ArticleJournal of the National Medical Association2022
Assessing the impact of insurance type on COVID-19 mortality in black and white patients in the largest healthcare system in the state of georgia.
Article in Journal of the National Medical Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Racial Disparities in Severe Maternal Morbidity During the COVID-19 Pandemic: Evidence from the New Jersey Integrated Population Health Data Project.Journal of racial and ethnic health disparities · 2026Article
- Difference in Age- and Sex-adjusted Prevalence of Diseases between Employees and Nonemployees with Health Insurance in Japan.JMA journal · 2025Article
- Differences in Covid-19 deaths amongst cancer patients and possible mediators for this relationship.Scientific reports · 2025Article
- Worsening of health disparities across COVID-19 pandemic stages in Korea.Epidemiology and health · 2024Article
- Use of Epic Electronic Health Record System for Health Care Research: Scoping Review.Journal of medical Internet research · 2023Article
- Cluster analysis of COVID-19 recovery center patients at a clinic in Boston, MA 2021-2022: impact on strategies for access and personalized care.Archives of public health = Archives belges de sante publique · 2023Article
- Article
- Coronavirus disease-19 is associated with decreased treatment access and worsened outcomes in malignant brain tumor patients.Surgical neurology international · 2023Article
- Patient Factors Associated With Teledermatology Visit Type and Submission of Photographs During the COVID-19 Pandemic: Cross-sectional Analysis.JMIR dermatology · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
importanceThe increased COVID-19 mortality for Black individuals over White individuals may be explained by the known racial disparities in access to insurance.
objectiveTo determine whether racial disparities in COVID-19 mortality still exist when Blacks and Whites are equally insured.
designRoutinely collected data on race, mortality, type of insurance, known risk factors, and lab results from the EPIC Patient Management System were analyzed using a multivariable logistic regression model.
settingPiedmont Healthcare is the largest hospital system in Georgia. Due to its multiple locations across the state of Georgia, it receives a relatively equitably insured population.
participantsAll patients hospitalized with a positive COVID-19 status between March 1 and November 30, 2020. MAIN OUTCOMES: We hypothesized that Black patients would not have higher odds of mortality than White patients, and that type of insurance would predict COVID-19 mortality.
results6,881 (3,674 Black, 3,207 White; 48% male, mean age = 60) patients were included. Race was not a significant predictor of COVID-19 mortality (p>0.05). When controlling for age and insurance, the mortality rate for Black patients was not statistically significant from that for White patients (p>0.05). Compared to those relying on Medicare, patients with commercial (OR=0.68, 95% CI: 0.48-0.96) or out-of-pocket (self-pay) insurance (OR=0.22, 95% CI: 0.03-0.88) had lower odds of mortality.
conclusionsNational trends of racial disparities in COVID-19 mortality may be partially explained by disparities in insurance.
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