The impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United States
Abstract Background Psoriasis is a chronic, inflammatory skin condition requiring long-term care. However, many psoriasis patients may not regularly receive care. Several factors affect access to care in the United States, including health insurance status. Additionally, it is unknown how health ins...
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| Language: | English |
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2024-11-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-11992-z |
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| author | Kaviyon Sadrolashrafi Audrey Hao Rebecca K. Yamamoto Lily Guo Robin Kikuchi Hannah C. Tolson Sara N. Bilimoria Danielle K. Yee April W. Armstrong |
| author_facet | Kaviyon Sadrolashrafi Audrey Hao Rebecca K. Yamamoto Lily Guo Robin Kikuchi Hannah C. Tolson Sara N. Bilimoria Danielle K. Yee April W. Armstrong |
| author_sort | Kaviyon Sadrolashrafi |
| collection | DOAJ |
| description | Abstract Background Psoriasis is a chronic, inflammatory skin condition requiring long-term care. However, many psoriasis patients may not regularly receive care. Several factors affect access to care in the United States, including health insurance status. Additionally, it is unknown how health insurance status impacts the healthcare-seeking behavior of psoriasis patients. Healthcare-seeking behavior is broadly defined as an individual’s actions to prevent or treat a perceived health problem, such as visiting a physician’s office. Because early diagnosis and timely treatment improve patient outcomes, determining how insurance status impacts psoriasis patients’ healthcare-seeking behavior and their ability to get care is important. This allows us to identify patients at risk for being untreated or undertreated. In this study, we aimed to assess the relationship between insurance status and (1) the degree to which psoriasis patients delay seeking or receiving care and (2) the degree to which psoriasis patients are unable to obtain care. Methods This population-based study used 20 years of data from the Medical Expenditure Panel Survey from 2002 to 2021. We calculated descriptive statistics and performed adjusted multivariable logistic regression analyses. Results We identified a weighted total of 4,506,850 psoriasis patients. Compared to those with private insurance, psoriasis patients with public-only insurance were 2.7 times more likely to delay seeking or receiving care (95% CI, 1.26–5.87). Compared to private insurance patients, uninsured psoriasis patients were 3.4 times more likely to be unable to obtain care (95% CI, 1.31–8.92). Compared to those with public-only insurance, uninsured psoriasis patients were 3.7 times more likely to be unable to obtain care (95% CI, 1.32–10.38). Conclusions This study found that psoriasis patients with public-only insurance were significantly more likely to delay seeking or receiving care compared to those with private insurance. This study also found that uninsured psoriasis patients were significantly more likely to be unable to obtain care than psoriasis patients with private insurance and those with public-only insurance. Developing strategies to increase healthcare access is necessary to ensure equitable, timely, and appropriate care for all psoriasis patients, regardless of their insurance status. |
| format | Article |
| id | doaj-art-aed31ef13b8d4de19ca6832ea70bb2fd |
| institution | DOAJ |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-aed31ef13b8d4de19ca6832ea70bb2fd2025-08-20T02:51:43ZengBMCBMC Health Services Research1472-69632024-11-012411810.1186/s12913-024-11992-zThe impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United StatesKaviyon Sadrolashrafi0Audrey Hao1Rebecca K. Yamamoto2Lily Guo3Robin Kikuchi4Hannah C. Tolson5Sara N. Bilimoria6Danielle K. Yee7April W. Armstrong8Kirk Kerkorian School of Medicine at UNLVKeck School of Medicine of University of Southern CaliforniaGeorgetown University School of MedicineDuke University School of MedicineKeck School of Medicine of University of Southern CaliforniaThe University of Arizona College of Medicine – PhoenixDivision of Dermatology, Department of Medicine, David Geffen School of Medicine at UCLADivision of Dermatology, Department of Medicine, David Geffen School of Medicine at UCLADivision of Dermatology, Department of Medicine, David Geffen School of Medicine at UCLAAbstract Background Psoriasis is a chronic, inflammatory skin condition requiring long-term care. However, many psoriasis patients may not regularly receive care. Several factors affect access to care in the United States, including health insurance status. Additionally, it is unknown how health insurance status impacts the healthcare-seeking behavior of psoriasis patients. Healthcare-seeking behavior is broadly defined as an individual’s actions to prevent or treat a perceived health problem, such as visiting a physician’s office. Because early diagnosis and timely treatment improve patient outcomes, determining how insurance status impacts psoriasis patients’ healthcare-seeking behavior and their ability to get care is important. This allows us to identify patients at risk for being untreated or undertreated. In this study, we aimed to assess the relationship between insurance status and (1) the degree to which psoriasis patients delay seeking or receiving care and (2) the degree to which psoriasis patients are unable to obtain care. Methods This population-based study used 20 years of data from the Medical Expenditure Panel Survey from 2002 to 2021. We calculated descriptive statistics and performed adjusted multivariable logistic regression analyses. Results We identified a weighted total of 4,506,850 psoriasis patients. Compared to those with private insurance, psoriasis patients with public-only insurance were 2.7 times more likely to delay seeking or receiving care (95% CI, 1.26–5.87). Compared to private insurance patients, uninsured psoriasis patients were 3.4 times more likely to be unable to obtain care (95% CI, 1.31–8.92). Compared to those with public-only insurance, uninsured psoriasis patients were 3.7 times more likely to be unable to obtain care (95% CI, 1.32–10.38). Conclusions This study found that psoriasis patients with public-only insurance were significantly more likely to delay seeking or receiving care compared to those with private insurance. This study also found that uninsured psoriasis patients were significantly more likely to be unable to obtain care than psoriasis patients with private insurance and those with public-only insurance. Developing strategies to increase healthcare access is necessary to ensure equitable, timely, and appropriate care for all psoriasis patients, regardless of their insurance status.https://doi.org/10.1186/s12913-024-11992-zPsoriasisAccess to careDelayed careHealth insuranceHealth equityHealthcare-seeking behavior |
| spellingShingle | Kaviyon Sadrolashrafi Audrey Hao Rebecca K. Yamamoto Lily Guo Robin Kikuchi Hannah C. Tolson Sara N. Bilimoria Danielle K. Yee April W. Armstrong The impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United States BMC Health Services Research Psoriasis Access to care Delayed care Health insurance Health equity Healthcare-seeking behavior |
| title | The impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United States |
| title_full | The impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United States |
| title_fullStr | The impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United States |
| title_full_unstemmed | The impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United States |
| title_short | The impact of insurance status on psoriasis patients’ healthcare-seeking behavior: a population-based study in the United States |
| title_sort | impact of insurance status on psoriasis patients healthcare seeking behavior a population based study in the united states |
| topic | Psoriasis Access to care Delayed care Health insurance Health equity Healthcare-seeking behavior |
| url | https://doi.org/10.1186/s12913-024-11992-z |
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