Why? Perhaps because non-trauma community hospitals would prefer to have insured rather than uninsured patients. So, uninsured patients are more likely to be transferred to trauma centers, where they are likely to get better care.
According to Kit Delgado, and colleagues, presenting research results in JAMA Surgery, both privately insured and Medicaid patients were significantly more likely (11 percent and 14 percent more) to be admitted to a non-trauma hospital than transferred.
Patients with severe injuries initially evaluated at non-trauma center EDs were less likely to be transferred if insured and were at risk of receiving suboptimal trauma care. Efforts in monitoring and optimizing trauma inter-hospital transfers and outcomes at the population level are warranted.