研究:未保险的外伤病人比投保的更容易死亡
文章来源:未知 文章作者:meng 发布时间:2010-06-14 06:09 字体: [ ]  进入论坛
(单词翻译:双击或拖选)

Trauma1(外伤,创伤) patients without insurance are more likely to die of their injuries from auto2 accidents and gunshot wounds than privately3 insured patients with similar injuries, according to findings of an analysis of 193,804 patients from 649 facilities conducted by University Buffalo4 emergency medicine physicians. In addition, the authors found that Medicaid patients who were injured in motor vehicle accidents had a lower death rate than those with private insurance, indicating that factors other than the level of financial remuneration(报酬,赔偿) for medical services are influencing trauma outcomes.

Patients covered by any of the insurance plans studied -- Medicaid, Medicare, private and managed care organizations such as HMOs -- had better mortality rates for all injuries than persons without insurance, the analysis showed.

Results of the study were presented June 4 at the 2010 Society for Academic Emergency Medicine Annual Meeting in Phoenix5, Ariz.

Dietrich Jehle, MD, UB professor of emergency medicine and first author on the study, says these findings suggest that the causes of this difference are many and probably are not based just on quality of care.

"Generally we don't know a trauma patient's insurance status when we treat them initially6 in the emergency department, which makes us ask if there are differences in these populations other than the delivery of care," says Jehle. "This finding was a little surprising.

"Both race and insurance status are independent predictors(预报器) of mortality rates for trauma outcomes, and of the two, insurance status, specifically lack of coverage7, is the most significant," he continues. "This is not unexpected, since uninsured adult patients in general have a 25 percent greater morality rate than insured adults for all medical conditions."

Lack of insurance could influence mortality in a number of ways, notes Jehle. With no way to pay for care, persons may delay getting treatment. Those without insurance frequently are from ethnic8 groups who face language or literacy problems, and may be afraid to go to a hospital.

Other factors could include differences in risk-taking behaviors. Studies have shown a relationship between not wearing seat belts and lack of health insurance, and that the uninsured are likely to drive older, less safe vehicles.

In addition, says Jehle, people without insurance have poorer health status in general, which would lessen9 their ability to survive a traumatic injury, and they often are treated differently. "Research shows that, for other than trauma injuries, the uninsured may actually receive less aggressive treatment and fewer diagnostic procedures," he says.

Universal health coverage could change these statistics, Jehle says. "For instance, there would be no need for patients to delay treatment with universal health coverage, and such coverage could improve the overall health status of injury victims and increase their survival rates."

The study data was extracted from the National Trauma Data Bank for 2001-05. The researchers concentrated on patients between the ages of 18 and 30 to eliminate those more likely to have chronic10(慢性的,长期的) health conditions, leaving 191,666 patients in the analysis with complete data, including 150,332 blunt(钝的,生硬的) trauma patients and 41,334 penetrating11 trauma patients.

Blunt trauma patients were most commonly in motor vehicle accidents, with smaller subgroups(亚组) of patients with falls or assaults. The penetrating trauma patients included all gunshot wounds, plus small subgroups of injuries from stabbings(刺穿的,尖利的) .

"If health care reform progresses," says Di



点击收听单词发音收听单词发音  

1 trauma TJIzJ     
n.外伤,精神创伤
参考例句:
  • Counselling is helping him work through this trauma.心理辅导正帮助他面对痛苦。
  • The phobia may have its root in a childhood trauma.恐惧症可能源于童年时期的创伤。
2 auto ZOnyW     
n.(=automobile)(口语)汽车
参考例句:
  • Don't park your auto here.别把你的汽车停在这儿。
  • The auto industry has brought many people to Detroit.汽车工业把许多人吸引到了底特律。
3 privately IkpzwT     
adv.以私人的身份,悄悄地,私下地
参考例句:
  • Some ministers admit privately that unemployment could continue to rise.一些部长私下承认失业率可能继续升高。
  • The man privately admits that his motive is profits.那人私下承认他的动机是为了牟利。
4 buffalo 1Sby4     
n.(北美)野牛;(亚洲)水牛
参考例句:
  • Asian buffalo isn't as wild as that of America's. 亚洲水牛比美洲水牛温顺些。
  • The boots are made of buffalo hide. 这双靴子是由水牛皮制成的。
5 phoenix 7Njxf     
n.凤凰,长生(不死)鸟;引申为重生
参考例句:
  • The airline rose like a phoenix from the ashes.这家航空公司又起死回生了。
  • The phoenix worship of China is fetish worship not totem adoration.中国凤崇拜是灵物崇拜而非图腾崇拜。
6 initially 273xZ     
adv.最初,开始
参考例句:
  • The ban was initially opposed by the US.这一禁令首先遭到美国的反对。
  • Feathers initially developed from insect scales.羽毛最初由昆虫的翅瓣演化而来。
7 coverage nvwz7v     
n.报导,保险范围,保险额,范围,覆盖
参考例句:
  • There's little coverage of foreign news in the newspaper.报纸上几乎没有国外新闻报道。
  • This is an insurance policy with extensive coverage.这是一项承保范围广泛的保险。
8 ethnic jiAz3     
adj.人种的,种族的,异教徒的
参考例句:
  • This music would sound more ethnic if you played it in steel drums.如果你用钢鼓演奏,这首乐曲将更具民族特色。
  • The plan is likely only to aggravate ethnic frictions.这一方案很有可能只会加剧种族冲突。
9 lessen 01gx4     
vt.减少,减轻;缩小
参考例句:
  • Regular exercise can help to lessen the pain.经常运动有助于减轻痛感。
  • They've made great effort to lessen the noise of planes.他们尽力减小飞机的噪音。
10 chronic BO9zl     
adj.(疾病)长期未愈的,慢性的;极坏的
参考例句:
  • Famine differs from chronic malnutrition.饥荒不同于慢性营养不良。
  • Chronic poisoning may lead to death from inanition.慢性中毒也可能由虚弱导致死亡。
11 penetrating ImTzZS     
adj.(声音)响亮的,尖锐的adj.(气味)刺激的adj.(思想)敏锐的,有洞察力的
参考例句:
  • He had an extraordinarily penetrating gaze. 他的目光有股异乎寻常的洞察力。
  • He examined the man with a penetrating gaze. 他以锐利的目光仔细观察了那个人。
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