The effect of methodology in determining disparities in in-hospital mortality of trauma patients based on payer source

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
Gina M BergPaul B Harrison

Abstract

A retrospective registry review of adult patients admitted to a Level I trauma center sought to determine whether results regarding in-hospital mortality associated with payer source vary on the basis of methodology. Patients were categorized into 4 literature-derived definitions (Definition 1: insured and uninsured; Definition 2: commercially insured, publicly insured, and uninsured; Definition 3: commercially insured, Medicaid, Medicare, and uninsured; and Definition 4: commercially insured, Medicaid, and uninsured). In-hospital mortality differences were found in Definitions 2 and 3, and when reclassifying dual-eligible Medicare/Medicaid into socioeconomic and age indicators. Variations in methodology culminated in results that could be interpreted with differing conclusions.

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Citations

Feb 18, 2017·Hospital Pediatrics·Felecia A LeeKimberly Molik

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