| Autor: | Martin C. Yee, Patrick S Romano, Benjamin K. S. Chan, Jorge A. Garcia |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Health (social science) Multivariate analysis Inpatient care business.industry Public Health Environmental and Occupational Health Retrospective cohort study medicine.disease Comorbidity Relative risk Emergency medicine Health care Severity of illness medicine business Intensive care medicine Medicaid |
| Zdroj: | Journal of Community Health. 28:167-184 |
| ISSN: | 0094-5145 |
| DOI: | 10.1023/a:1022904206936 |
| Popis: | Few studies have explored the impact of health insurance on patients with severe, chronic diseases. This retrospective study examined the association between health insurance and the risk of potentially avoidable rehospitalization in the 3 years following validated acute myocardial infarction (AMI) for a community-based probability sample of 683 patients admitted to 30 California hospitals in 1990–1991. In a multivariate analysis adjusted for measures of comorbidity burden, severity of illness, and AMI-related inpatient care, the risk of readmission was not significantly different among patients with no insurance, Medicare insurance, and non-Medicaid, non-Medicare (“private or other”) insurance. However, compared to the latter group, patients with Medicaid were 2.6 times more likely to be readmitted for an AMI-related process (risk ratio, 2.61; 95% confidence interval, 1.33 to 5.11). Additional studies are needed to define the role of health insurance on clinical outcomes and health care access across a broader range of conditions and communities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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