The influence of socioeconomic status on health resource utilization in pediatric epilepsy in a universal health insurance system

Epilepsia
Klajdi PukaElysa Widjaja

Abstract

It is unknown if there is a disparity in health resource utilization (HRU) among children with epilepsy in a universal health insurance system. The aims of this study were to evaluate whether socioeconomic status (SES) influenced the pattern of HRU among children with epilepsy, and to determine if neurology visits were associated with emergency department (ED) visits and hospitalizations. Health administrative databases were used to identify HRU among children with epilepsy in Ontario, Canada. The frequency of neurology visits, ED visits, and hospitalizations were assessed for 1 year. SES was measured using dissemination area income and deprivation index. The association between SES and HRU was evaluated, adjusting for age, sex, residence, and comorbidities. Subsequently, we assessed whether neurology visits influenced ED visits and hospitalizations, adjusting for age, sex, residence, comorbidities, and SES. Deprivation index was a more sensitive measure of disparity in HRU than dissemination area income. Status epilepticus-related ED visits and hospitalizations were most expensive but accounted for a small proportion of total costs. Higher deprivation was associated with fewer neurology visits (relative risk [RR] 0.85-0.89), m...Continue Reading

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Citations

Mar 10, 2016·Epilepsy & Behavior : E&B·Klajdi PukaElysa Widjaja
Jan 23, 2018·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Emily Gard MarshallImhokhai Ogah
Jan 29, 2019·Frontiers in Neurology·Adam StrzelczykFelix von Podewils
Sep 1, 2017·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Emily Gard MarshallImhokhai Ogah
Apr 16, 2020·Epilepsy & Behavior : E&B·Magdalena SzaflarskiJerzy P Szaflarski

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