Presentation Acuity and Surgical Outcomes for Patients With Health Insurance Living in Highly Deprived Neighborhoods.

ABSTRACT:

Importance

Insurance coverage expansion has been proposed as a solution to improving health disparities, but insurance expansion alone may be insufficient to alleviate care access barriers.

Objective

To assess the association of Area Deprivation Index (ADI) with postsurgical textbook outcomes (TO) and presentation acuity for individuals with private insurance or Medicare.

Design, setting, and participants

This cohort study used data from the National Surgical Quality Improvement Program (2013-2019) merged with electronic health record data from 3 academic health care systems. Data were analyzed from June 2022 to August 2023.

Exposure

Living in a neighborhood with an ADI greater than 85.

Main outcomes and measures

TO, defined as absence of unplanned reope

SUBMITTER: Schmidt S 

PROVIDER: S-EPMC10851138 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature