| Autor: |
Ashwin Palaniappan, BA, David Blitzer, MD, Hiroo Takayama, MD, PhD, Frank W. Sellke, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
JTCVS Open, Vol 11, Iss , Pp 200-213 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2666-2736 |
| DOI: |
10.1016/j.xjon.2022.06.011 |
| Popis: |
Objective: Recent health policy changes have prioritized providing insurance for more Americans, often through Medicaid expansion (ME). The effectiveness of ME as it relates to expanding access to heart transplantation can be gauged by comparing the volume of Medicaid beneficiaries undergoing heart transplantation volume in states with and without ME. Our objective is to determine whether or not ME increased access to heart transplantation. Methods: The Organ Procurement and Transplantation Network database was used for US transplant data. Difference-in-differences (DiD), an econometric method to estimate causality, was performed between states with ME and bordering states without ME, to minimize geographic variability. For states with multiple bordering nonexpanded states, DiD values were averaged. Unpaired 2-tailed t tests, Mann-Whitney U test, 1-way-analysis of variance, and Poisson regressions, where appropriate, compared insurance cohorts, sexes, and ethnicities. Results: Although publicly insured patients comprised only 36.7% of heart transplant volume in 2000, they comprised 53.4% of heart transplant volume in 2020 (P = .229); significant differences did not exist between public and private transplant volume (P = .583), but exist among forms of public insurance (P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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