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Annals of Advances in Automotive Medicine
SELF-PAY TRAUMA VICTIMS HAVE A HIGHER MORTALITY RATE THAN PATIENTS WITH DIFFERENT PAYMENT METHODS Vatsal Chikani a, Chris Salvino b, Khaleel Hussaini a, Anne Vossbrink a, Anita ray Ng a, Ben Bobrow a, Jeff Skubic b, Rogelio Martinez a a Arizona Department of Health Services b Banner Good Samaritan Medical Center INTRODUCTION
The purpose of this study was to determine the association between a trauma patient’s health insurance status and their outcomes. Access to care was measured by using a patient’s method of payment. Previous studies have been conducted on a national scale but few have used a state registry as their primary data source. The Arizona State Trauma Registry (ASTR) provides this opportunity. We hypothesize that trauma patients who self-pay will have a higher in-hospital mortality when compared to others. METHODOLOGY
The data for this study were obtained from the ASTR for years 2008 to 2011. Data on all patients involved in traumatic injury were collected from 8 Level I trauma centers, 15 Level IV trauma centers and 4 non-designated hospitals. Data processing and statistical analyses were performed using the Statistical Analysis Software (SAS, SAS Institute, Carry, N.C.). We evaluated the association between survival and insurance status (private insurance, Medicare, Medicaid, and self-pay) by multiple logistic regression analyses after adjusting for ethnicity (White, Black/African American, Hispanic, and American Indian/Alaska Native), age, gender, injury severity score, injury type (penetrating or blunt) and mode of transportation (EMS-air, EMSground, private vehicle). RESULTS
Of the 109,497 cases meeting inclusion criteria, 14,573 (13.3%) were excluded due to missing data on insurance status, ISS or race/ethnicity. Of the 94,924 cases analyzed, 38% were Medicaid, 35.4% were private insurance, 13.7% were self-pay, and 12.8% were Medicare. The Self-pay group (17.3%) and Medicaid group (15%) were more likely to suffer from penetrating trauma when compared to the privately insured group (5.7%) and Medicare group (4.3%), p
Annals of Advances in Automotive Medicine
SELF-PAY TRAUMA VICTIMS HAVE A HIGHER MORTALITY RATE THAN PATIENTS WITH DIFFERENT PAYMENT METHODS Vatsal Chikani a, Chris Salvino b, Khaleel Hussaini a, Anne Vossbrink a, Anita ray Ng a, Ben Bobrow a, Jeff Skubic b, Rogelio Martinez a a Arizona Department of Health Services b Banner Good Samaritan Medical Center INTRODUCTION
The purpose of this study was to determine the association between a trauma patient’s health insurance status and their outcomes. Access to care was measured by using a patient’s method of payment. Previous studies have been conducted on a national scale but few have used a state registry as their primary data source. The Arizona State Trauma Registry (ASTR) provides this opportunity. We hypothesize that trauma patients who self-pay will have a higher in-hospital mortality when compared to others. METHODOLOGY
The data for this study were obtained from the ASTR for years 2008 to 2011. Data on all patients involved in traumatic injury were collected from 8 Level I trauma centers, 15 Level IV trauma centers and 4 non-designated hospitals. Data processing and statistical analyses were performed using the Statistical Analysis Software (SAS, SAS Institute, Carry, N.C.). We evaluated the association between survival and insurance status (private insurance, Medicare, Medicaid, and self-pay) by multiple logistic regression analyses after adjusting for ethnicity (White, Black/African American, Hispanic, and American Indian/Alaska Native), age, gender, injury severity score, injury type (penetrating or blunt) and mode of transportation (EMS-air, EMSground, private vehicle). RESULTS
Of the 109,497 cases meeting inclusion criteria, 14,573 (13.3%) were excluded due to missing data on insurance status, ISS or race/ethnicity. Of the 94,924 cases analyzed, 38% were Medicaid, 35.4% were private insurance, 13.7% were self-pay, and 12.8% were Medicare. The Self-pay group (17.3%) and Medicaid group (15%) were more likely to suffer from penetrating trauma when compared to the privately insured group (5.7%) and Medicare group (4.3%), p
