title: Anticipated increases in medically attended injuries by children and young adults with the Affordable Care Act: the growing role of primary care in the pediatric trauma system.
abstract: OBJECTIVE
  To guide implementation of the Affordable Care Act 2010 by estimating anticipated increases in medically attended injuries and site of care by the young who are currently uninsured.
  
  
  METHODS
  The 2008 National Health Interview Survey was used to estimate injury episodes and care site for uninsured and insured youth ≤26 years old. Increases in medically attended injuries were estimated by assuming that rates and care site for the currently uninsured would match those of the currently insured once the uninsured receive coverage.
  
  
  RESULTS
  In 2008, approximately 11 938 800 episodes of medically attended injuries occurred for youth ≤26 years. An anticipated 6.1% increase in medically attended injuries (737 081; 95% confidence interval = 564 000-879 000), the majority of which would be seen in the outpatient setting, could occur once all uninsured youth become insured.
  
  
  CONCLUSIONS
  Injury prevention strategies and additional injury care training for primary care physicians may help ensure appropriate triage and optimal outcomes while containing costs.
authors.affiliation: 1The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors.forename: Flaura K
authors.initials: FK
authors.lastname: Winston
authors.forename: Mark R
authors.initials: MR
authors.lastname: Zonfrillo
authors.forename: J Felipe
authors.initials: JF
authors.lastname: García-España
authors.forename: Ted R
authors.initials: TR
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data; D058991:Patient Protection and Affordable Care Act; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012380:Role; D014481:United States; D014947:Wounds and Injuries / Q000453:epidemiology / Q000628:therapy*; D055815:Young Adult
keywords: Affordable Care Act; injury; insurance