Role of Health Insurance on the Survival of Infants With Congenital Heart Defects.

• Autores: James E. Kucik, Cynthia H. Cassell, Clinton J. Alverson, Pamela Donohue, Jean Paul Tanner, Cynthia S. Minkovitz, Jane Correia, Thomas A. Burke, Russell S. Kirby
• Localización: American journal of public health, ISSN 0090-0036, Vol. 104, Nº. 9, 2014, págs. 62-70
• Idioma: inglés
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• Resumen

  • Objectives. We examined the association between health insurance and survival of infants with congenital heart defects (CHDs), and whether medical insurance type contributed to racial/ethnic disparities in survival. Methods. We conducted a population-based, retrospective study on a cohort of Florida resident infants born with CHDs between 1998 and 2007. We estimated neonatal, post-neonatal, and infant survival probabilities and adjusted hazard ratios (AHRs) for individual characteristics. Results. Uninsured infants with critical CHDs had 3 times the mortality risk (AHR = 3.0; 95% confidence interval = 1.3, 6.9) than that in privately insured infants. Publicly insured infants had a 30% reduced mortality risk than that of privately insured infants during the neonatal period, but had a 30% increased risk in the post-neonatal period. Adjusting for insurance type reduced the Black- White disparity in mortality risk by 50%. Conclusions. Racial/ethnic disparities in survival were attenuated significantly, but not eliminated, by adjusting for payer status. [ABSTRACT FROM AUTHOR]