Association between Medicare eligibility at age 65 years and in-hospital treatment patterns and health outcomes for patients with trauma: regression discontinuity approach.

ABSTRACT:

Objective

To determine whether health systems in the United States modify treatment or discharge decisions for otherwise similar patients based on health insurance coverage.

Design

Regression discontinuity approach.

Setting

American College of Surgeons' National Trauma Data Bank, 2007-17.

Participants

Adults aged between 50 and 79 years with a total of 1 586 577 trauma encounters at level I and level II trauma centers in the US.

Interventions

Eligibility for Medicare at age 65 years.

Main outcome measures

The main outcome measure was change in health insurance coverage, complications, in-hospital mortality, processes of care in the trauma bay, treatment patterns during hospital admission, and discharge locations at age 65 years.

Results

1 5

SUBMITTER: Bhaumik D 

PROVIDER: S-EPMC10334336 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature