Childbirth-Related Hospital Burden by Socioeconomic Status in a Universal Health Care Setting

Mah, Sarah M; Sanmartin, Claudia; Ross, Nancy A.

doi:10.23889/ijpds.v3i1.418

Cited by 2 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the other hand, socioeconomic status, as measured through neighbourhood-level categorization of material deprivation, was not found here to be significantly associated with LOS. Only modest differences in LOS among low-income groups have been observed for other health interventions in the Canadian hospital system [ 20 ]. Moreover, a previous study from Toronto, Canada’s largest city, found a non-linear socioeconomic gradient in health outcomes among paediatric patients living with T1D [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Studies aiming to understand patient-level variations in LOS using routinely collected hospital administrative data tend to be limited to factors such as age, sex, diagnostic group, admission type, and source of insurance [ 18 , 19 ]. Innovations in data linkages are facilitating population-based studies of the social correlates of cause-specific hospital stays [ 20 ]. In Canada, one study using linked data indicated that LOS among adult inpatients with chronic conditions was not associated with perceived unmet healthcare needs [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Characterizing social and policy determinants of hospital length of stay among paediatric inpatients with diabetes using linked population-based data

Higgins

Gupta

2021

IJPDS

View full text Add to dashboard Cite

BackgroundEvidence is limited on the non-medical factors influencing hospital length of stay (LOS) among paediatric inpatients with diabetes, notably potential social and policy correlates. This study aimed to characterize the associations of socioeconomic status and health policy environment with diabetes-attributable LOS to help inform accountability monitoring of a provincial comprehensive diabetes strategy aiming to minimize time in hospital among this high-risk population. Data and methodsThis retrospective population-based study drew on multiple linked administrative and geospatial databases among all children aged 18 and under with a diabetes-related hospitalization in the province of New Brunswick, Canada, during the four-year period following implementation of an insulin pump funding program. Multiple linear regression was used to assess the role of access to the public insulin pump resourcing scheme and relative neighbourhood deprivation as predictors of days spent in acute care, controlling for age, sex, and place of residence. ResultsAmong the paediatric inpatient population (N=386), 21% had accessed social resources made available through the insulin pump funding policy and 42% resided in the most materially deprived neighbourhoods. Diabetes-related hospital stays averaged 3.87 days. Paediatric inpatients having accessed resources through the social insurance policy spent significantly fewer days in hospital (1.34 days less [95% CI: 0.63--2.05]) than those who had not, all else being equal. Observed differences in LOS by neighbourhood socioeconomic deprivation were not found to be statistically significant in the multivariate analysis. ConclusionFindings from this context of universal medical coverage suggested that public policy for supplemental financing of assistive technologies among children with diabetes may be associated with reduced burden to the hospital system. The causes of socioenvironmental disparities in LOS require further investigation to inform interventions to mitigate preventable patient-level variations in hospital-based health outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Characterizing social and policy determinants of hospital length of stay among paediatric inpatients with diabetes using linked population-based data

Higgins

Gupta

2021

IJPDS

View full text Add to dashboard Cite

show abstract

“…Developments in the design of population-based studies have opened rich pathways for describing the role of sociodemographic factors on a range of health outcomes. In Canada, similar to many other countries, data linkages across population surveys and administrative information systems offer expanded opportunities to address research gaps on the sociodemographic correlates of common health problems and related impacts that would not be available from a single unlinked source [18][19][20][21]. The objective of this study was to examine the association of obesity with acute-care inpatient costs for cardiometabolic diseases, considering a range of other sociodemographic and behavioural characteristics.…”

Section: Introductionmentioning

confidence: 99%

Beyond weight: examining the association of obesity with cardiometabolic related inpatient costs among Canadian adults using linked population based survey and hospital administrative data

Gupta

Sheng

2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background The global population has transitioned to one where more adults are living with obesity than are underweight. Obesity is associated with the development of cardiometabolic diseases and widely attributed to increased hospital resource use; however, empirical evidence is limited regarding obesity prevention to support hospital cost containment. This study aims to test for obesity in predicting hospitalization costs for cardiometabolic conditions among the Canadian population aged 45 and over. Methods Data from the 2007−2011 Canadian Community Health Survey were linked to eight years of hospital discharge records. A cohort was identified of inpatients admitted for diabetes, hypertension, and other cardiometabolic diseases. Multiple linear regressions were used to investigate the association between obesity status and inpatient costs, controlling for sociodemographic and behavioural factors. Results The target cohort included 23,295 admissions for cardiometabolic diseases. Although inflation-adjusted inpatient costs generally increased over time, compared with the non-obese group, living with obesity was not a significant predictor of differences in cardiometabolic-related resource use (0.972 [95% CI: 0.926–1.021]). Being female and rural residence were found to be protective factors. Conclusions Obesity was not found in this study to be independently linked to higher cardiometabolic hospitalization costs, suggesting that actions to mitigate disease progression in the population may be more beneficial than simply promoting weight loss. Results amplified the need to consider gender and urbanization when formulating which levers are most amenable to adoption of healthy lifestyles to reduce impacts of obesogenic environments to the healthcare system.

show abstract

Childbirth-Related Hospital Burden by Socioeconomic Status in a Universal Health Care Setting

Cited by 2 publications

References 25 publications

Characterizing social and policy determinants of hospital length of stay among paediatric inpatients with diabetes using linked population-based data

Characterizing social and policy determinants of hospital length of stay among paediatric inpatients with diabetes using linked population-based data

Beyond weight: examining the association of obesity with cardiometabolic related inpatient costs among Canadian adults using linked population based survey and hospital administrative data

Contact Info

Product

Resources

About