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Emergency Room Visits by Uninsured Child and Adult Residents in Ontario, Canada: What Diagnoses, Severity and Visit Disposition Reveal About the Impact of Being Uninsured
- Source :
- Journal of Immigrant and Minority Health. 18:948-956
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- Canadian immigrants can be without health insurance for many reasons but limited data exists regarding uninsured health outcomes. Uninsured Canadian residents were identified in the National Ambulatory Care Reporting System for all visits to emergency departments in Ontario, Canada between 2002/3 and 2010/11 (N = 44,489,750). Frequencies for main diagnoses, severity (triage), and visit disposition were compared. Ambulatory care sensitive conditions were identified in a 10 % subsample. The uninsured (N = 140,730; 0.32 %) were more likely to be diagnosed with mental health (insured: 3.48 %; uninsured: 10.47 %) or obstetric problems (insured: 2.69 %; uninsured: 5.56 %), be triaged into the two most severe categories (insured: 11.2 %; uninsured 15.6 %), leave untreated (insured: 3.1 %; uninsured: 5.4 %), or die (insured: 2.8 %; uninsured: 3.7 %). More ACSC visits were made by uninsured children and youth. Insurance status is associated with more serious health status on arrival to emergency departments and more negative visit outcomes.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Epidemiology
media_common.quotation_subject
Immigration
Emigrants and Immigrants
Severity of Illness Index
Health Services Accessibility
Young Adult
03 medical and health sciences
0302 clinical medicine
Ambulatory care
medicine
Humans
030212 general & internal medicine
Social determinants of health
Child
Aged
media_common
Aged, 80 and over
Ontario
Medically Uninsured
030505 public health
business.industry
Public health
Age Factors
Infant, Newborn
Public Health, Environmental and Occupational Health
Infant
Emergency department
Middle Aged
Triage
Mental health
Health equity
Mental Health
Child, Preschool
Health Care Surveys
Family medicine
Female
Emergency Service, Hospital
0305 other medical science
business
Subjects
Details
- ISSN :
- 15571920 and 15571912
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of Immigrant and Minority Health
- Accession number :
- edsair.doi.dedup.....48fc9d4fb4c1e5ebfc1c7a4ef00895e6