Disparities in Post-Acute Stroke Care Depend on Insurance Status
By Elana Gotkine HealthDay Reporter
WEDNESDAY, July 17, 2024 -- Insurance-dependent racial and ethnic disparities and regional variations are seen in post-acute service utilization after stroke, according to a study published online July 17 in Neurology: Clinical Practice.
Shumei Man, M.D., Ph.D., from the Neurological Institute at the Cleveland Clinic, and colleagues conducted a retrospective cross-sectional study involving patients hospitalized for ischemic stroke and intracerebral hemorrhage in 2017 to 2018 using the National Inpatient Sample. Data were included for 1,000,980 weighted ischemic stroke admissions.
The researchers found that uninsured patients had the lowest adjusted odds of facility over home discharge and home health care (HHC) discharge over home without HHC (odds ratios, 0.44 and 0.79, respectively) compared with patients with private insurance. Only Hispanic patients with Medicare/Medicaid insurance or self-pay had lower odds of facility over home discharge compared with White patients (adjusted odds ratios, 0.80 and 0.75, respectively). Lower odds of HHC discharge over home without HHC discharge were seen for uninsured Hispanic patients versus White patients (adjusted odds ratio, 0.74). The HHC discharge rate was highest in the East North Central region and lowest in the Pacific region (39.2 and 31.2 percent, respectively). The HHC discharge rate was highest in New England and lowest in the West North Central region (20.2 and 10.3 percent, respectively).
"These findings indicate that targeted efforts are needed to improve access to care after stroke for people without insurance, especially Hispanic people, as well as those in specific regions to ensure optimal recovery and successful community transition for all people across the country," Man said in a statement.
One author disclosed ties to the pharmaceutical industry.
Abstract/Full Text (subscription or payment may be required)
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2025 HealthDay. All rights reserved.
Posted July 2024
Read this next
Consistent Physical Activity Linked to Reduced All-Cause, CVD Mortality
FRIDAY, July 11, 2025 -- Consistently and increasingly accumulated physical activity (PA) is associated with a reduced risk for all-cause and cardiovascular disease (CVD)...
Increased Liver Enzyme Levels Seen With Use of Cannabidiol in Adults
THURSDAY, July 10, 2025 -- Use of cannabidiol (CBD) within the range consumers are taking with unregulated CBD products is associated with increased liver enzyme levels, according...
Majority of Patients With Lyme Disease Do Not Follow Up With Clinician
THURSDAY, July 10, 2025 -- Only 34 percent of patients with erythema migrans >5 cm are positive for Lyme disease by a standard two-tier testing (STTT) algorithm, and of...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.