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Role of health insurance on the survival of infants with congenital heart defects

Author

Listed:
  • Kucik, J.E.
  • Cassell, C.H.
  • Alverson, C.J.
  • Donohue, P.
  • Tanner, J.P.
  • Minkovitz, C.S.
  • Correia, J.
  • Burke, T.
  • Kirby, R.S.

Abstract

Objectives. We examined the association between health insurance and survival of infants with congenital heart defects (CHDs), and whether medical insurance type contributed to racial/ethnic disparities in survival. Methods. We conducted a population-based, retrospective study on a cohort of Florida resident infants born with CHDs between 1998 and 2007. We estimated neonatal, post-neonatal, and infant survival probabilities and adjusted hazard ratios (AHRs) for individual characteristics. Results. Uninsured infants with critical CHDs had 3 times the mortality risk (AHR = 3.0; 95% confidence interval = 1.3, 6.9) than that in privately insured infants. Publicly insured infants had a 30% reduced mortality risk than that of privately insured infants during the neonatal period, but had a 30% increased risk in the post-neonatal period. Adjusting for insurance type reduced the Black- White disparity in mortality risk by 50%. Conclusions. Racial/ethnic disparities in survival were attenuated significantly, but not eliminated, by adjusting for payer status.

Suggested Citation

  • Kucik, J.E. & Cassell, C.H. & Alverson, C.J. & Donohue, P. & Tanner, J.P. & Minkovitz, C.S. & Correia, J. & Burke, T. & Kirby, R.S., 2014. "Role of health insurance on the survival of infants with congenital heart defects," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 62-70.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.301969_0
    DOI: 10.2105/AJPH.2014.301969
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