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10.2105/AJPH.2014.301969

http://scihub22266oqcxt.onion/10.2105/AJPH.2014.301969
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C4151915!4151915!25033158
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suck abstract from ncbi


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pmid25033158      Am+J+Public+Health 2014 ; 104 (9): e62-70
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  • Role of Health Insurance on the Survival of Infants With Congenital Heart Defects #MMPMID25033158
  • Kucik JE; Cassell CH; Alverson CJ; Donohue P; Tanner JP; Minkovitz CS; Correia J; Burke T; Kirby RS
  • Am J Public Health 2014[Sep]; 104 (9): e62-70 PMID25033158show ga
  • 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.
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