Insurance coverage-dependent racial and ethnic disparities and regional variations are seen in post-acute service utilization after stroke, in keeping with a research revealed on-line July 17 in Neurology: Medical Follow.
Shumei Man, M.D., Ph.D., from the Neurological Institute on the Cleveland Clinic, and colleagues performed a retrospective cross-sectional research involving sufferers hospitalized for ischemic stroke and intracerebral hemorrhage in 2017 to 2018 utilizing the Nationwide Inpatient Pattern. Knowledge had been included for 1,000,980 weighted ischemic stroke admissions.
The researchers discovered that uninsured sufferers had the bottom adjusted odds of facility over residence discharge and residence well being care (HHC) discharge over residence with out HHC (odds ratios, 0.44 and 0.79, respectively) in contrast with sufferers with non-public insurance coverage.
Solely Hispanic sufferers with Medicare/Medicaid insurance coverage or self-pay had decrease odds of facility over residence discharge in contrast with white sufferers (adjusted odds ratios, 0.80 and 0.75, respectively). Decrease odds of HHC discharge over residence with out HHC discharge had been seen for uninsured Hispanic sufferers versus white sufferers (adjusted odds ratio, 0.74).
The HHC discharge price was highest within the East North Central area and lowest within the Pacific area (39.2 and 31.2 p.c, respectively). The HHC discharge price was highest in New England and lowest within the West North Central area (20.2 and 10.3 p.c, respectively).
“These findings point out that focused efforts are wanted to enhance entry to care after stroke for folks with out insurance coverage, particularly Hispanic folks, in addition to these in particular areas to make sure optimum restoration and profitable group transition for all folks throughout the nation,” Man mentioned in an announcement.
Extra data:
Shumei Man et al, Racial, Ethnic, and Regional Disparities of Submit-Acute Service Utilization After Stroke in the US, Neurology Medical Follow (2024). DOI: 10.1212/CPJ.0000000000200329
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Research suggests disparities in post-acute stroke care rely on insurance coverage standing (2024, July 18)
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