Are race, age, gender, and insurance status determinants in interhospital helicopter transport time and frequency?

Abstract:

OBJECTIVE:To examine the effects of age, race, gender, and insurance status on utilization and times-to-transport (TTT) for interhospital air medical transfers from rural hospitals to tertiary care centers. DESIGN:A retrospective review of interhospital transport records. The TTT was examined as a function of age, gender, race, and insurance status using the Student's t-test for unpaired samples. The Exact Binomial Test (alpha error at 0.05) was used to compare the observed versus expected transport rates for non-whites. SETTING/PARTITIPANTS: A total of 268 patient transfers from hospitals within a two-county region in central Pennsylvania to tertiary care centers was analyzed. All records with sufficient demographic, TTT, or insurance data were included. Absence of data was the only exclusion. RESULTS:The TTT (mean +/-SD) was longer (2666 +/-3940 minutes (min.) versus 619 +/-909 min., respectively) for adult than pediatric patients (p less than .01), and (2588 +/-4041 min. versus 640 +/-1301 min., respectively) for insured versus uninsured patients (p less than .01). The observed proportion of non-whites transported was less than expected (.41% versus 2.1%) based on the proportion of non-whites in the region (p less than .05). CONCLUSION:The TTT was longer for adults than for children and for the insured than the uninsured. Non-whites were transported less frequently than predicted.

journal_name

Prehosp Disaster Med

authors

Furlong BR,Heller MB,Auble TE

doi

10.1017/s1049023x00040565

keywords:

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

311-5

issue

4

eissn

1049-023X

issn

1945-1938

journal_volume

8

pub_type

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