Navigation Links
Disparities in treatment of children in the emergency department based on their insurance status
Date:5/9/2012

Cincinnati, OH, May 10, 2012 In 2009, children with public insurance were three times more likely and children with no insurance were eleven time more likely not to have a primary care physician, compared with children with private insurance. Without a primary care physician, the Emergency Department (ED) often becomes the primary point of contact for treatments and diagnoses. A new study scheduled for publication in The Journal of Pediatrics reports that children with private, public, and no insurance may receive differing levels of treatment in EDs.

Rebekah Mannix, MD, MPH, and colleagues from Children's Hospital Boston, retrospectively assessed 84,536 ED visits of children ≤18 years of age in 1999-2008, using the National Hospital Ambulatory Medical Care Survey, which is an annual survey of ~480 hospital EDs. Over the 10-year period, researchers found that 45% of children in the ED had private insurance, 43% had public insurance (Medicaid or State Children's Health Insurance Program), and 12% had no insurance. Compared with children with private insurance, those with public or no insurance were almost 25% less likely than those with private insurance to undergo testing, receive a medication, or undergo any procedure when seeking care in the ED. Although children with public insurance were 20% more likely to be diagnosed with a significant illness compared with children with private insurance, there was no difference in the level of treatment based on insurance status among children with significant illnesses.

It is unclear whether these insurance-based differences represent under treatment in children without private insurance, over treatment in children with private insurance, or appropriate care for all. Dr. Mannix reminds us that "because ED physicians are salaried or paid by the hour, it is uncertain how or why a child's insurance status could be associated with care decisions in the ED." Although the authors speculate that the disparities could be due to a variety of reasons, they note that further studies are needed to assess insurance-associated outcomes.


'/>"/>
Contact: Monica Helton
journal.pediatrics@cchmc.org
513-636-7140
Elsevier Health Sciences
Source:Eurekalert

Related medicine news :

1. Racial disparities persist in the diagnosis of advanced breast cancer and colon cancer in the U.S.
2. U.S. Surgeon General Regina Benjamin to Address National Association of Black Journalists Conference on Health Disparities
3. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Louisiana is 46th Among All States in Maternal Mortality
4. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Georgia is 50th Among All States in Maternal Mortality
5. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Maryland is 48th Among All States in Maternal Mortality
6. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; District of Columbia is 51st Among All States in Maternal Mortality
7. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Arkansas is 44th Among All States in Maternal Mortality
8. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Delaware is 42nd Among All States in Maternal Mortality
9. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Mississippi is 45th Among All States in Maternal Mortality
10. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Nebraska is 40th Among All States in Maternal Mortality
11. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Oklahoma is 39th Among All States in Maternal Mortality
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/24/2017)... ... 24, 2017 , ... Infectious disease affects billions of people ... States, it’s a threat that is constantly changing and evolving. Mediaplanet's “Fighting Infection” ... strategies for the healthcare community to help decrease the number of completely preventable ...
(Date:3/24/2017)... ... ... The Radiology Business Management Association (RBMA) has named the nine ... 12th year, are among the most prestigious in radiology marketing because a panel of ... to recognize achievements in both large budget (over $5,000) and small budget (under $5,000) ...
(Date:3/24/2017)... San Antonio, TX (PRWEB) , ... March 24, 2017 , ... ... a new clinic which can be found at 9618 Huebner Road. The clinic is ... Thobaben, PT, OCS, Clinic Director, and Dr. Ali Higgins, PT, will provide care from ...
(Date:3/24/2017)... ... March 24, 2017 , ... Mlynarek Insurance Agencies, a ... and business owners across eastern Michigan, is connecting with the Oxford/Orion FISH Food ... difficulties. , The Oxford/Orion FISH Food Pantry works to ensure homeless, hungry, and ...
(Date:3/24/2017)... Diego, Calif. (PRWEB) , ... March 24, 2017 ... ... has raised over $100,000 for its innovative EcoQube Frame vertical micro-veggies garden on ... the instant demand for the product – with nearly 2,000 consumers (and counting) ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... March 23, 2017  HealthMine surveys with 9,250 insured ... that health plan members want help from their plans ... engaged in their health, 2) help closing gaps in ... for health and 5) relevant, real-time guidance. Meeting these ... healthcare costs. A Reason to ...
(Date:3/23/2017)... 2017 Research and Markets has announced the ... Industry Forecast to 2025" report to their offering. ... The Global Cryostat Market ... the next decade to reach approximately $3.5 billion by 2025. ... all the given segments on global as well as regional levels ...
(Date:3/23/2017)... Executive Summary ... primary research (inputs from industry experts, companies, stakeholders) ... the analysis of global heart valve devices market ... Replacement Procedure By Technique (Mechanical, Bioprosthetic, Transcatheter Aortic ... Balloon Valvuloplasty, Transcatheter Mitral Valve Repair (TMVR)), By ...
Breaking Medicine Technology: