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Influence of insurance type on rate and type of initial concussion-related medical visits among youth

BACKGROUND: A growing number of studies report increased concussion-related health care utilization in recent years, but factors impacting care-seeking behaviors among youth following a concussion are not well described. This study aimed to evaluate the influence of insurance type on the rate and ty...

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Autores principales: Radlicz, Chris, Jackson, Kenneth, Hautmann, Amanda, Shi, Junxin, Yang, Jingzhen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375144/
https://www.ncbi.nlm.nih.gov/pubmed/34407798
http://dx.doi.org/10.1186/s12889-021-11586-y
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author Radlicz, Chris
Jackson, Kenneth
Hautmann, Amanda
Shi, Junxin
Yang, Jingzhen
author_facet Radlicz, Chris
Jackson, Kenneth
Hautmann, Amanda
Shi, Junxin
Yang, Jingzhen
author_sort Radlicz, Chris
collection PubMed
description BACKGROUND: A growing number of studies report increased concussion-related health care utilization in recent years, but factors impacting care-seeking behaviors among youth following a concussion are not well described. This study aimed to evaluate the influence of insurance type on the rate and type of initial concussion visits and the time from injury to the initial visit in youth. METHODS: We extracted and analyzed initial concussion-related medical visits for youth ages 10 to 17 from electronic health records. Patients must have visited Nationwide Children’s Hospital’s (NCH) concussion clinic at least once between 7/1/2012 and 12/31/2017. We evaluated the trends and patterns of initial concussion visits across the study period using regression analyses. RESULTS: Of 4955 unique concussion visits included, 60.1% were males, 80.5% were white, and 69.5% were paid by private insurance. Patients’ average age was 13.9 years (SD = 3.7). The rate of the initial concussion visits per 10,000 NCH visits was consistently higher in privately insured than publicly insured youth throughout the study period (P < .0001). Privately insured youth had greater odds of initial concussion visits to sports medicine clinics (AOR = 1.45, 95% CI = 1.20, 1.76) but lower odds of initial concussion visits to the ED/urgent care (AOR = 0.74, 95% CI = 0.60, 0.90) than publicly insured youth. Days from injury to initial concussion visit significantly decreased among both insurance types throughout the study (P < .0001), with a greater decrease observed in publicly insured than privately insured youth (P = .011). CONCLUSIONS: Results on the differences in the rate, type, and time of initial concussion-related visits may help inform more efficient care of concussion among youth with different types of insurance.
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spelling pubmed-83751442021-08-19 Influence of insurance type on rate and type of initial concussion-related medical visits among youth Radlicz, Chris Jackson, Kenneth Hautmann, Amanda Shi, Junxin Yang, Jingzhen BMC Public Health Research Article BACKGROUND: A growing number of studies report increased concussion-related health care utilization in recent years, but factors impacting care-seeking behaviors among youth following a concussion are not well described. This study aimed to evaluate the influence of insurance type on the rate and type of initial concussion visits and the time from injury to the initial visit in youth. METHODS: We extracted and analyzed initial concussion-related medical visits for youth ages 10 to 17 from electronic health records. Patients must have visited Nationwide Children’s Hospital’s (NCH) concussion clinic at least once between 7/1/2012 and 12/31/2017. We evaluated the trends and patterns of initial concussion visits across the study period using regression analyses. RESULTS: Of 4955 unique concussion visits included, 60.1% were males, 80.5% were white, and 69.5% were paid by private insurance. Patients’ average age was 13.9 years (SD = 3.7). The rate of the initial concussion visits per 10,000 NCH visits was consistently higher in privately insured than publicly insured youth throughout the study period (P < .0001). Privately insured youth had greater odds of initial concussion visits to sports medicine clinics (AOR = 1.45, 95% CI = 1.20, 1.76) but lower odds of initial concussion visits to the ED/urgent care (AOR = 0.74, 95% CI = 0.60, 0.90) than publicly insured youth. Days from injury to initial concussion visit significantly decreased among both insurance types throughout the study (P < .0001), with a greater decrease observed in publicly insured than privately insured youth (P = .011). CONCLUSIONS: Results on the differences in the rate, type, and time of initial concussion-related visits may help inform more efficient care of concussion among youth with different types of insurance. BioMed Central 2021-08-18 /pmc/articles/PMC8375144/ /pubmed/34407798 http://dx.doi.org/10.1186/s12889-021-11586-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Radlicz, Chris
Jackson, Kenneth
Hautmann, Amanda
Shi, Junxin
Yang, Jingzhen
Influence of insurance type on rate and type of initial concussion-related medical visits among youth
title Influence of insurance type on rate and type of initial concussion-related medical visits among youth
title_full Influence of insurance type on rate and type of initial concussion-related medical visits among youth
title_fullStr Influence of insurance type on rate and type of initial concussion-related medical visits among youth
title_full_unstemmed Influence of insurance type on rate and type of initial concussion-related medical visits among youth
title_short Influence of insurance type on rate and type of initial concussion-related medical visits among youth
title_sort influence of insurance type on rate and type of initial concussion-related medical visits among youth
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8375144/
https://www.ncbi.nlm.nih.gov/pubmed/34407798
http://dx.doi.org/10.1186/s12889-021-11586-y
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