Lack of Health Insurance Coverage and Emergency Medical Service Transport for Pediatric Trauma Patients

Patel, Heerali; Tumin, Dmitry; Greene, Erika; Ledoux, Matthew; Longshore, Shannon

doi:10.1016/j.jss.2022.02.010

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…The consequences of transfer decisions are wide ranging and include decreased hospital revenue, the increased cost to patients and time burdens on visitors who must travel further from home, and the impact on patients who have a potential delay of care. 6,16,20 This study has several limitations. First, there are inherent coding inaccuracies in any database and the validity of the data can affect the estimate effect.…”

Section: Discussionmentioning

confidence: 96%

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A Statewide Analysis of Predictors of Trauma Center Transfer: The Burden of Non-Clinical Factors

Aldridge

Quinn

Peine

et al. 2023

The American Surgeon™

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Objectives There is a perception, with mixed literary support, that patients are transferred from community hospitals to tertiary medical centers for non-clinical reasons (ie, payor, race, and admission time). Over-triage risks unequally burdening the tertiary medical centers within a trauma system. This study aims to identify potential non-clinical factors associated with the transfer of injured patients. Methods Using the 2018 North Carolina State Inpatient Database, patients with a primary diagnosis of spine, rib or extremity fractures, or TBI were identified using ICD-10-CM code and admission type of “Urgent,” “Emergency,” or “Trauma.” Patients were divided into cohorts of “retained” (at community hospital) or “transferred” (Level-1 or 2 trauma centers). Results 11,095 patients met inclusion criteria; 2432 (21.9%) patients made up the transfer cohort. The mean ISS for all retained patients was 2.2 (±.9) and 2.9 (±1.4) for all transferred patients. The transfer cohort was younger (mean age 66 v 75.8), underinsured, and more likely to be admitted after 1700 ( P < .001). Similar differences were seen regardless of injury pattern. Conclusions Patients transferred to trauma centers were more likely to be underinsured and be admitted outside of normal business hours. These transferred patients had longer lengths of stay and higher mortality rates. Across all cohorts, similar ISS suggests that a portion of the transfers could be managed at a community hospital. After hours transfers suggest a need for more robust community hospital coverage. Intentional triage of the injured patient encourages appropriate utilization of resources and is crucial to maintaining high-functioning trauma centers and systems.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

A Statewide Analysis of Predictors of Trauma Center Transfer: The Burden of Non-Clinical Factors

Aldridge

Quinn

Peine

et al. 2023

The American Surgeon™

View full text Add to dashboard Cite

show abstract

“…However, it is narrow in scope since it only considers financial service supply rather than other possible risk-mitigation techniques such as regulation or infrastructure development. Additionally, a detailed case study or sample of financial institutions already involved in this industry would have been interesting Patel et al (2022). investigate how access to emergency medical services (EMS) is affected by whether or not a child's family can afford health insurance.…”

mentioning

confidence: 99%

Harnessing the Power of Globalization: A Study of the Association between Globalization, Transportation Energy, and Insurance and Financial Services in Europe and Central Asia

Sriyanto

Imran

Khan

et al. 2023

IJEEP

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The increasing globalization and information communication associated with commerce are confronted with the risk experienced over the years in the various production sectors of the economies. The research studied the influence of ICTs capital goods exports, industrial value addition, transportation energy, and globalization on insurance & financial services in a panel of 29 selected European and Central Asian nations. The research spanned from 2012 to 2021 and used a Panel quantile regression model. It was shown that insurance and financial services increased dramatically between the 0.40th and 0.90th quantiles due to technological progress. In addition, for quantiles between 0.10th and 0.90th, industrial value added is positively correlated with increased insurance and financial services. Quantile 0.10t show a negative and significant association between transportation energy and insurance risks. In contrast, quantiles between 0.40th and 0.90th show a positive and significant relationship, indicating a U-shaped relationship between these two variables. The causality findings validated the technology-led industrialization and transportation energy, while a bidirectional association was identified between globalization and transportation energy across nations. The variance decomposition results suggested that industrial value added, globalization, and technological advancement would exert greater variance shocks on the insurance and financial services sector over time. The study concludes that the progression of technology contributes to the maintenance of insurance performance in the age of globalization. This performance might be enhanced by developing more effective transportation energy services and industrial production.

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Examining the State of Community Well-Being at the Intersection of Rurality and Agricultural Engagement in the Contiguous United States

Francois,

Nelson

2024

Int. Journal of Com. WB

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Lack of Health Insurance Coverage and Emergency Medical Service Transport for Pediatric Trauma Patients

Cited by 6 publications

References 20 publications

A Statewide Analysis of Predictors of Trauma Center Transfer: The Burden of Non-Clinical Factors

A Statewide Analysis of Predictors of Trauma Center Transfer: The Burden of Non-Clinical Factors

Harnessing the Power of Globalization: A Study of the Association between Globalization, Transportation Energy, and Insurance and Financial Services in Europe and Central Asia

Examining the State of Community Well-Being at the Intersection of Rurality and Agricultural Engagement in the Contiguous United States

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