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Hospital admissions: An examination of race and health insurance

Journal Name:

  • Uluslararası İnsan Bilimleri Dergisi

Publication Year:

  • 2008

Key Words:

Author NameUniversity of Author
Abstract (2. Language): 
This study examined the effects of racial differences and differences in insurance status on source of hospital admissions. The data source was the 2001 National Hospital Discharge Survey and included a sub-sample of 104,185 patients. 58.3% of patients were admitted through the emergency room, 75.0% of patients were White, 19.7% were Black, and 61.5% were on government insurance or uninsured. Black patients were found to have significantly higher levels of emergency room admissions (69.1%=p < .0001), regardless of insurance status (gov’t/self-pay, 73.7%=p < .0001, private insurance, 59.5%=p < .0001). Patients on government insurance or self-payment had significantly higher levels of emergency room admissions (65.8%=p < .0001). Regression analysis showed that both race and insurance type are significant predictors (p < .0001) of Source of Admission to the hospital. Percent probabilities confirmed this finding. Thus, it was concluded that racial differences witnessed in source of admission were not mediated by insurance type and that race and insurance type are significant, independent predictors of hospital admission source.
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REFERENCES

References: 

Berk, M.L., & Schur, C.L. (1998). Measuring access to care: Improving information for policymakers. Health Affairs, 17(1), 180-186.
Billings, J., Zeitel, L., Lukomnik, J., Carey, T.S., Blank, A.E., & Newman, L. (1993). Impact of socioeconomic status on hospital use in New York City. Health Affairs, 12(1), 162-173.
Butler, J., Hanumanthu, S., Chomsky, D., & Wilson, J.R. (1998). Frequency of low-risk hospital admissions for heart failure. The American Journal of Cardiology, 81(1), 41-44.
Goldberg, R.J., Gurwitz, J.H., & Gore, J.M. (1999). Duration of, and temporal trends (1994-1997) in, prehospital delay in patients with acute myocardial infarction. Archives of Internal Medicine, 159(18), 2141-2147.
Iserson, K.V., & Kastre, T.Y. (1996). Are emergency departments really a “safety net” for the medically indigent? American Journal of Emergency Medicine, 14(1), 1-5.
Kellerman, A.L. (1991). Too sick to wait. Journal of the American Medical Association, 266(8), 1123-1124.
Mayefsky, J.H., El-Shinaway, Y., & Kelleher, P. (1991). Families who seek care for the common cold in a pediatric emergency department. The Journal of Pediatrics, 119(6), 933-934.
Olowokure, B., Hawker, J., Weinberg, J., Gill, N., & Sufi, F. (1999). Deprivation and hospital admission for infectious intestinal diseases. The Lancet, 353(9155), 807.
Sin, D.D., Bell, N.R., Svenson, L.W., Man, S.F.P. (2002). The impact of follow-up physician visits on emergency readmissions for patients with asthma and chronic obstructive pulmonary disease: A population based study. The American Journal of Medicine, 112(2), 120-125.

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