The Effect of Methodology in Determining Disparities in In-Hospital Mortality of Trauma Patients Based on Payer Source. Issue 2 (March 2015)

• Record Type: Journal Article
• Authors: Berg, Gina M.; Lee, Felecia A.; Hervey, Ashley M.; Hines, Robert B.; Basham-Saif, Angela; Harrison, Paul B.
• Is Part Of: Journal of trauma nursing. Volume 22:Issue 2(2015)
• Publication Date: 2015-03
• Subjects: Emergency nursing -- Periodicals; Emergencies -- Nursing -- Periodicals; Soins infirmiers en situation d'urgence -- Périodiques; Lésions et blessures -- Périodiques; Emergencies -- nursing -- Periodicals; Wounds and Injuries -- nursing -- Periodicals; Nursing -- Periodicals; Traumatology -- Periodicals; Societies, Nursing -- Periodicals; 610.73
• DOI: 10.1097/JTN.0000000000000109
• Languages: English
• ISSNs: 1078-7496

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <p>A retrospective registry review of adult patients admitted to a Level I trauma center sought to determine whether results regarding in-hospital mortality associated with payer source vary on the basis of methodology. Patients were categorized into 4 literature-derived definitions (Definition 1: insured and uninsured; Definition 2: commercially insured, publicly insured, and uninsured; Definition 3: commercially insured, Medicaid, Medicare, and uninsured; and Definition 4: commercially insured, Medicaid, and uninsured). In-hospital mortality differences were found in Definitions 2 and 3, and when reclassifying dual-eligible Medicare/Medicaid into socioeconomic and age indicators. Variations in methodology culminated in results that could be interpreted with differing conclusions.</p> </sec> </abstract>