Disparities in Insurance Status Are Associated with Outcomes but Not Timing of Trauma Care


A recent study featuring PISC Senior Scholar Elinore Kaufman, MD, MSHP, investigates the relationship between patient characteristics and timing of intrafacility transfer. Approximately 1,219 patients treated between January 1st, 2016, and December 31st, 2018, are included. Variables include patient race, age, insurance status, and hospital transfer time, and data is stratified through logistic and negative binomial regression models. Results indicate that, overall, no disparities exist within intrafacility transfer. It is of note that uninsured patients experience shorter stays and are less likely to be admitted to definitive care than insured patients. The systemic design of intrafacility transfer promotes equity, while insurance management is subject to bias. Based on these results, the team suggests that strong “initial management protocols” can prevent future biases in the healthcare system.


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