ISSN: | 1062-8606 |
| Popis: | A significant proportion of patients on a neurosurgical service require inpatient rehabilitation placement after discharge. The relationship between the type of health insurance of the patient at the time of admission and the time to placement of patients has not previously been addressed. We prospectively studied all patients on the adult neurosurgical service at our hospital to determine whether the type of health insurance carried by patients is related to the time necessary to arrange acceptance into inpatient rehabilitation facilities. Ninety-one patients (51 men, 40 women; mean age, 56 years) admitted to the neurosurgery service during a 6-month period required inpatient rehabilitation placement after discharge. The time in days between the request for placement into a rehabilitation facility and the acceptance of the patient was examined. The mean time for placement of patients with and without health insurance at the time of admission was 0.8 days and 2.1 days, respectively (overall mean, 1.1 days) (P.002). No statistically significant associations were found between age, sex, or race of the patient and the time to placement. In addition, there was no difference in the time to placement between those patients admitted as a result of trauma and those patients admitted for reasons other than trauma. These results indicate that among patients on a neurosurgical service, patients with private health insurance are accepted into inpatient rehabilitation approximately 1 day sooner than patients without private health insurance. Patients without private health insurance are delayed in their transfer to inpatient rehabilitation facilities and more aggressive inpatient rehabilitation. How this finding translates into an increase in cost of care or a decrease in patient outcomes is unknown. |
| Databáze: | OpenAIRE |
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