Several studies have suggested that type of medical insurance coverage is associated with hospital utilization rates and receipt of selected diagnostic or treatment approaches.
To our knowledge no studies, however, have examined the relation between medical insurance coverage and short-term outcomes following acute myocardial infarction (AMI) from a multihospital, community-wide perspective.
To examine the association between medical insurance coverage and in-hospital case-fatality rates as well as length of hospital stay following AMI.
The study sample consisted of 3735 residents of the Worcester, Mass, metropolitan area hospitalized with validated AMI during 1986,1988,1990,1991, and 1993 at all metropolitan Worcester hospitals.
Data were obtained from the review of medical records.
Patients were stratified into 5 medical insurance groups for purposes of analysis :
private or commercial (n=711),
Medicare (n=1991), health maintenance organization (n=741), and self-pay or other (n=191).
Crude and multivariable-adjusted analyses were used to examine the relation between medical insurance coverage and length of hospital stay and in-hospital case-fatality rates following AMI.
In-hospital case-fatality rates during the period under study were 7.7%, 11.9%, 21.4%, 9.3%, and 10.0% in the 5 medical insurance groups, respectively. (...)
Mots-clés Pascal : Infarctus, Myocarde, Couverture, Assurance maladie, Facteur prédictif, Hospitalisation imposée, Etude comparative, Evaluation, Homme, Complication, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie, Organisation santé
Mots-clés Pascal anglais : Infarct, Myocardium, Coverage, Health insurance, Predictive factor, Forced hospitalization, Comparative study, Evaluation, Human, Complication, Cardiovascular disease, Coronary heart disease, Myocardial disease, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0257772
Code Inist : 002B12A05. Création : 11/06/1997.