TY - JOUR
T1 - Comparison of Uninsured and Privately Insured Hospital Patients
T2 - Condition on Admission, Resource Use, and Outcome
AU - Hadley, Jack
AU - Steinberg, Earl P.
AU - Feder, Judith
N1 - Copyright:
Copyright 2015 Elsevier B.V., All rights reserved.
PY - 1991/1/16
Y1 - 1991/1/16
N2 - To investigate the association between insurance status and condition on admission, resource use, and in-hospital mortality, we analyzed discharge abstracts for 592 598 patients hospitalized in 1987 in a national sample of hospitals. In 13 of 16 age-sex-race—specific cohorts, the uninsured had a 44% to 124% higher risk of in-hospital mortality at the time of admission than did the privately insured. After controlling for this difference, the actual in-hospital death rate was 1.2 to 3.2 times higher among uninsured patients in 11 of 16 cohorts. The uninsured also were 29% to 75% less likely to undergo each of five high-cost or high-discretion procedures and 50% less likely to have normal results on tissue pathology reports for biopsies performed during five of seven different endoscopic procedures. Our results suggest that insurance status is associated with a broad spectrum of aspects of hospital care.
AB - To investigate the association between insurance status and condition on admission, resource use, and in-hospital mortality, we analyzed discharge abstracts for 592 598 patients hospitalized in 1987 in a national sample of hospitals. In 13 of 16 age-sex-race—specific cohorts, the uninsured had a 44% to 124% higher risk of in-hospital mortality at the time of admission than did the privately insured. After controlling for this difference, the actual in-hospital death rate was 1.2 to 3.2 times higher among uninsured patients in 11 of 16 cohorts. The uninsured also were 29% to 75% less likely to undergo each of five high-cost or high-discretion procedures and 50% less likely to have normal results on tissue pathology reports for biopsies performed during five of seven different endoscopic procedures. Our results suggest that insurance status is associated with a broad spectrum of aspects of hospital care.
UR - http://www.scopus.com/inward/record.url?scp=0025981052&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025981052&partnerID=8YFLogxK
U2 - 10.1001/jama.1991.03460030080033
DO - 10.1001/jama.1991.03460030080033
M3 - Article
C2 - 1984537
AN - SCOPUS:0025981052
SN - 0098-7484
VL - 265
SP - 374
EP - 379
JO - JAMA: The Journal of the American Medical Association
JF - JAMA: The Journal of the American Medical Association
IS - 3
ER -