The effect of cost-containment policies on rates of coronary revascularization in California.
Lower rates of use of resources have been reported for the treatment of hospitalized patients covered by Medicaid than for privately insured patients.
Cost-containment policies may exacerbate such differences in the use of hospital resources.
We studied patients with ischemic heart disease who received care at nonfederal hospitals in California in 1983 (the year a Medicaid cost-containment program was implemented), in 1985, or in 1988.
Within this sample of patients, we compared the rates of coronary revascularization (coronaryartery bypass surgery or coronary angioplasty) among patients covered by Medicaid, patients with private insurance covering fee-for-service care, and patients enrolled in a health maintenance organization (HMO).
Mots-clés Pascal : Cardiopathie coronaire, Economie santé, Traitement, Homme, Traitement instrumental, Dilatation instrumentale, Etats Unis, Aortocoronaire, Appareil circulatoire pathologie, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Coronary heart disease, Health economy, Treatment, Human, Instrumentation therapy, Instrumental dilatation, United States, Aortocoronary, Cardiovascular disease, North America, America
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0116961
Code Inist : 002B30A01B. Création : 199406.