| Titre : | Does supplemental private insurance affect care of Medicare recipients hospitalized for myocardial infarction ? (2004) |
| Auteurs : | . JING FANG ; Michael-H ALDERMAN ; Albert Einstein College of Medicine. Department of Epidemiology and Population Health. Bronx. NY. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 5, 2004) |
| Pagination : | 778-782 |
| Langues: | Anglais |
| Mots-clés : | Assurance maladie ; Soins ; Homme ; Hospitalisation ; Secteur privé ; Assurance privée ; Appareil circulatoire [pathologie] ; Myocarde [pathologie] ; Cardiopathie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS PR0x8ull. Diffusion soumise à autorisation]. Objectives : We sought to determine whether supplemental private insurance coverage among Medicare recipients alters patterns of health care or outcomes associated with acute myocardial infarction. Methods : Medicare patients hospitalized after a myocardial infarction were identified from New York City hospitalization records. Patients who had only Medicare coverage were compared with those who had supplemental private or public insurance coverage. Results : Patients with supplemental private insurance exhibited increased rates of revascularization and decreased rates of in-hospital mortality relative to patients with either Medicare only or Medicare and public insurance. Moreover, Blacks and women were less likely to undergo revascularization and exhibited higher in-hospital mortality rates. Conclusions : Despite Medicare, private insurance coverage appears to influence the likelihood of coronary revascularization among older patients hospitalized for acute myocardial infarction. |

