ArticleOsong public health and research perspectives2019
Impact of Cardiovascular Disease on Health Insurance Coverage and Healthcare Use under Economic Stress: The National Health and Nutrition Examination Survey, 2003-2012.
Article in Osong public health and research perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesCardiovascular disease (CVD) has a substantial financial impact on healthcare systems in the US. This study aimed to examine the impact of CVD on health insurance coverage and health service use under economic stress as indicated by the Great Recession in the US (December 2007-June 2009).
methodsData of 26,483 adults aged ≥ 20 years from the 2003-2012 National Health and Nutrition Examination Survey were analyzed. There were 9,479 adults assigned to the group "before the Great Recession" (2003-2006), 5,674 adults assigned to "during the Great Recession" (2007-2008), and 11,330 adults assigned to "after the Great Recession" (2009-2012).
resultsPatients with CVD from low-income families were more likely to have health insurance during the recession (OR:1.57, 95% CI: 1.01,2.45). Those participants without CVD, who were from low-income families or < 65 years, were more likely to use the emergency room rather than primary care facilities to gain access to routine healthcare (
conclusionEffective strategies need to be developed to promote primary care use among the general adult American population. In addition, use of mental health services among patients with CVD needs to be improved when financial stress occurs.
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