Findings from Bichat-Claude Bernard Hospital Reveals New Findings on Health Insurance (Socioeconomic Deprivation and Utilization of Anesthetic Care…

Managed Care Weekly Digest

Findings from Bichat-Claude Bernard Hospital Reveals New Findings on Health Insurance (Socioeconomic Deprivation and Utilization of Anesthetic Care During Pregnancy and Delivery: A French Retrospective, Multicenter, Cohort Study)

By a News Reporter-Staff News Editor at Managed Care Weekly Digest -- New research on Health Insurance is the subject of a report. According to news originating from Paris, France, by NewsRx correspondents, research stated, "Socioeconomic deprivation is associated with reduced use of antenatal resources and poor maternal outcomes with pregnancy. Research examining the association between socioeconomic deprivation and use of obstetric anesthesia care in a country providing universal health coverage is scarce."

Our news journalists obtained a quote from the research from Bichat-Claude Bernard Hospital, "We hypothesized that in a country providing universal health coverage, France, socioeconomic deprivation is not associated with reduced use of anesthetic care during pregnancy and delivery. This study aimed to examine the association between socioeconomic deprivation and (1) completion of a mandatory preanesthetic evaluation during pregnancy and (2) use of neuraxial analgesia during labor. Data were from a cohort of 10,419 women who delivered between 2010 and 2011 in 4 public teaching hospitals in Paris. We used a deprivation index that included 4 criteria: social isolation, poor housing condition, no work-related household income, and state-funded health care insurance. Socioeconomic deprivation was defined as a deprivation index greater than 1. Preanesthetic evaluation was considered completed if performed more than 48 hours before delivery. The association between socioeconomic deprivation and completion of the preanesthetic evaluation and use of neuraxial labor analgesia was assessed by multivariable logistic regression adjusting for education level, country of birth, and maternal and pregnancy characteristics. Preanesthetic evaluation was completed for 8142 of the 8624 women (94.4%) analyzed and neuraxial labor analgesia was used by 6258 of the 6834 women analyzed (91.6%). After adjustment, socioeconomic deprivation was associated with reduced probability of completed preanesthetic evaluation (adjusted odds ratio 0.88 [95% confidence interval, 0.79-0.98]; P = .027) but not use of neuraxial labor analgesia (adjusted odds ratio 0.97 [95% confidence interval, 0.87-1.07]; P = .540). In a country providing universal health care coverage, women who were socioeconomically deprived showed reduced completion of preanesthetic evaluation during pregnancy but not reduced use of neuraxial labor analgesia."

According to the news editors, the research concluded: "Interventions should be targeted to socioeconomically deprived women to increase the completion of the preanesthetic evaluation."

For more information on this research see: Socioeconomic Deprivation and Utilization of Anesthetic Care During Pregnancy and Delivery: A French Retrospective, Multicenter, Cohort Study. Anesthesia and Analgesia, 2017;125(3):925-933. Anesthesia and Analgesia can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Lippincott Williams and Wilkins - www.lww.com; Anesthesia and Analgesia - www.anesthesia-analgesia.org/)

The news correspondents report that additional information may be obtained from E. Kantor, Hopital Bichat Claude Bernard, AP HP, Dept. of Anesthesie Renimat, Paris, France. Additional authors for this research include J. Guglielminotti, E. Azria, D. Luton, M. Laurent, J.F. Oury, D. Mahieu-Caputo, P. Ravaud and C. Estellat (see also Health Insurance).

Keywords for this news article include: Paris, France, Europe, Health Insurance, Bichat-Claude Bernard Hospital.