Insurance status and the care of children in the emergency department

The Journal of Pediatrics
Rebekah MannixAnne M Stack

Abstract

To determine whether insurance status is associated with the use of diagnostic testing or intervention in the emergency department (ED) care of children. Retrospective 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. Forty-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. Non-private insurance status is associated with decreased utilization of diagnostic testing and inte...Continue Reading

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Citations

Nov 12, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Amy L WeissAlexandra C Rucker
Jul 5, 2015·The Journal of Pediatrics·Michelle L MacyUNKNOWN Pediatric Emergency Care Applied Research Network
Mar 23, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Mark I NeumanAdam L Hersh
Aug 31, 2014·The American Journal of Emergency Medicine·Fu-Jen ChengKuan-Han Wu
Oct 30, 2016·The Journal of Emergency Medicine·Yi-Syun HuangFu-Jen Cheng
Apr 26, 2017·Pediatric Emergency Care·Constance GongTodd A Florin
Oct 1, 2020·The Journal of International Medical Research·Ming-Ta TsaiFu-Jen Cheng
Aug 28, 2014·Pediatric Emergency Care·Irit R RasoolyJesse M Pines
Sep 18, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nathaniel K JonesMonika K Goyal
Jul 27, 2017·The American Journal of Emergency Medicine·Chris A ReesJoyce Li

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