Association of insurance status with potentially avoidable transfers to an academic emergency department: A retrospective observational study

Abstract Background Interfacility transfers between emergency department (EDs) are common and at times unnecessary. We sought to examine the role of health insurance status with potentially avoidable transfers. Methods We conducted a retrospective observational analysis using hospital electronic adm...

Full description

Saved in:
Bibliographic Details
Main Authors: Megan K. Wright, Wu Gong, Kimberly Hart, Wesley H. Self, Michael J. Ward
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:Journal of the American College of Emergency Physicians Open
Subjects:
Online Access:https://doi.org/10.1002/emp2.12385
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850145194888921088
author Megan K. Wright
Wu Gong
Kimberly Hart
Wesley H. Self
Michael J. Ward
author_facet Megan K. Wright
Wu Gong
Kimberly Hart
Wesley H. Self
Michael J. Ward
author_sort Megan K. Wright
collection DOAJ
description Abstract Background Interfacility transfers between emergency department (EDs) are common and at times unnecessary. We sought to examine the role of health insurance status with potentially avoidable transfers. Methods We conducted a retrospective observational analysis using hospital electronic administrative data of all interfacility ED‐to‐ED transfers to a single, quaternary care adult ED in 2018. We defined a potentially avoidable transfer as an ED‐to‐ED transfer in which the patient did not receive a procedure from a specialist at the receiving hospital and was discharged from the ED or the receiving hospital within 24 hours of arrival. We constructed a multivariable logistic regression model to examine whether insurance status was associated with potentially avoidable transfers among all ED‐to‐ED transfers adjusting for patient demographics, severity, mode of arrival, clinical condition, and rurality. Results Among 7508 transfers, 1862 (25%) were potentially avoidable and were more likely to be uninsured (20% vs 9%). In the multivariable analysis, among ED‐to‐ED transfers for adults aged 18–64 years old who were uninsured (vs any insurance) were significantly more likely to be potentially avoidable (adjusted odds ratio [aOR] 2.1 [1.7, 2.4]) and there is a significant interaction with age. Potentially avoidable transfers increased with younger age, male sex, black (vs white), small rural classification (vs urban), and arrival by ground ambulance (vs flight). Conclusions Potentially avoidable transfers comprised 1 in 4 transfers. Patients who lack insurance were more than twice as likely to be classified as potentially avoidable even after evaluating for confounders and interactions. This effect was most pronounced among younger patients. Further research is needed to explore why uninsured patients are disproportionately more likely to experience potentially avoidable transfers.
format Article
id doaj-art-7a7e831db32346bcbb800427cfe02264
institution OA Journals
issn 2688-1152
language English
publishDate 2021-04-01
publisher Elsevier
record_format Article
series Journal of the American College of Emergency Physicians Open
spelling doaj-art-7a7e831db32346bcbb800427cfe022642025-08-20T02:28:09ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522021-04-0122n/an/a10.1002/emp2.12385Association of insurance status with potentially avoidable transfers to an academic emergency department: A retrospective observational studyMegan K. Wright0Wu Gong1Kimberly Hart2Wesley H. Self3Michael J. Ward4Vanderbilt University School of Medicine Nashville Tennessee USADepartment of Biostatistics Vanderbilt University School of Medicine Nashville Tennessee USADepartment of Biostatistics Vanderbilt University School of Medicine Nashville Tennessee USADepartment of Emergency Medicine Vanderbilt University Medical Center Nashville Tennessee USADepartment of Emergency Medicine Vanderbilt University Medical Center Nashville Tennessee USAAbstract Background Interfacility transfers between emergency department (EDs) are common and at times unnecessary. We sought to examine the role of health insurance status with potentially avoidable transfers. Methods We conducted a retrospective observational analysis using hospital electronic administrative data of all interfacility ED‐to‐ED transfers to a single, quaternary care adult ED in 2018. We defined a potentially avoidable transfer as an ED‐to‐ED transfer in which the patient did not receive a procedure from a specialist at the receiving hospital and was discharged from the ED or the receiving hospital within 24 hours of arrival. We constructed a multivariable logistic regression model to examine whether insurance status was associated with potentially avoidable transfers among all ED‐to‐ED transfers adjusting for patient demographics, severity, mode of arrival, clinical condition, and rurality. Results Among 7508 transfers, 1862 (25%) were potentially avoidable and were more likely to be uninsured (20% vs 9%). In the multivariable analysis, among ED‐to‐ED transfers for adults aged 18–64 years old who were uninsured (vs any insurance) were significantly more likely to be potentially avoidable (adjusted odds ratio [aOR] 2.1 [1.7, 2.4]) and there is a significant interaction with age. Potentially avoidable transfers increased with younger age, male sex, black (vs white), small rural classification (vs urban), and arrival by ground ambulance (vs flight). Conclusions Potentially avoidable transfers comprised 1 in 4 transfers. Patients who lack insurance were more than twice as likely to be classified as potentially avoidable even after evaluating for confounders and interactions. This effect was most pronounced among younger patients. Further research is needed to explore why uninsured patients are disproportionately more likely to experience potentially avoidable transfers.https://doi.org/10.1002/emp2.12385appropriateness of carecare transitionsdecision‐makingemergency careemergency medicineinter‐facility transfer
spellingShingle Megan K. Wright
Wu Gong
Kimberly Hart
Wesley H. Self
Michael J. Ward
Association of insurance status with potentially avoidable transfers to an academic emergency department: A retrospective observational study
Journal of the American College of Emergency Physicians Open
appropriateness of care
care transitions
decision‐making
emergency care
emergency medicine
inter‐facility transfer
title Association of insurance status with potentially avoidable transfers to an academic emergency department: A retrospective observational study
title_full Association of insurance status with potentially avoidable transfers to an academic emergency department: A retrospective observational study
title_fullStr Association of insurance status with potentially avoidable transfers to an academic emergency department: A retrospective observational study
title_full_unstemmed Association of insurance status with potentially avoidable transfers to an academic emergency department: A retrospective observational study
title_short Association of insurance status with potentially avoidable transfers to an academic emergency department: A retrospective observational study
title_sort association of insurance status with potentially avoidable transfers to an academic emergency department a retrospective observational study
topic appropriateness of care
care transitions
decision‐making
emergency care
emergency medicine
inter‐facility transfer
url https://doi.org/10.1002/emp2.12385
work_keys_str_mv AT megankwright associationofinsurancestatuswithpotentiallyavoidabletransferstoanacademicemergencydepartmentaretrospectiveobservationalstudy
AT wugong associationofinsurancestatuswithpotentiallyavoidabletransferstoanacademicemergencydepartmentaretrospectiveobservationalstudy
AT kimberlyhart associationofinsurancestatuswithpotentiallyavoidabletransferstoanacademicemergencydepartmentaretrospectiveobservationalstudy
AT wesleyhself associationofinsurancestatuswithpotentiallyavoidabletransferstoanacademicemergencydepartmentaretrospectiveobservationalstudy
AT michaeljward associationofinsurancestatuswithpotentiallyavoidabletransferstoanacademicemergencydepartmentaretrospectiveobservationalstudy