Combined Effect of Race/Ethnicity and Type of Insurance on Reuse of Urgent Hospital-Based Services in Children Discharged with Asthma
Bibliographic Data
| ID | 15715352 |
|---|---|
| Authors | Jamie M Pinto (0000-0003-1259-4443, Jersey Shore University Medical Center), Sarita Wagle (Jersey Shore University Medical Center), Lauren J Navallo (Jersey Shore University Medical Center), Anna Petrova (0000-0001-8718-5922, Jersey Shore University Medical Center), Анна Петрова (0000-0002-1648-1481, Jersey Shore University Medical Center, corresponding author) |
| Year | 2020 |
| Volume | 7 |
| Issue | 9 |
| Pages | 107-107 |
| Publication date | 2020-08-20 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children7090107 |
| PMID | 32825507 |
| OpenAlex | W3081121411 |
| Language | EN |
| References cited | 26 |
Asthma is a leading cause of health disparity in children. This study explores the joint effect of race/ethnicity and insurance type on risk for reuse of urgent services within a year of hospitalization. Data were collected from 604 children hospitalized with asthma between 2012 and 2015 and stratified with respect to combination of patients' insurance status (public vs. private) and race/ethnicity (white vs. nonwhite). Highest rates for at least one emergency department (ED) revisit (49.5%, 95% CI 42.5, 56.5) and for average revisits (1.03, 95% CI 0.83, 1.22) were recorded in nonwhite children with public insurance. Adjusted models revealed higher chance for ED reuse in white as well as nonwhite children covered by public insurance. Hospitalization rate was not dependent on the combination of social determinants, but on the number of post-discharge ED revisits. The combined effect of race/ethnicity and health insurance are associated with post-discharge utilization of ED services, but not with hospital readmission
Asthma · Ethnic group · Family medicine · Medical emergency · Race (biology · Reuse · Sociology · Child and Adolescent Health · Engineering · Food Security and Health in Diverse Populations · Gender Studies · Healthcare Policy and Management · Medicine · Internal Medicine
| Highly cited | No |
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