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- Title
Solid-Organ Transplantation and the Affordable Care Act: Accessibility and Outcomes.
- Authors
TRIVEDI, JAIMIN R.; ISING, MICKEY; FOX, MATTHEW P.; CANNON, ROBERT M.; VAN BERKEL, VICTOR H.; SLAUGHTER, MARK S.
- Abstract
The objective of the study is to evaluate the impact of the Affordable Care Act (ACA) on accessibility to solid organ transplant and outcomes. Data source registry: United Network of Organ Sharing database. Patients aged ≥18 years listed for kidney, liver, heart, and lung transplant between years 2010 and 2016 were classified by insurance and status of Medicaid adoption under ACA to evaluate insurance distribution. Between 2010 and 2016, states that adopted Medicaid had 2 to 4 per cent point increase in the proportion of patients listed with Medicaid across all organs. One-year waiting list survival of Medicaid patients was better in the ACA era. States that expanded Medicaid under the ACA had a significant increase in the proportion of patients listed with Medicaid and better one-year waiting list survival.
- Subjects
UNITED States; INSURANCE statistics; MEDICAID statistics; DATABASES; HEALTH services accessibility; HEALTH outcome assessment; SURVIVAL analysis (Biometry); TRANSPLANTATION of organs, tissues, etc.; ACQUISITION of data; PATIENT Protection &; Affordable Care Act
- Publication
American Surgeon, 2018, Vol 84, Issue 12, p1894
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/000313481808401234