We reviewed patients'hospital records and surveyed patients after hospital discharge to determine whether the experience of being hospitalized differentially affected the health status of persons with different socioeconomic backgrounds (as measured by income level and education level) and to determine whether the association between socioeconomic status (SES) and change in health status varied depending upon the reason for hospital admission.
We studied patients admitted to six university-affiliated teaching hospitals in Massachusetts and California for chest pain (N=797) and surgery (N=1165).
We compared the health status scores of patients for a variety of outcomes : basic activities of daily living, instrumental activities of daily living, social activities, mental well-being, work performance and housework performance.
Lower-SES patients entered the hospital with worse health status than higher-SES patients.
Change in health status, statistically adjusted for case-mix, varied by reason for admission.
Patients with chest pain generally reported either no improvement or a decline in functioning with the amount of decline equivalent for low-and high-SES patients.
Surgical patients reported improvement in functioning following hospitalization.
For several measures, lower-income surgical patients reported greater improvement than did higher-income patients, but still did not reach the same level of health status as higher-income patients.
Mots-clés Pascal : Hospitalisation, Sortie hôpital, Pronostic, Homme, Qualité vie, Statut socioéconomique, Santé, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Hospitalization, Hospital discharge, Prognosis, Human, Quality of life, Socioeconomic status, Health, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0262592
Code Inist : 002B30A01A2. Création : 01/03/1996.