2021
In defense of Direct Care: Limiting access to military hospitals could worsen quality and safety
Zogg CK, Lichtman JH, Dalton MK, Learn PA, Schoenfeld AJ, Koehlmoos T, Weissman JS, Cooper Z. In defense of Direct Care: Limiting access to military hospitals could worsen quality and safety. Health Services Research 2021, 57: 723-733. PMID: 34608642, PMCID: PMC9264466, DOI: 10.1111/1475-6773.13885.Peer-Reviewed Original ResearchMeSH KeywordsAdultHospital MortalityHospitals, MilitaryHumansMilitary PersonnelPatient SafetyRetrospective StudiesUnited StatesConceptsMilitary treatment facilitiesMHS beneficiariesMilitary Health SystemCivilian hospitalsMHS patientsDirect carePatient safetyHealth care reformUS Military Health SystemNationwide Readmissions DatabasePatient safety indicatorsHealth policy planningInpatient Quality IndicatorsLocal civilian hospitalsCare reformEvidence-based evaluationHospital mortalityHospital morbidityAdult patientsAdverse eventsRetrospective cohortAdult admissionsNational inpatientInpatient claimsWorse outcomes
2016
Insurance status is associated with complex presentation among emergency general surgery patients
Scott JW, Havens JM, Wolf LL, Zogg CK, Rose JA, Salim A, Haider AH. Insurance status is associated with complex presentation among emergency general surgery patients. Surgery 2016, 161: 320-328. PMID: 27712875, DOI: 10.1016/j.surg.2016.08.038.Peer-Reviewed Original ResearchMeSH KeywordsAdultDatabases, FactualEmergency Service, HospitalEmergency TreatmentFemaleGeneral SurgeryHealth Services AccessibilityHumansInsurance CoverageLogistic ModelsMaleMedically UninsuredMiddle AgedOdds RatioOutcome Assessment, Health CarePatient Protection and Affordable Care ActPatient SafetyRetrospective StudiesRisk AssessmentSocioeconomic FactorsUnited StatesYoung AdultConceptsInsurance statusComplex presentationSurgical presentationUninsured patientsEmergency general surgical careEmergency general surgical conditionsEmergency general surgical patientsEmergency general surgery patientsNational Emergency Department SampleHospital-level covariatesOverall uninsured rateUninsured payer statusGeneral surgery patientsGeneral surgical patientsGeneral surgical conditionsIntra-abdominal abscessMultivariable logistic regressionEmergency Department SampleDisease-specific measuresSeverity of diseaseLack of insuranceGeneral surgical careIntestinal gangreneBowel obstructionGeneralized peritonitis