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Role of Health Insurance on the Survival of Infants With Congenital Heart Defects
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9 2014
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Source: Am J Public Health. 104(9):e62-e70
[PDF-516.08 KB]
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Alternative Title:Am J Public Health
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Description: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. (Am J Public Health2014;104: e62–e70. doi:10.2105/AJPH.2014.301969)
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Pubmed ID:25033158
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Pubmed Central ID:PMC4151915
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Volume:104
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Issue:9
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