Insurance status and health-related quality-of-life disparities after trauma: results from a nationally representative survey in the US

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
Suliman AlghnamRenan Castillo

Abstract

To determine whether insurance status modifies the association between injuries and health-related quality of life (HRQOL) in a nationally representative sample of US adults. This is a longitudinal, observational study using the pooled 2000-2006 Medical Expenditure Panel Survey (MEPS). A total of 50,225 adults (age ≥ 18) with or without injuries were included in the study. HRQOL was evaluated using the EuroQoL Health Index (EQ-5D), visual analog scale (VAS), and the SF-12 physical component score (PCS) and mental component score (MCS). A categorical variable of injury-insurance combinations was created (not injured-privately insured, not injured-publically insured, not injured-uninsured, injured-privately insured, injured-publically insured, or injured-uninsured) and was included in the linear regression models. Adjustment covariates included age, gender, education, race, diabetes, hypertension, and baseline self-reported health. Healthcare utilization was also examined among the study population by injury status and across insurance groups. Seven hundred and ten individuals reported injuries. Adjusted analyses showed that injured individuals with public insurance had lower EQ-5D (-0.25), VAS (-11.4), PCS (-8.5), and MCS (-4.9)...Continue Reading

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Citations

Jun 25, 2016·The Journal of Surgical Research·David MetcalfeAli Salim
Apr 26, 2014·Health and Quality of Life Outcomes·Andreas MielckReiner Leidl
Dec 20, 2017·Journal of Orthopaedic Trauma·Steven M CherneyMichael J Gardner
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Jul 15, 2020·The Journal of Surgical Research·Kathleen M O'NeillKhurram Nasir
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Mar 26, 2021·Circulation. Cardiovascular Quality and Outcomes·Jacob R MoreyBart S Ferket

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