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Appendix B Primary Research Literature Review
Pages 109-154

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From page 109...
... B Primary Research Literature Review 109
From page 110...
... (1993b) 12,036 adults ages 25-64, 1987 NMES Multiple h Health Insurance and Subjective Health measures Status: Data from the 1987 National Medical Expenditure Survey.
From page 111...
... . Overall, no significant differences in health status after loss of health insurance, except for those losing Medicaid, who initially reported better health, but lost the gains over time
From page 112...
... Status, and the Sense of Control Milbank Q Short and Lair (1994-1995) 7,750 children ages 1–18; 17,341 adults 18-64; Self-report Health Insurance and Health Status: 1987 NMES chronic co Implications for Financing Health Care Reform.
From page 113...
... Those with Medicare and Medicaid report more chronic conditions than uninsured. No difference between UI, Medicaid, and those with private insurance in health status or physical functioning ts 18-64; Self-reported health status; Examines how health affects HI status.
From page 114...
... J Acquire Immune Defic Syndr Faulkner and Schauffler (1997) 53,981 adults ages 18–64; BRFSS, 1991 Preventive The Effect of Health Insurance preventive Coverage on the Appropriate Use of Recommended Clinical Preventive Services.
From page 115...
... Women were more likely than men to have an RSC. Compared with Cuban Americans and Puerto Ricans, fewer Mexican Americans had any type of health insurance coverage (73.7%, 76.3%, and 66%, respectively)
From page 116...
... Med Care Res Rev Woolhandler and Himmelstein (1988) 10,653 women ages 45–64; NHIS, 1982 Receipt of Reverse Targeting of Preventive Care health serv Due to Lack of Health Insurance.
From page 117...
... of the difference in health status. The contribution of HI to these racial–ethnic differences varies greatly by region and state 82 Receipt of preventive UI women 45-64 are less likely to receive BP checks, Pap health services smears, CBE, or glaucoma exams , and 1998 Receipt of Pap smear, RSC and health insurance are independently and strongly mammogram, FOBT, associated with receipt of services.
From page 118...
... Med Care Cervical and Breast Cancer Screening Burack et al.
From page 119...
... OR comparison group is private managed care yrs, Mammography referral; No differences found by health insurance status. HI status use of mammography effects vary by site of care.
From page 120...
... Arch Intern Med Jennings-Dozier and Lawrence (2000) 204 minority women Annual Pap Sociodemographic Predictors of Adherence to Annual Cervical Cancer Screening in Minority Women.
From page 121...
... For insured women the rates for mammography within the past 2 years increased from 65 to 71%; for UI, from 40 to 46% 1992 Access to health services; Usual source of care is important for all screening services. regular source of care; cancer Health insurance increases mammography use only.
From page 122...
... (2001) 4,626 patients from 25 communities Health-rela The Association Between Socioeconomic CaPSURE database 1995–1998 Status, Health Insurance Coverage, and Quality of Life in Men with Prostate Cancer.
From page 123...
... Data are not sufficient to attribute differences to health insurance. Omitted variable bias potentially great ast Stage of disease; selected Publicly insured and uninsured combined have OR of 2.0 for Region 3, treatment; mortality over late-stage diagnosis and a relative risk of death from breast 4–10-yr follow-up cancer of 1.42, all causes RR = 1.46.
From page 124...
... (2000a) 11,113 cases of female breast carcinoma; 1994 Mortality o Effects of Health Insurance and Race Florida Cancer Data System follow-up on Breast Carcinoma Treatments and Outcomes.
From page 125...
... but not less likely to be treated with chemotherapy or radiation ma; 1994 Mortality over 36–38-month Relationship between health insurance and mortality (UI to follow-up FFS, RR = 1.31) is due to stage at diagnosis.
From page 126...
... (1998) 1,724 women 50–64 yrs, NHANES III, Cardiovasc Health Insurance Status and 1988–1994 (behaviors Cardiovascular Disease Risk Factors Among 50–64-Year-Old U.S.
From page 127...
... Individual contributing factors confounded in study. Small sample 1991 Hospitalization 9.7% of UI with asthma were hospitalized compared to 7.1% of those with private health insurance.
From page 128...
... (1985) 3,958 adults 14–61 yrs in RAND HIE, Diastolic b How Free Care Reduced Hypertension 1974–1982 in the Health Insurance Experiment.
From page 129...
... . Uninsured and publicly insured combined
From page 130...
... Whites with Diabetes. Arch Intern Med
From page 131...
... . Controlling for education, income, health insurance, glucose level, BP, smoking, and physical activity reduced the excess risk for blacks by 82% (OR = 1.38, CI: 0.71–2.69)
From page 132...
... Arch Intern Med Bing et al.
From page 133...
... Compared to those with private insurance prior to ESRD, UI were more likely to have hypoalbuminemia (OR = 1.37) and a hematocrit <28% (OR = 1.34)
From page 134...
... Arch Intern Med
From page 135...
... Privately insured patients are most likely to be admitted to private hospitals. 63% of UI patients admitted to public hospitals, compared with 39% of Medicaid patients and 16% of privately insured patients.
From page 136...
... (1995) 178 HIV+ men recruited from one clinic, 1991 Outpatient Health Insurance and Use of Medical prophylaxi Services by Men Infected With HIV.
From page 137...
