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Journal article
The Role of Health Disparities and Socioeconomic Status in Emergent Gastrointestinal Procedures
Health equity, v 5(1), pp 270-276
01 Apr 2021
PMID: 34095706
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives: There is limited data describing the role of health disparity factors and socioeconomic status (SES) on emergent versus nonemergent gastrointestinal (GI) procedures within pediatrics. We aimed to characterize risk factors and determine the role of SES on emergent versus nonemergent GI care. We hypothesized that patients with lower SES incur higher risk of having emergent procedures performed.
Methods: Retrospective chart review was performed between 2012 and 2016, with 2556 patient records reviewed. Demographic data and SES categories were determined. The majority of emergent procedures were performed on an inpatient basis. Health disparity factors analyzed included age, gender, insurance type, race, language, and SES using census tracts. Logistic regression analyses and paired t-tests were utilized.
Results: Two hundred eighty-six (11.2%) patients had emergent GI procedures performed. Logistic regression (odds ratio [OR], confidence interval (95% CI)] showed patients from 6-11 to 12-17 years of age were less likely to seek emergent care than the youngest group [0.47, 0.33-0.66 and 0.61, 0.45-0.84]. Patients with Medicaid insurance [1.68, 1.27-2.26], African American or "other" race [2.07, 1.48-2.90 and 2.43, 1.77-3.36, respectively], as well as "other" language [2.1, 1.14-3.99] more often sought emergent care. Using geocoded data, we found that as SES increases by 1, emergent risk for procedures decreased by 2.9% (OR 0.97, p=0.045).
Conclusions: Children with lower SES, at extremes of age (<5, >18 years), non-English or Spanish speaking and with Medicaid insurance are at higher risk of undergoing emergent GI procedures. This study gives us an opportunity to plan targeted interventions to improve access and quality of care.
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Details
- Title
- The Role of Health Disparities and Socioeconomic Status in Emergent Gastrointestinal Procedures
- Creators
- Eve May - Children’s National Health SystemKristin O. Brown - St. Christopher's Hospital for ChildrenEdward Gracely - Drexel UniversityGisele Podkameni - St. Christopher's Hospital for ChildrenLinda Franklin - St. Christopher's Hospital for ChildrenHarpreet Pall - Meridian (Russia)
- Publication Details
- Health equity, v 5(1), pp 270-276
- Publisher
- Mary Ann Liebert, Inc
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- MD (Doctor of Medicine) Program; Pediatrics
- Web of Science ID
- WOS:000646688900002
- Scopus ID
- 2-s2.0-85105462078
- Other Identifier
- 991019168046904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health