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Disparities in the use of ambulatory surgical centers: a cross sectional study
BACKGROUND: Ambulatory surgical centers (ASCs) provide outpatient surgical services more efficiently than hospital outpatient departments, benefiting patients through lower co-payments and other expenses. We studied the influence of socioeconomic status and race on use of ASCs. METHODS: From the 200...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2725040/ https://www.ncbi.nlm.nih.gov/pubmed/19622154 http://dx.doi.org/10.1186/1472-6963-9-121 |
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author | Strope, Seth A Sarma, Aruna Ye, Zaojun Wei, John T Hollenbeck, Brent K |
author_facet | Strope, Seth A Sarma, Aruna Ye, Zaojun Wei, John T Hollenbeck, Brent K |
author_sort | Strope, Seth A |
collection | PubMed |
description | BACKGROUND: Ambulatory surgical centers (ASCs) provide outpatient surgical services more efficiently than hospital outpatient departments, benefiting patients through lower co-payments and other expenses. We studied the influence of socioeconomic status and race on use of ASCs. METHODS: From the 2005 State Ambulatory Surgery Database for Florida, a cohort of discharges for urologic, ophthalmologic, gastrointestinal, and orthopedic procedures was created. Socioeconomic status was established at the zip code level. Logistic regression models were fit to assess associations between socioeconomic status and ASC use. RESULTS: Compared to the lowest group, patients of higher socioeconomic status were more likely to have procedures performed in ASCs (OR 1.07 CI 1.05, 1.09). Overall, the middle socioeconomic status group was the most likely group to use the ASC (OR 1.23, CI 1.21 to 1.25). For whites and blacks, higher status is associated with increased ASC use, but for Hispanics this relationship was reversed (OR 0.84 CI 0.78, 0.91). CONCLUSION: Patients of lower socioeconomic status treated with outpatient surgery are significantly less likely to have their procedures in ASCs, suggesting that less resourced patients are encountering higher cost burdens for care. Thus, the most economically vulnerable group is unnecessarily subject to higher charges for surgery. |
format | Text |
id | pubmed-2725040 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-27250402009-08-12 Disparities in the use of ambulatory surgical centers: a cross sectional study Strope, Seth A Sarma, Aruna Ye, Zaojun Wei, John T Hollenbeck, Brent K BMC Health Serv Res Research Article BACKGROUND: Ambulatory surgical centers (ASCs) provide outpatient surgical services more efficiently than hospital outpatient departments, benefiting patients through lower co-payments and other expenses. We studied the influence of socioeconomic status and race on use of ASCs. METHODS: From the 2005 State Ambulatory Surgery Database for Florida, a cohort of discharges for urologic, ophthalmologic, gastrointestinal, and orthopedic procedures was created. Socioeconomic status was established at the zip code level. Logistic regression models were fit to assess associations between socioeconomic status and ASC use. RESULTS: Compared to the lowest group, patients of higher socioeconomic status were more likely to have procedures performed in ASCs (OR 1.07 CI 1.05, 1.09). Overall, the middle socioeconomic status group was the most likely group to use the ASC (OR 1.23, CI 1.21 to 1.25). For whites and blacks, higher status is associated with increased ASC use, but for Hispanics this relationship was reversed (OR 0.84 CI 0.78, 0.91). CONCLUSION: Patients of lower socioeconomic status treated with outpatient surgery are significantly less likely to have their procedures in ASCs, suggesting that less resourced patients are encountering higher cost burdens for care. Thus, the most economically vulnerable group is unnecessarily subject to higher charges for surgery. BioMed Central 2009-07-21 /pmc/articles/PMC2725040/ /pubmed/19622154 http://dx.doi.org/10.1186/1472-6963-9-121 Text en Copyright © 2009 Strope et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Strope, Seth A Sarma, Aruna Ye, Zaojun Wei, John T Hollenbeck, Brent K Disparities in the use of ambulatory surgical centers: a cross sectional study |
title | Disparities in the use of ambulatory surgical centers: a cross sectional study |
title_full | Disparities in the use of ambulatory surgical centers: a cross sectional study |
title_fullStr | Disparities in the use of ambulatory surgical centers: a cross sectional study |
title_full_unstemmed | Disparities in the use of ambulatory surgical centers: a cross sectional study |
title_short | Disparities in the use of ambulatory surgical centers: a cross sectional study |
title_sort | disparities in the use of ambulatory surgical centers: a cross sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2725040/ https://www.ncbi.nlm.nih.gov/pubmed/19622154 http://dx.doi.org/10.1186/1472-6963-9-121 |
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