Review of Article
Crandall, et al. (2011). Lower extremity vascular injuries: Increased mortality for
minorities and the uninsured? Surgery .Volume 150, Issue 4, October 2011, Pages
Based on this research article, there is no doubt about the need to reform the American health care system which at the moment is in tartars. Much of the debate on this health issue relates to concepts of quality, equality, concession to health care, and the amount of funds spent by the federal government in providing quality and effective health care (Crandall, et al, 2011). This study was conducted to confirm and resolve the increasing racial disparities in the outcome for trauma, more specifically among the minorities and the uninsured. The study was also conducted to completely understand the mechanisms for these disparities and ways in which such health issue could be alleviated once and for all. This problem is very important for health care administrators to study, because it helps identify the reasons and solutions for increased mortality disparities in patients with Penetrating Lower Extremity Vascular Injury. The problem provides health administrator with basis for formulating polices relating to solutions to the issue of discrimination in relation to health care provision among the minorities and the uninsured (Amit, et al, 2008).
The main purpose of this research study was mainly to investigate and understand reasons why there are mortality disparities among the Medicaid patients, people of color, and the uninsured. The research question for this study was whether patients with heterogeneity of injury, problems with measurements of injuries, and lack of consistent care results from potential disparities in trauma outcomes, more specifically to the issue of Lower Extremity Vascular Injuries (Balau, 2002). The research study also tried to investigate and answer the question: what are the reasons why race and insurance status affect trauma outcomes? The hypothesis for this research study was that issues of mortality rate disparities could be clarified via injury heterogeneity resulting from race and socioeconomic status. The dependent variable in this study was the trauma outcomes, while the Independent study variables were the patients’ socioeconomic status and race.
The theoretical framework for this study is very clear in most aspects. The authors’ arguments on influence of socioeconomic status and race on trauma outcomes presents a major connection with the topic under study. Moreover, the framework is based on substantive arguments to develop a conceptual model to describe the relationship between trauma outcomes and health disparities in terms of race and socioeconomic status, more specifically the insurance coverage. Most importantly, the article identifies, defines and links factors and concepts of lack of insurance coverage and issue of minorities, with trauma outcomes in the study and the control groups (Balau, 2002). Despite the clear relationship between trauma outcomes, and socioeconomic status and race, the arguments presented on such outcomes are not sufficient enough and lacks substantive support. The authors fail to substantiate how such issue alone affects trauma outcomes. Medicine incorporates strategies that assist patients to manage their conditions or recuperate in care settings; therefore, this research finding has implications to medical practice with regard to improving health outcomes of minorities and uninsured (Amit, et al, 2008).
In reference to literature review, this research study reviews pertinent literature on relevant literature on health disparity and its causes, and the influence of such disparities on health outcomes (in this case being the trauma outcomes).The study relied on literature and data from national and international health organizations such as the National Trauma Data Bank version 7.0 of the American College of Surgeons, as well as previous studies on influence of race and insurance coverage disparity on health outcomes (Crandall, et al, 2011). The literature review identifies that majority of American are incapable of affording the high cost of health insurance coverage. The article regard that in every financial year many individuals spends large amount of money on healthcare ,and the number of individuals lacking quality health care is increasing despite of the large sums of money provided by the federal government as subsidies. In a nutshell, the literature review support the need for this study by linking the topic under study with other previously conducted studies in matters of increased racial disparities in relation to expected treatment outcomes. It affirms that the minorities and the uninsured suffer increased mortality rates compared to their richer colleagues restraining provision of quality medical care.
In this research study, the research design comprised of a blue print which assisted in data collection, analysis and measurement of data. Descriptive research design was adopted for this study because raw data was used. The study relied on data from the National Trauma Data Bank (NTDB; version 7.0, American College of Surgeons) and consisted of 4928 participating patients with lower extremity vascular injuries (Crandall, et al, 2011). The research participants (individuals with lower extremity vascular injuries) were recognized via use of codes obtained from the International Classification of Diseases, 9th Revision. In terms of data analysis, Stata software (version 11) was used, and the concept of variability was classified to reflect how "spread out" a group of scores was using the regression technique (Balau, 2002).
In terms of results findings, this research study concluded that injury heterogeneity in one way or another explains reason why there are mortality disparities between different socioeconomic and racial groups (Crandall, et al, 2011).
Amit, P., et al. (2008) .Association of medical noncompliance and long-term adverse outcomes in a minority and uninsured population. Translational Research .Volume 154, Issue 2, August 2009, Pages 78–89
Balau, M. (2002). Quality Assurance Policies & Procedures for Ambulatory Health Care Boston. Jones & Bartlett Learning.
Crandall, M., et al. (2011). Lower extremity vascular injuries: Increased mortality for minorities
and the uninsured? Surgery .Volume 150, Issue 4, October 2011, Pages 656–664