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  1. The effect of payer status on utilization of hospital resources in trauma care. Commentary.

    Article - En anglais


    To determine the effect of payer status on outcome and resource utilization in motor vehicle-related trauma patients.


    Retrospective cohort analysis that assessed the effect of payer status on outcome and resource utilization.


    The single level I trauma center in a regionalized statewide system.


    Consecutive patients (N=3141) who were hospitalized after a motor vehicle crash during a 3-year period.

    Main Outcome Measures 

    The mortality rate, disposition, total hospital length of stay (LOS), total intensive care unit LOS, and total hospital charges were examined for 2 categories of payers : « commercial insurance » (commercial, labor and industry, and contract pay) and « noncommercial insurance » (Medicaid and self-pay).


    After controlling for age, sex, race, and the Injury Severity Score, the payer status had no overall effect on the mortality rate, disposition, total hospital charges, total hospital LOS, or total intensive care unit LOS.

    However, there was a significantly (11.4% ; P<, 05) longer LOS for those patients with noncommercial insurance who required transfer to another facility for rehahilitation or long-term care.


    The utilization of hospital trauma care resources in a level I facility in a regionalized system was not associated with insurance status. (...)

    Mots-clés Pascal : Traumatologie, Véhicule à moteur, Rétrospective, Assurance maladie, Ressource, Hôpital, Utilisation, Accident, Etude comparative, Homme, Système ostéoarticulaire pathologie, Organisation santé

    Mots-clés Pascal anglais : Traumatology, Motor vehicle, Retrospective, Health insurance, Resource, Hospital, Use, Accident, Comparative study, Human, Diseases of the osteoarticular system, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0256730

    Code Inist : 002B16N. Création : 11/06/1997.