´óÏóÊÓƵ

U.S. flag

SHARE:

FacebookXEmail AHRQPrint

Search All Research Studies

 

´óÏóÊÓƵResearch Studies Date

Topics

´óÏóÊÓƵResearch Studies

Sign up:

Research Studies is a compilation of published research articles funded by ´óÏóÊÓƵor authored by ´óÏóÊÓƵresearchers.

Results

1 to 8 of 8 Research Studies Displayed
Clark NM, Hernandez AH, Knowlton LM
Pre- and postinjury financial hardship among trauma survivors: a national survey study.
The purpose of this study was to investigate financial hardship before and after injury among trauma survivors using national data. Researchers analyzed the 2014-2021 Medical Expenditure Panel Survey, comparing injured adults (18-64 years old) to matched uninjured controls. The study included a weighted sample representing over 79 million injured patients. Results showed that injured patients experienced an 8.2 percentage point increase in financial hardship (a 23% relative increase), with 40.6% reporting financial hardship post-injury. These patients also experienced a 4.5 percentage point increase in poor health status. Further analysis revealed that injured patients who reported difficulty with medical bills were more likely to delay care due to costs, and those who delayed care were more likely to report poor health outcomes.
No mention of funding in article. Disclosure form mentions ´óÏóÊÓƵwith grant number - "support for the present manuscript."
Citation: Clark NM, Hernandez AH, Knowlton LM . Pre- and postinjury financial hardship among trauma survivors: a national survey study. J Trauma Acute Care Surg 2025 May; 98(5):720-28. doi: 10.1097/ta.0000000000004545.
Keywords: Healthcare Costs, Trauma, Injuries and Wounds
Selden TM, Bernard DM, Decker SL
´óÏóÊÓƵAuthor: Selden TM, Bernard DM, Decker SL, Fang Z
Adverse childhood experiences: health care utilization and expenditures in adulthood.
This study investigated the association between adverse childhood experiences (ACEs) and adult health care utilization and expenditures using data from the 2021 Medical Expenditure Panel Survey. Adults with ACEs showed significantly higher health care utilization and 26.3% higher expenditures compared to those without ACEs. The aggregate spending difference amounted to $292 billion for the 157.6 million U.S. adults with ACEs. Additionally, ACEs were linked to poorer health status, risky health behaviors, and various adverse adult circumstances, including financial and housing issues.
AHRQ-authored.
Citation: Selden TM, Bernard DM, Decker SL . Adverse childhood experiences: health care utilization and expenditures in adulthood. Health Aff 2024 Jul 24; 43(8):1117-27. doi: 10.1377/hlthaff.2023.01271..
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Trauma, Healthcare Utilization, Healthcare Costs
Ilkhani S, Naus AE, Pinkes N
The invisible scars: unseen financial complications worsen every aspect of long-term health in trauma survivors.
This study investigated financial toxicity (FT) among trauma survivors, aiming to understand its prevalence, risk factors, and impact on long-term outcomes. The researchers interviewed adult trauma patients with an Injury Severity Score of 9 or higher from Level I trauma centers, 6 to 14 months after discharge. FT was defined as experiencing income loss, lack of care, newly applied or qualified governmental assistance, new financial problems, or work loss due to injury. The study found that 44% of the 577 participants experienced some form of FT. Protective factors against FT included older age and stronger social support networks. Conversely, having two or more comorbidities, lower education levels, and injuries from road accidents or intentional causes were associated with higher FT risk. Notably, injury severity, sex, and single-family household status did not show significant relationships with FT. Patients experiencing FT demonstrated worse outcomes across all health domains measured by the Patient Reported Outcome Measure Index System (PROMIS). A negative linear relationship was observed between FT severity and both mental and physical health scores.
AHRQ-funded; HS028672.
Citation: Ilkhani S, Naus AE, Pinkes N . The invisible scars: unseen financial complications worsen every aspect of long-term health in trauma survivors. J Trauma Acute Care Surg 2024 Jun; 96(6):893-900. doi: 10.1097/ta.0000000000004247..
Keywords: Trauma, Healthcare Costs, Health Status, Injuries and Wounds
Scott JW, Knowlton LM, Murphy P
Financial toxicity after trauma and acute care surgery: from understanding to action.
