Jürgen Menze | Pompeu Fabra University (original) (raw)
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The International Labour Organization (ILO) has been promoting equal rights of people with disabi... more The International Labour Organization (ILO) has been promoting equal rights of people with disabilities in the world of work for nearly a century. Currently guided by the ILO Disability Inclusion Strategy 2014-17, the organization focuses on promoting international standards for persons with disabilities, creating enabling legislative and policy environments, increasing the employability of people with disabilities and opening up employment opportunities in the private and public sector. In all these areas, the ILO adopts a twin-track approach that provides both for the inclusion of disability issues in mainstream policies and programmes as well as for measures that specifically target people with disabilities. The work of the ILO is part of the support provided to an increasing number of policies and practices in developing countries which need to be comprehensive and break down barriers in all work-related areas to promote decent work for people with disabilities effectively.
Background – Lack of health insurance and minority race are independent risk factors for poorer h... more Background – Lack of health insurance and minority race are independent risk factors for poorer health outcomes in the United States. The present study seeks to identify insurance status and racial disparities in in-hospital mortality as well as in leave against medical advice and hospital admission through the emergency department.
Methods – 40,477 racially diverse patients above the age of 14 with private or no health insurance discharged from US hospitals in 2010 formed the sample of the analysis. A multivariate logistic regression model controlling for age and sex was employed for all three outcomes.
Results – After adjustment for age and sex, an inpatient’s status as uninsured and non-white race are positively associated with both in-hospital mortality and admission via the emergency department. While lack of health insurance furthermore strongly increases the likelihood of discharge against medical advice, no correlation of minority race is found in this regard.
Conclusions – Lack of health insurance is a more powerful predictor of in-hospital mortality, leave against medical advice and hospital admission through the emergency department than non-white race. Health insurance coverage in the United States should be substantially expanded and correspondingly, the country’s current health care reform appears to be a promising approach.
The International Labour Organization (ILO) has been promoting equal rights of people with disabi... more The International Labour Organization (ILO) has been promoting equal rights of people with disabilities in the world of work for nearly a century. Currently guided by the ILO Disability Inclusion Strategy 2014-17, the organization focuses on promoting international standards for persons with disabilities, creating enabling legislative and policy environments, increasing the employability of people with disabilities and opening up employment opportunities in the private and public sector. In all these areas, the ILO adopts a twin-track approach that provides both for the inclusion of disability issues in mainstream policies and programmes as well as for measures that specifically target people with disabilities. The work of the ILO is part of the support provided to an increasing number of policies and practices in developing countries which need to be comprehensive and break down barriers in all work-related areas to promote decent work for people with disabilities effectively.
Background – Lack of health insurance and minority race are independent risk factors for poorer h... more Background – Lack of health insurance and minority race are independent risk factors for poorer health outcomes in the United States. The present study seeks to identify insurance status and racial disparities in in-hospital mortality as well as in leave against medical advice and hospital admission through the emergency department.
Methods – 40,477 racially diverse patients above the age of 14 with private or no health insurance discharged from US hospitals in 2010 formed the sample of the analysis. A multivariate logistic regression model controlling for age and sex was employed for all three outcomes.
Results – After adjustment for age and sex, an inpatient’s status as uninsured and non-white race are positively associated with both in-hospital mortality and admission via the emergency department. While lack of health insurance furthermore strongly increases the likelihood of discharge against medical advice, no correlation of minority race is found in this regard.
Conclusions – Lack of health insurance is a more powerful predictor of in-hospital mortality, leave against medical advice and hospital admission through the emergency department than non-white race. Health insurance coverage in the United States should be substantially expanded and correspondingly, the country’s current health care reform appears to be a promising approach.