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Charity coverage and decreased COVID-19 mortality among uninsured patients in Texas: A retrospective cohort study

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Listed:
  • Anisha P Ganguly
  • John T Battaile
  • Michael Harms
  • Shannon Murray
  • Tami Gurley
  • Robert W Haley
  • Mamta K Jain
  • Kavita P Bhavan

Abstract

Purpose: Decreased access to care and social drivers of health have been implicated in COVID-19 disparities. The objective of this study was to test the association between county-funded charity coverage (CFCC) and mortality among uninsured patients hospitalized with COVID-19 in a highly uninsured county. Methods: This retrospective cohort study compared electronic health record (EHR) data among uninsured patients hospitalized with COVID-19 in a high-volume safety-net health system in Dallas County, Texas between June 2020 and December 2021. Uninsured patients included CFCC recipients and self-pay patients. We compared mortality over 180 days of follow-up using Cox proportional hazards models, adjusting for gender, age, race/ethnicity, and co-morbidities. Additional outcomes included 90-day mortality, need for mechanical ventilation, and intubation within 24 hours of presentation. Results: Among 2,047 patients, 47.0% received CFCC and 53.0% were self-pay. Overall, CFCC patients were older, more likely Hispanic, and had more diagnosed co-morbidities. CFCC patients had decreased adjusted mortality compared to self-pay (aHR 0.61, 95% CI [0.45 to 0.82], p

Suggested Citation

  • Anisha P Ganguly & John T Battaile & Michael Harms & Shannon Murray & Tami Gurley & Robert W Haley & Mamta K Jain & Kavita P Bhavan, 2025. "Charity coverage and decreased COVID-19 mortality among uninsured patients in Texas: A retrospective cohort study," PLOS ONE, Public Library of Science, vol. 20(9), pages 1-12, September.
    • Handle: RePEc:plo:pone00:0330533
    DOI: 10.1371/journal.pone.0330533
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