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Physical partner violence and medicaid utilization and expenditures
Ann L Coker1, C Eugene Reeder, Mary Kay Fadden
1University of Texas Health Science Center, School of Public Health, Houston, TX 77030. acoker@sph.uth.tmc.edu
Public Health Reports (Washington, D.C. : 1974)
|October 27, 2004
Summary
Women experiencing intimate partner violence (IPV) incurred higher Medicaid healthcare costs. Early IPV screening and intervention can reduce health impacts and associated expenditures.
Area of Science:
- Public Health
- Health Economics
- Sociology
Background:
- Limited research exists on healthcare expenditure differences for women experiencing intimate partner violence (IPV).
- Understanding these costs is crucial for developing targeted interventions and resource allocation.
Purpose of the Study:
- To estimate direct medical expenditures for physician, drug, and hospital utilization.
- To compare these expenditures between Medicaid-eligible women currently experiencing IPV and those who are not.
Main Methods:
- Cross-sectional study involving family practice screening for current IPV using the Index of Spouse Abuse-Physical (ISA-P).
- Medicaid expenditure and utilization data were reviewed for consenting subjects from 1997-1998.
Main Results:
- Higher IPV scores correlated with increased physician, hospital, and total healthcare expenditures.
- Women with higher IPV scores had a threefold increased risk of total expenditures exceeding $5,000.
- The average total expenditure difference between high IPV and no IPV groups was $1,064.
Conclusions:
- Women screened as experiencing higher IPV scores demonstrated significantly higher Medicaid expenditures.
- Early IPV assessment and intervention are recommended to mitigate health consequences and reduce costs.