Ethnic disparities in traumatic brain injury care referral in a Hispanic-majority population

Budnick, Hailey C.; Tyroch, Alan; Milan, Stacey A.

doi:10.1016/j.jss.2017.03.062

Cited by 28 publications

(35 citation statements)

References 26 publications

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“…Our findings are consistent with the previously published literature related to insurance status and discharge disposition after trauma admissions [21] , [22] , [23] , [24] , [25] , [26] , [27] . In their 2011 article, Sacks et al.…”

Section: Discussionsupporting

confidence: 93%

Influence of socioeconomic factors on discharge disposition following traumatic cervicothoracic spinal cord injury at level I and II trauma centers in the United States

Hagan

Pertsch

Leary

et al. 2022

North American Spine Society Journal (NASSJ)

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Section: Discussionsupporting

confidence: 93%

Influence of socioeconomic factors on discharge disposition following traumatic cervicothoracic spinal cord injury at level I and II trauma centers in the United States

Hagan

Pertsch

Leary

et al. 2022

North American Spine Society Journal (NASSJ)

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“…A possible explanation for this discrepancy may be that previous studies did not control their analysis for specific covariates and thus, may have been biased. Such covariates specifically included the percent poverty level and health (Albrecht et al, 2017; Asemota et al, 2013; Budnick et al, 2017; Fortin et al, 2016; Fuentes et al, 2017; Kane et al, 2014; McCutcheon et al, 2015; McQuistion et al, 2016; Missios & Bekelis, 2016; Svenson & Spurlock, 2001). Exceptions were the study by Savola and Hillbom (Savola & Hillbom, 2003), which inquired as to previous brain injury, and Zonfrillo et al (Zonfrillo et al, 2016), which accounted for chronic medical conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Repeatedly, numerous studies have found associations between a patient’s insurance status and his/her quality of treatment, follow-up care and even mortality rates (Albrecht et al, 2017; Asemota et al, 2013; Fortin et al, 2016; Fuentes et al, 2017; Greene et al, 2010; McQuistion et al, 2016; Missios & Bekelis, 2016; Svenson & Spurlock, 2001). Furthermore, numerous publications have also shown disparities in quality of care, disability and follow-up for TBI in correlation to ethnicity (Asemota et al, 2013; Budnick et al, 2017; Kane et al, 2014; McCutcheon et al, 2015; McQuistion et al, 2016; Missios & Bekelis, 2016; Rimel et al, 1981; Svenson & Spurlock, 2001). Our study did not contradict these findings, but instead, focused on the paediatric demographic that demonstrated unique confounders that have not been thoroughly explored to date.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of the previous studies had different outcomes and did not specifically measure the adequacy of longer-term healthcare following TBI (Asemota et al, 2013; Budnick et al, 2017; Kane et al, 2014; McQuistion et al, 2016; Missios & Bekelis, 2016). Another general limitation of the previous studies is related to the patient population.…”

Section: Introductionmentioning

confidence: 99%

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Adequacy of Healthcare by Insurance Type in Traumatic Brain Injury Patients

Smith

Santiago

Castro

et al. 2022

Journal of Health Management

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Traumatic brain injury (TBI) is a significant contributor to disability, especially among patients younger than 18 years old in the United States. While insurance is often needed to receive services, studies investigating whether TBI treatment adequacy is dependent on the insurance type are scant. Our objective was to determine whether private insurance in paediatric TBI patients is associated with a higher perceived adequacy of healthcare compared with non-private insurance. This was a cross-sectional study utilising secondary data collected from the National Survey of Children Health 2011/12. The main exposure of interest was the insurance status of children at the time of a TBI (private vs non-private). The study outcome was the perceived adequacy of healthcare, defined as having coverage needs that were usually or always met by insurance. Unadjusted and adjusted logistic regression analysis were used. After adjustments for the covariates, the odds of adequate healthcare among those with non-private insurance compared with those with private were not statistically significant (OR 1.49; 95% CI 0.87–2.55). This study implicates paediatric TBI patients do not believe they receive adequate healthcare independent of insurance status. Clinicians, policy makers, and researchers need to better evaluate and address this issue.

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“…One measure reported access disparities to a Level I or II trauma center within 60 minutes via an ambulance or helicopter (12). Three measures examined disparities in optimal discharge disposition to indicated rehabilitation facilities for trauma (13), cardiac surgery (14) and traumatic brain injury patients (15)(16)(17).…”

Section: Provider Accessmentioning

confidence: 99%

Disparities in Surgical Access: A Systematic Literature Review, Conceptual Model, and Evidence Map

Jager

Levine

Udyavar

et al. 2019

Journal of the American College of Surgeons

121

109

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Healthcare disparities in quality represent one of the greatest challenges in achieving uniformly high-quality care (1). Research reporting disparities in surgical outcomes are abundant (2-6). The cornerstone of delivering high quality healthcare is ensuring optimal access for all patients. A relative lack of access to surgical services may be a contributing factor to disparities in surgical outcomes.Access is "the timely use of personal health services to achieve the best possible outcomes" (7). Utilization of services, the process of entering and staying in the system, and the actual quality of care received are all involved. Disparities in access arise when the system disproportionately under-performs for a specific group of patients relative to the historically

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Ethnic disparities in traumatic brain injury care referral in a Hispanic-majority population

Cited by 28 publications

References 26 publications

Influence of socioeconomic factors on discharge disposition following traumatic cervicothoracic spinal cord injury at level I and II trauma centers in the United States

Influence of socioeconomic factors on discharge disposition following traumatic cervicothoracic spinal cord injury at level I and II trauma centers in the United States

Adequacy of Healthcare by Insurance Type in Traumatic Brain Injury Patients

Disparities in Surgical Access: A Systematic Literature Review, Conceptual Model, and Evidence Map

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