Clinical pediatrics · 2011
Continuity of insurance coverage and ambulatory care-sensitive hospitalizations/ED visits: evidence from the children's health insurance program.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Becker David J, Blackburn Justin L, Kilgore Meredith L, Morrisey Michael A, Sen Bisakha, Caldwell Cathy, Menachemi Nir
Аннотация
OBJECTIVE: To assess the effects of continuity of insurance coverage on treatment of ambulatory-care sensitive conditions (ACSC).
STUDY POPULATION: 42,382 children enrolled in ALL Kids (Alabama Children's Health Insurance Program) for 3 or more years.
METHODS: We model annual hospitalizations and ED visits for six ACSCs identified by the AHRQ - bacterial pneumonia, dehydration, perforated appendix, urinary tract infection, gastroenteritis, and severe ear, nose and throat infection.
RESULTS: In unadjusted models, we find lower risk of ACSC hospitalizations and ED visits in the second and third years of continuous enrollment. Risk of hospitalization in year 3 was significantly lower for pneumonia (OR 0.608, 95% CI: 0.421-0.878) and gastroenteritis (OR 0.549, 95% CI: 0.404-0.746). These beneficial effects of duration of coverage disappear after controlling for age, year and other enrollee characteristics.
CONCLUSIONS: Hospitalizations and ED visits for ACSCs are rare and do not decrease with additional years of coverage.
STUDY POPULATION: 42,382 children enrolled in ALL Kids (Alabama Children's Health Insurance Program) for 3 or more years.
METHODS: We model annual hospitalizations and ED visits for six ACSCs identified by the AHRQ - bacterial pneumonia, dehydration, perforated appendix, urinary tract infection, gastroenteritis, and severe ear, nose and throat infection.
RESULTS: In unadjusted models, we find lower risk of ACSC hospitalizations and ED visits in the second and third years of continuous enrollment. Risk of hospitalization in year 3 was significantly lower for pneumonia (OR 0.608, 95% CI: 0.421-0.878) and gastroenteritis (OR 0.549, 95% CI: 0.404-0.746). These beneficial effects of duration of coverage disappear after controlling for age, year and other enrollee characteristics.
CONCLUSIONS: Hospitalizations and ED visits for ACSCs are rare and do not decrease with additional years of coverage.