The negative impact of major injuries and surgical emergencies on patients’ long-term financial wellbeing is a factor that is often overlooked by clinicians and researchers. The concept of financial toxicity includes the objective financial repercussions of illness and medical care and also subjective financial concerns of patients. The purpose of this review was to 1) provide a conceptual overview of financial toxicity after trauma or emergency surgery, 2) outline what is known about the long-term economic outcomes among trauma and emergency surgery patients, 3) examine the relationship between financial toxicity and long-term physical and mental health outcomes, 4) describe policies and programs that may mitigate financial toxicity, and 5) identify the current knowledge gaps and urgent next steps for clinicians and researchers engaged in this area of work.
AHRQ-funded; HS028672.
Citation: Scott JW, Knowlton LM, Murphy P . Financial toxicity after trauma and acute care surgery: from understanding to action. J Trauma Acute Care Surg 2023 Nov 1; 95(5):800-05. doi: 10.1097/ta.0000000000003979..
Keywords: Healthcare Costs, Trauma, Surgery
Scott JW, Scott KW, Moniz M
Financial outcomes after traumatic injury among working-age US adults with commercial insurance.
This cross-sectional study linked insurance claims and consumer credit report data to evaluate the experience of financial distress in commercially insured adults after traumatic injury. Data from Blue Cross Blue Shield of Michigan’s preferred provider organization insurance claims from 2019 through 2021 were included. The authors identified working-age adults aged 21 to 64 whose January 2021 credit reports occurred more than 6 months after hospital admission for traumatic injury. This cohort of 3164 adults was compared demographically to 2223 patients in the comparison cohort. Relative to the comparison cohort, the post injury cohort had a 23% higher likelihood of having medical debt in collections, a 70% higher amount of medical debt in collections, and a 110% higher bankruptcy rate. For many commercially insured patients, the burden of out-of-pocket costs after hospitalization exceeded their ability to pay and could be associated with bankruptcy risk.
AHRQ-funded; HS028672; HS025465; HS028817.
Citation: Scott JW, Scott KW, Moniz M . Financial outcomes after traumatic injury among working-age US adults with commercial insurance. JAMA Health Forum 2022 Nov;3(11):e224105. doi: 10.1001/jamahealthforum.2022.4105..
Keywords: Trauma, Healthcare Costs, Health Insurance
Maughan BC, Lin A, Caughey AB
Field trauma triage among older adults: a cost-effectiveness analysis.
The authors evaluated the cost-effectiveness of a high-sensitivity triage strategy for older adults. They used a microsimulation model with a retrospective cohort of community-dwelling Medicare beneficiaries transported by emergency medical services after an acute injury. They found that high-sensitivity trauma field triage is not cost-effective among older adults.
AHRQ-funded; HS023796.
Citation: Maughan BC, Lin A, Caughey AB . Field trauma triage among older adults: a cost-effectiveness analysis. J Am Coll Surg 2022 Feb 1;234(2):139-54. doi: 10.1097/xcs.0000000000000025..
Keywords: Elderly, Trauma, Healthcare Costs
Williams CN, Piantino J, McEvoy C
The burden of pediatric neurocritical care in the United States.
This article attempts to quantify the burden of pediatric neurocritical care (PNCC) by developing national estimates of disease incidence, evaluating use of critical care interventions (CCI), and examining hospital outcomes. The Kids Inpatient Database (KID) was analyzed to evaluate cohorts with the following conditions: traumatic brain injury, neuro-infection, or inflammatory diseases; status epilepticus; stroke; hypoxic ischemic injury after cardiac arrest; or spinal cord injury.
AHRQ-funded; HS022981.
Citation: Williams CN, Piantino J, McEvoy C . The burden of pediatric neurocritical care in the United States. Pediatr Neurol 2018 Dec;89:31-38. doi: 10.1016/j.pediatrneurol.2018.07.013..
Keywords: Children/Adolescents, Critical Care, Healthcare Costs, Healthcare Cost and Utilization Project (HCUP), Neurological Disorders, Stroke, Trauma
Newgard CD, Lowe RA
Cost savings in trauma systems: The devil's in the details.
The authors comment on an article in the same issue of Annals by Zocchi et al. They argue that it makes an important contribution to trauma research and health policy by addressing the question: Can we potentially save money in trauma systems without compromising outcomes by redirecting patients with minor to moderate injuries away from major trauma centers?
AHRQ-funded; HS023796.
Citation: Newgard CD, Lowe RA . Cost savings in trauma systems: The devil's in the details. Ann Emerg Med 2016 Jan;67(1):68-70. doi: 10.1016/j.annemergmed.2015.06.025..
Keywords: Healthcare Costs, Trauma, Mortality, Care Coordination, Injuries and Wounds

Related Content

Research Findings & Reports