... . Having private insurance resulted in higher use of outpatient services Hospital admissions; UI were less likely than those with public insurance to use the outpatient and clinic visits; ED (30% vs.
From page 138...
... Arch Intern Med Mental Illness Cooper-Patrick et al.
From page 139...
... Those with treatment no insurance were less likely to receive outpatient care than either the privately or the publicly insured (ORs = 0.53 and 0.56, respectively) ic Inpatient, outpatient, and day Many people change health insurance status over time after k, hospital care; change in first hospital visit for mental illness.
From page 140...
... (1992) 31,249 patient records from acute care hospitals Adverse ev Socioeconomic Status and Risk for in New York, 1984 negligence Substandard Medical Care.
From page 141...
... , but type of or presence of insurance had no appropriate care effect on receipt of appropriate care for anxiety or depression SS Hospital admission; LOS Uninsured patients in fair or poor health were significantly less likely than uninsured in better health to be hospitalized and had significantly shorter LOS e hospitals Adverse events due to Uninsured had greater risk of substandard care than privately negligence insured (OR = 2.35)
From page 142...
... (1998) 21,149 hospital patients; HCUP data, 1989-1992 In-hospital Variations in Healthcare Measures by of procedu Insurance Status for Patients Receiving Ventilator Support.
From page 143...
... UI had 16% shorter LOS and Medicaid patients 10% longer LOS than FFS in a multivariable analysis. HMO, UI, Medicaid, and Medicare patients all had more procedures than FFS patients in Severity of illness; no.
From page 144...
... N Engl J Med Doyle (2001) 10,962 accident victims <65; 1992–1997 Mortality; Does Health Insurance Affect Treatment Wisconsin's Crash Outcome Data LOS Decisions and Patient Outcomes?
From page 145...
... . Limited adjustment for severity Access to care; acute chest Health insurance of any kind was significantly related to pain; delay in seeking care decision time to seek care, but not to travel time.
From page 146...
... Am J Pub Health Carlisle and Leake (1998) 206,233 discharged patients with heart Angiograph Differences in the Effect of Patients' disease; California, 1991–1993 angioplasty Socioeconomic Status on the Use of Invasive Cardiovascular Procedures Across Health Insurance Categories.
From page 147...
... LOS: similar across groups. For those with less severe head injuries, insurance status is significantly associated with discretionary medical decision making in ED care.
From page 148...
... (1997) 3,735 AMI patients in Worcester, In-hospital Health Insurance Coverage and Massachusetts, 1986–1993 mortality Outcome Following Acute Myocardial Infarction: A Community-wide Perspective.
From page 149...
... UI blacks and whites had the greatest disparity in the use of procedures at baseline and the largest change at follow-up, post-Medicare Cardiac catheterization; Compared to men with private insurance, both women and angioplasty; CABG men without insurance were less likely to receive cardiovascular procedures prior to ESRD (ORs = 0.19 and 0.47, respectively)
From page 150...
... S Med J Kollef (1996) Patients in the medical ICU of one Withdrawa Private Attending Physician Status and hospital, 1993–1994 duration of the Withdrawal of Life-Sustaining ventilation Interventions in a Medical Intensive medical ca Care Unit Population.
From page 151...
... (OR = 3.5) –64; Preventable hospitalizations Access to care and area-wide rates of uninsured were inversely related to hospitalization rate for five chronic conditions: asthma, hypertension, CHF, COPD, and diabetes.
From page 152...
... JAMA NOTES: ACSUS = AIDS Cost and Services Utilization Study; AMI = acute myocardial infarction; AOR = adjusted odds ratio; BP = blood pressure; BRFSS = Behavioral Risk Factor Surveillance System; CABG = coronary artery bypass graft; CAD = coronary artery disease; CBE = clinical breast exam; CHF = congestive heart failure; CI = confidence interval; COPD = chronic obstructive pulmonary disease; DRE = digital rectal examination; Dx = diagnosis; ED = emergency department; EPO = erythropoietin; ESRD = end-stage renal disease; FFS = fee for service; FOBT = fecal occult blood test; FPL = federal poverty level; HAART = highly active antiretroviral therapy; HCSUS = HIV Cost and Services Utilization Study; HCUP = Healthcare Cost and Utilization Project; HI = health insurance; HIE = Health Insurance Experiment (RAND) ; HMO = health maintenance organization; HRQOL = health–related quality of life; ICU = intensive care unit; LOS = length of stay; LTC = long-term care; MH = mental health; MIDUS = Midlife Development in the
From page 153...
... United States; NHANES = National Health and Nutrition Examination Survey; NHIS = National Health Interview Survey; NMES = National Medical Expenditures Survey; NNRTI = nonnucleoside reverse transcriptase inhibitor; NSD = no significant difference; OR = odds ratio; PCP = Pneumocystis carinii pneumonia; PHP = prepaid health plan ; PI = protease inhibitor; PSA = prostate-specific antigen; PTCA = percutaneous transluminal coronary angioplasty; QOL = quality of life; RPCS = regular primary care source; RR = relative risk; RSC = regular source of care; Rx = prescription medication; SES = socioeconomic status; SLE = systemic lupus erythematosus; SMR = standardized mortality ratio; Tx = treatment or therapy; UCLA = University of California at Los Angeles; UI = uninsured; USC = usual source of care; USRDS = U.S. Renal Data System; VA = Department of Veterans Affairs.


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