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Are Race, Age, Gender, and Insurance Status Determinants in Interhospital Helicopter Transport Time and Frequency?

Published online by Cambridge University Press:  28 June 2012

Brendan R. Furlong ,
Michael B. Heller  and
Thomas E. Auble
Brendan R. Furlong*
Affiliation:
Carolinas Medical Center, Charlotte, N.C.
Michael B. Heller
Affiliation:
University of Pittsburgh School of Medicineand the Center for Emergency Medicine of Western Pennsylvania.
Thomas E. Auble
Affiliation:
University of Pittsburgh School of Medicineand the Center for Emergency Medicine of Western Pennsylvania.
*
3910-L Kingsgate Place, Charlotte, NC 28211USA
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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/Participants:

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 <O1), and (2588 ± 4041 min. versus 640 ± 1301 min., respectively) for insured versus uninsured patients (p <.O1). 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 <.O5).

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.

Keywords

ageair medicaldemographicsgenderhelicopterinsurance statuspatient transportpediatricsracetimes-to-transportutilization
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 8 , Issue 4 , December 1993 , pp. 311 - 315
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1993

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References

1. Association of Air Medical Services: Position Paper on the Appropriate Use of Emergency Air Medical Services. 1 July 1990.CrossRefGoogle Scholar
2. Garrison, HG, Benson, NH, Whitley, TW: Helicopter use by rural emergency departments to transfer trauma victims: A study of time-to-request intervals. Am J Emerg Med 1989;7:384–386.CrossRefGoogle ScholarPubMed
3. Francis, CK, Dustan, HP, Haywood, LJ et al. : Twenty-third Bethesda Conference: Access to cardiovascular care. Task Force 1: Scope of the problem. J Am Coll Cardiol 1992;19:1449–60.CrossRefGoogle Scholar
4. Kasiske, BL, Neyian, JF 3d, Riggio, RR et al. : The effect of race on access and outcome in transplantation. N Engl J Med 1991;324:302–307.CrossRefGoogle ScholarPubMed
5. Jacobs, LM, Schwartz, RJ, Jacobs, BB et al. : A three-year report of the medical helicopter transportation system of Connecticut. Connecticut Medicine 1989;531:703–710.Google Scholar
6. Rhee, KJ, O'Malley, RJ, Turner, JE et al. : Does a helicopter service stimulate financially motivated transfers? Western J Med 1987;147:487–488.Google ScholarPubMed
7. La Puma, J, Balskus, M: When an indigent patient needs a helicopter: A case report and an accepted institutional policy. J Emerg Med 1988;6:147–149.CrossRefGoogle Scholar