The Effect of Health Insurance on Health Care Utilization in the Justice-Involved Population

United States, 2014–2016

Bibliographic Data

ID11030883
AuthorsCaitlin Farrell (0000-0001-8547-4659, Northwestern University), Caitlin M Farrell (Caitlin M. Farrell is with the McGaw Medical Center of Northwestern University Department of Family and Community Medicine, Chicago, IL. Aaron Gottlieb is with the University of Illinois at Chicago, Jane Addams School of Social Work, Chicago.), Aaron Gottlieb (0000-0001-9018-2263, Caitlin M. Farrell is with the McGaw Medical Center of Northwestern University Department of Family and Community Medicine, Chicago, IL. Aaron Gottlieb is with the University of Illinois at Chicago, Jane Addams School of Social Work, Chicago.)
Year2020
Volume110
IssueS1
PagesS78-S84
Publication date2020-01-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2019.305399
PMID31967872
OpenAlexW3002762467
LanguageEN
Citations received7
References cited18

Objectives. To examine the impact of health insurance coverage on utilization of outpatient, hospital, and emergency department care among justice-involved individuals in the United States. Methods. We performed repeated cross-sectional analyses with data from the National Survey of Drug Use and Health. The study population included 6086 adults with justice involvement within the past year. We used logistic regression to examine the odds of health care utilization based on either a dichotomous or categorical measure of health insurance coverage. We used negative binomial regression to examine the number of times a specific type of care was utilized with both a dichotomous measure of health insurance coverage and a categorical measure of type of health insurance. Results. Health insurance was associated with increased utilization of outpatient, inpatient, and emergency department care. Conclusions. Health insurance coverage was associated with increased utilization of outpatient, inpatient, and emergency department health care among justice-involved individuals. Therefore, expanding access to health insurance in this population has the potential to increase care utilization of all types and decrease barriers to medical services

Ambulatory care · Emergency department · Environmental health · Family medicine · Health care · Health insurance · Logistic regression · Medical emergency · Odds · Population · Population health · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes

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