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Describing the Health Status of Women Experiencing Violence or Abuse: An Observational Study Using Claims Data

INTRODUCTION: Violence against women (VAW) can result in long-term and varied sequela for survivors, making it difficult to evaluate healthcare intervention. This study seeks to improve understanding of the healthcare experiences of women survivors prior to a violence-related diagnosis, allowing hea...

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Autores principales: Kishton, Rachel, Sinko, Laura, Ortiz, Robin, Islam, Md Nazmul, Fredrickson, Annika, Sheils, Natalie E., Buresh, John, Cronholm, Peter F., Matone, Meredith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968984/
https://www.ncbi.nlm.nih.gov/pubmed/35345928
http://dx.doi.org/10.1177/21501319221074121
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author Kishton, Rachel
Sinko, Laura
Ortiz, Robin
Islam, Md Nazmul
Fredrickson, Annika
Sheils, Natalie E.
Buresh, John
Cronholm, Peter F.
Matone, Meredith
author_facet Kishton, Rachel
Sinko, Laura
Ortiz, Robin
Islam, Md Nazmul
Fredrickson, Annika
Sheils, Natalie E.
Buresh, John
Cronholm, Peter F.
Matone, Meredith
author_sort Kishton, Rachel
collection PubMed
description INTRODUCTION: Violence against women (VAW) can result in long-term and varied sequela for survivors, making it difficult to evaluate healthcare intervention. This study seeks to improve understanding of the healthcare experiences of women survivors prior to a violence-related diagnosis, allowing healthcare systems to better design strategies to meet the needs of this population. METHODS: Using population-based data from 2016 to 2019, this cross-sectional observational study presents healthcare spending, utilization, and diagnostic patterns of privately insured women, age 18 or older, in the 10-months prior to an episode of care for a documented experience of violence (DEV). RESULTS: Of 12 624 764 women meeting enrollment criteria, 10 980 women had DEV. This group had higher general medical complexity, despite being 10 years younger than the comparison group (mean age 32.7 vs 43.5). These relationships held up when comparing participants in each cohort by age. Additional key findings including higher numbers of medical visits across clinical settings and higher total cost ($10 138-$4585). CONCLUSIONS: The study utilized population-based data, to describe specific areas of health and medical cost for women with DEV. Increased medical complexity and utilization patterns among survivors broaden the understanding of the health profiles and healthcare touchpoints of survivors to inform and optimize strategies for medical system engagement and resource allocation for this public health crisis.
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spelling pubmed-89689842022-04-01 Describing the Health Status of Women Experiencing Violence or Abuse: An Observational Study Using Claims Data Kishton, Rachel Sinko, Laura Ortiz, Robin Islam, Md Nazmul Fredrickson, Annika Sheils, Natalie E. Buresh, John Cronholm, Peter F. Matone, Meredith J Prim Care Community Health Original Research INTRODUCTION: Violence against women (VAW) can result in long-term and varied sequela for survivors, making it difficult to evaluate healthcare intervention. This study seeks to improve understanding of the healthcare experiences of women survivors prior to a violence-related diagnosis, allowing healthcare systems to better design strategies to meet the needs of this population. METHODS: Using population-based data from 2016 to 2019, this cross-sectional observational study presents healthcare spending, utilization, and diagnostic patterns of privately insured women, age 18 or older, in the 10-months prior to an episode of care for a documented experience of violence (DEV). RESULTS: Of 12 624 764 women meeting enrollment criteria, 10 980 women had DEV. This group had higher general medical complexity, despite being 10 years younger than the comparison group (mean age 32.7 vs 43.5). These relationships held up when comparing participants in each cohort by age. Additional key findings including higher numbers of medical visits across clinical settings and higher total cost ($10 138-$4585). CONCLUSIONS: The study utilized population-based data, to describe specific areas of health and medical cost for women with DEV. Increased medical complexity and utilization patterns among survivors broaden the understanding of the health profiles and healthcare touchpoints of survivors to inform and optimize strategies for medical system engagement and resource allocation for this public health crisis. SAGE Publications 2022-03-28 /pmc/articles/PMC8968984/ /pubmed/35345928 http://dx.doi.org/10.1177/21501319221074121 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Kishton, Rachel
Sinko, Laura
Ortiz, Robin
Islam, Md Nazmul
Fredrickson, Annika
Sheils, Natalie E.
Buresh, John
Cronholm, Peter F.
Matone, Meredith
Describing the Health Status of Women Experiencing Violence or Abuse: An Observational Study Using Claims Data
title Describing the Health Status of Women Experiencing Violence or Abuse: An Observational Study Using Claims Data
title_full Describing the Health Status of Women Experiencing Violence or Abuse: An Observational Study Using Claims Data
title_fullStr Describing the Health Status of Women Experiencing Violence or Abuse: An Observational Study Using Claims Data
title_full_unstemmed Describing the Health Status of Women Experiencing Violence or Abuse: An Observational Study Using Claims Data
title_short Describing the Health Status of Women Experiencing Violence or Abuse: An Observational Study Using Claims Data
title_sort describing the health status of women experiencing violence or abuse: an observational study using claims data
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968984/
https://www.ncbi.nlm.nih.gov/pubmed/35345928
http://dx.doi.org/10.1177/21501319221074121
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