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Last On: 4:04AM, 22 Nov 09
Chris Carlson, PhD
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  • San Diego, CA
  • United States
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Study: Uninsured Trauma Patients More Likely to Die than the Insured

The full text of the study can be found at http://archsurg.ama-assn.org/cgi/content/short/144 Thanks to Tim Erskine for posting this earlier.

Tagged: Care, Health, insurance, Health, Trauma

Replied Nov 18

Study: Uninsured Trauma Patients More Likely to Die than the Insured
10 Replies

Haven't read it - don't know the science, the limitations, or the level of significance - but AP is running with this. FYI "Uninsured patients with traumatic injuries, such as car crashes, falls a...

Tagged: Care, Health, insurance, Health, Trauma

Started this discussion. Last reply by Chris Carlson, PhD Nov 18.

 

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Chris Carlson, PhD added a blog post
Back in the day – I had the opportunity to do a fellowship that took me to the Ames Research Center of NASA. There, tucked in a small corner office, off of a typically bureaucratic hall was the cluttered office of an aging gentle man, who toiled i...
yesterday
The full text of the study can be found at http://archsurg.ama-assn.org/cgi/content/short/144/11/1006?home. Thanks to Tim Erskine for posting this earlier.
on Wednesday
I would be interested in seeing the acutal data collected...someow there must be some other fators. I know for sure in the ER we do not even usually know what insurance the patient has, or even IF they have insurance. Second, I wonder if the type ...
on Wednesday
This group is for the exchange of ideas regarding the training and education of EMS managers.
on Wednesday
I believe that emergency care should be free to all who want it, but then I'm not responsible for finding the money needed to pay for it. Politically, trauma situations and the long term care thereafter are expensive and it can be said that most ...
on Tuesday
I guess what I'm asking is why should you have to have insurance to receive trauma care? The need for research like this exists because someone keeps trying to turn healthcare into a business. (even if so many corporates are against health care f...
on Tuesday
Having made it through the article (thanks Tim for putting up the link), their argument is based on the uninsured having concurrent uncontrolled/untreated medical conditions that would play a part in survivability/recovery from major trauma. More ...
on Tuesday
Well... EVERYONE knows that the most important hospital test is the wallet biopsy. A negative wallet biopsy is a contraindication for most procedures. /sarcasm
on Tuesday
Can some braniac explain to me why your care as a trauma patient should depend on insurance in the first place? (I'm sorry, yahoo isn't a trusted source for me to read so excuse my hesitation in spending time with the full article )
on Tuesday
on Tuesday
For everyone involved in EMS research projects
on Tuesday
A discussion started by Chris Carlson, PhD was featured
Haven't read it - don't know the science, the limitations, or the level of significance - but AP is running with this. FYI "Uninsured patients with traumatic injuries, such as car crashes, falls and gunshot wounds, were almost twice as likely to ...
on Tuesday
The AMA is providing free, full-text copies of the article at http://archsurg.ama-assn.org/cgi/content/short/144/11/1006?home
on Tuesday
The researchers couldn't pin down the reasons behind the differences they found. The uninsured might experience more delays being transferred from hospital to hospital. Or they might get different care. Or they could have more trouble communicatin...
on Tuesday
Without reading it, either, I'll lead this off. Correlation!=causation?
on Tuesday
Chris Carlson, PhD added a discussion
Haven't read it - don't know the science, the limitations, or the level of significance - but AP is running with this. FYI "Uninsured patients with traumatic injuries, such as car crashes, falls and gunshot wounds, were almost twice as likely to ...
on Tuesday

Profile Information

Role in EMS
Civilian
Primary Agency/Department Type
None
Primary Department/Agency Name
The Carlson Group
Department/Agency Web Site
http://www.carlsonmed.com
Years in EMS/Public Safety
32
Other Past or Current Departments
Fire Chief - City of La Mesa (CA), Fire Chief - City of Turlock (CA)
About Me
President/CEO of The Carlson Group. Primary architect of the majority of public/private partnership EMS systems in the Country. Management consulting focuses on health care/EMS but also includes client base including Disney, NASA, United Airlines and US Airways. MBA University of Redlands.

Chris Carlson, PhD's Blog

Chris Carlson, PhD

Lessons in Leadership from a Cold War Warrior

Back in the day – I had the opportunity to do a fellowship that took me to the Ames Research Center of NASA. There, tucked in a small corner office, off of a typically bureaucratic hall was the cluttered office of an aging gentle man, who toiled in near obscurity, surrounded by small mementos of his life – autographed pictures of he and President Johnson, personalized memorabilia from Neil Armstrong and Buzz Aldrin, and memorial tokens of Gus Grissom – who was a personal friend, lost in the trag… Continue

Posted on November 20, 2009 at 1:08pm —

Chris Carlson, PhD

One Paramedic or Two?... and the crash of United 173

I’ve been in EMS now for 32 years (it doesn’t seem possible) – and for 30 of those years there has been an argument about the efficacy of one-paramedic vs. two-paramedic systems. I’ve had the ability to witness this debacle from all four corners of the continent and even weighed in on the discussion in systems on foreign shores.

I’ve also had the blessing of being able to work in and with other industries and work environments which allows me, perhaps, to provide a little different perspective… Continue

Posted on November 12, 2009 at 5:17pm — 3 Comments

Chris Carlson, PhD

What French Fries Taught Me about Emergency Medicine

The Lord of the Fries

It is a critical axiom in solving problems that we 1). Make sure we are asking the right questions, and 2). Make sure we are measuring the right things.

My favorite learning moment in this regard is a business case study involving not the Cleveland Clinic, but Burger King Restaurants. In the 1980’s Burger King was getting their competitive clock cleaned by other fast food operators and one of the primary drivers of dis-satisfaction with their product was their fren… Continue

Posted on November 4, 2009 at 12:06pm — 2 Comments

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As a newly-licenced paramedic, I also agree that the current system is flawed. My clinicals alternated between extremely good and a few situations where I was the most-senior person on the truck...as a student. The problem isn't limited to the civ...
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doc, You are also forgetting the relative call volumes and the effect they have. Law enforcement is the busiest function (crime fighting) so the cops have the least time to devote to other, non-crime-fighting functions. That makes it intutively o...
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