Expansion of Heart Failure Device Therapy Into a Rural Indigent Population in Louisiana: Potential Economic and Health Policy Implications
| Autor: | Lynne W. Stevenson, Ron Horswell, Kathy Hebert, James McKinnie, Lee M. Arcement |
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| Rok vydání: | 2006 |
| Předmět: |
Male
Rural Population Pacemaker Artificial medicine.medical_specialty Economics medicine.medical_treatment Population Electric Countershock Cardiac resynchronization therapy Medicare Health care medicine Humans cardiovascular diseases Disease management (health) Intensive care medicine education Poverty health care economics and organizations Health policy Aged Heart Failure education.field_of_study Medicaid business.industry Health Policy Cardiac Pacing Artificial Health Care Costs Middle Aged Louisiana Implantable cardioverter-defibrillator medicine.disease Defibrillators Implantable Heart failure Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiac Failure. 12:689-693 |
| ISSN: | 1071-9164 |
| DOI: | 10.1016/j.cardfail.2006.08.214 |
| Popis: | Background Research regarding the use of implantable devices in patients with congestive heart failure (CHF) has shown mortality benefits. The Center for Medicare and Medicaid Services (CMS) approved new criteria for expanding coverage for such therapies. The purpose of this study was to determine the percentages of CHF patients in a rural, indigent heart failure population that would be eligible for implantable defibrillators (ICD) and cardiac resynchronization therapy (CRT) based on the new CMS criteria. Methods and Results The new CMS guidelines were applied to information compiled in a database for 451 CHF disease management patients, at Leonard J. Chabert Medical Center. Results show that, annually, 32% of the newly identified CHF patient population would be eligible for ICD therapy and 7.3% would be eligible for CRT therapy. Conclusions Providers of health care to the indigent may lack sufficient resources for the devices and the infrastructure for device implantation and follow-up. |
| Databáze: | OpenAIRE |
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