Titre :
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Does supplemental private insurance affect care of Medicare recipients hospitalized for myocardial infarction ? (2004)
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Auteurs :
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. JING FANG ;
Michael-H ALDERMAN ;
Albert Einstein College of Medicine. Department of Epidemiology and Population Health. Bronx. NY. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 94, n° 5, 2004)
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Pagination :
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778-782
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Langues:
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Anglais
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Mots-clés :
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Assurance maladie
;
Soins
;
Homme
;
Hospitalisation
;
Secteur privé
;
Assurance privée
;
Appareil circulatoire [pathologie]
;
Myocarde [pathologie]
;
Cardiopathie
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Résumé :
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[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.
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