Income and Insurance Status Impact Access to Health Care for Hip Osteoarthritis

Youn, Erin J.; Shin, Caleb; Haratian, Ryan; Guzman, Alvarho; Kim, Joo Yeon; McGahan, Patrick J.; Chen, James L.

doi:10.1016/j.asmr.2023.05.004

Cited by 5 publications

(2 citation statements)

References 46 publications

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“…This variable is also represented in another study that focused on how belonging to a low-income bracket and using public insurance, like Medicaid, can result in the inability to afford and access health care. 13 This finding is also consistent with a systematic review that states that insurance type and socioeconomic status have a significant impact on patients' access to total joint arthroplasty (TJA). 14 Both of these studies agree with our data and claims regarding affordability with TJR.…”

Section: Discussionsupporting

confidence: 84%

Factors Influencing Patient Satisfaction with Total Joint Replacement Surgery

Ponnamaneni,

Mangal,

Gould

et al. 2024

Orthopedic Reviews

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Background Replacement arthroplasty surgery is a surgical procedure that is needed to restore the activity of a joint. Patient satisfaction regarding arthroplasty surgery is influenced by post-operative complication rate, ability to afford care, and quality of interaction. In this study, we assessed patients’ postoperative complications, mobility, and pain management as proxies for their overall satisfaction with total joint replacement (TJR). Methods An anonymous web-based survey was conducted for patients who had undergone any total joint replacement surgery in the US. Respondents were adults living in the United States. Results 180 individuals met the inclusion criteria and responded to the survey. Age, education, gender, and race were fitted against the patient satisfaction level with the surgeon. While education [P=0.4720], gender [P=0.5097 ], and race [P=0.8183] were not significant, age in years [P=0.02340] was predictive of overall satisfaction levels [R2=0.0213]. When controlling for BMI, infection [P=0.0164], nerve damage [P=0.0250], delayed healing [P=0.0024], hematoma [P=0.0497], were more likely to occur in participants who have had a knee replacement, as compared to shoulder and hip replacement surgery. When controlling for mobility before surgery vs. mobility after surgery [P=0.0114], patients who selected the highest level of mobility before surgery were likely to select the highest level of mobility after surgery. Medicaid, Medicare, private insurance, employer-based insurance, and no insurance were fitted against the patient’s self-reported difficulty in paying for their treatment/care. Although employer-based insurance [P=0.0790] was not significant in predicting difficulty in paying for the surgery, patients with Medicaid [P=0.0280], Medicare [P=0.0200], or private insurance [P=0.0343] did. Conclusion In this cohort, older patients were associated with having improved satisfaction with the surgeon who performed their joint replacement. Complications were higher in patients who underwent a knee arthroplasty compared to a shoulder or hip arthroplasty.

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Section: Discussionsupporting

confidence: 84%

Factors Influencing Patient Satisfaction with Total Joint Replacement Surgery

Ponnamaneni,

Mangal,

Gould

et al. 2024

Orthopedic Reviews

View full text Add to dashboard Cite

show abstract

“…The prevalence of osteoarthritis is expected to climb, given both the aging of the overall population and rising rates of obesity. In addition, prevalence of osteoarthritis is linked to level of affluence: Individuals in the lowest income brackets and/or with public or other health insurance coverage are more likely to develop osteoarthritis [16]. We need to make sure that all patients receive appropriate and timely access to osteoarthritis care, including arthroplasty, regardless of their financial means.…”

Section: How Do We Get There?mentioning

confidence: 99%