Little Effect of Insurance Status or Socioeconomic Condition on Disparities in ...
Objective To estimate how much of the gap in appendicitis perforation rates between minority and white children is explained by differences in socioeconomic and insurance factors.Design Observational analysis of hospital discharge information.
Setting The Healthcare Cost and Utilization Project database.
Participants Appendicitis perforation rates determined from the Healthcare Cost and Utilization Project database of hospital discharges from 2001 to 2008.
Main Outcome Measures The proportion of the gap between perforation rates explained by various patient- and hospital-level variables.
Results There were no disparities observed in adult appendicitis perforation rates. The perforation rate for white children was 26.7%; black children, 35.5%; and Latino children, 36.5%. Gap analysis showed that only 12.0% of the difference in perforation rates between black and white children was explained by insurance status and only 12.7% of the difference between Latino and white children was explained. Income level only accounted for 7.2% of the gap for black children and 6.1% for Latino children. Age explained one-third of the gap for Latino children and one-third was not accounted for by measurable variables. Two-thirds of the difference between appendicitis perforation rates between black and white children was not explained by measurable factors.
Conclusions A very small amount of the gap between minority and white children's appendicitis rates is explained by the proxy factors for health insurance and poverty status that might relate to health care access. Appendicitis perforation rates are not an appropriate indicator of health care access.
Health Insurance Arlington Texas - News
By Mitchell Schnurman It sounds too good to be true, and if Texas regulators have their way, it won't happen. About 690000 consumers are slated to get an estimated $160 million in rebates from health insurance companies by Aug. 1.
Author Affiliations: Division of Gastrointestinal and Endocrine Surgery, University of Texas Southwestern Medical Center, Dallas (Dr Livingston), and Department of Bioengineering, University of Texas at Arlington (Dr Livingston); and Department of
Barclay Berdan, executive vice president of Arlington-based Texas Health Resources , said one answer to the situation may lie with accountable care organizations, or networks that align hospitals with physicians in ways designed to coordinate patient
Texas Health Resources and UT Southwestern Medical Center in September agreed to work toward the development of an accountable care organization. In May, Arlington-based Texas Health and Dallas-based Methodist Health System struck a similar deal.
$36 for dental checkup and cleaning, X-rays and a home whitening kit at Trinity Dental Care in Arlington and Bedford; $500 value; Groupon. Have more to add? News tip? Tell us By Teresa McUsic As medical costs continue to take more from our pocketbooks,
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Texas health insurance rebates are on the line: Bob Vesey, a small-business owner in Arlington, wrote that his m... 
Texas health insurance rebates are on the line: Bob Vesey, a small-business owner in Arlington, wrote that his m... 
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