Disparities in Outcomes of Acute Myocardial Infarction across Health Insurance Statuses

Document Type

Article

Publication Date

2006

Publication Title

Research in the Sociology of Health Care

Issue

24

First page number:

41

Last page number:

61

Abstract

The number of uninsured has increased during recent years. This study explores underlying factors associated with the insurance-status disparities in hospital care by examining 80,730 acute myocardial infarction discharges in the National Inpatient Sample. Compared to patients having private insurance, Medicaid patients’ higher mortality risk related to severity of illness while the higher mortality of uninsured patients related to interactive effects between insurance status and hospital characteristics. Primary care strategies are likely to improve the hospital care for Medicaid patients while ensuring access to high quality care for patients with limited financial means can improve outcomes for uninsured patients.

Keywords

Health insurance; Hospital care; Medicaid; Medically uninsured persons; Myocardial infarction – Mortality

Disciplines

Cardiovascular Diseases | Health and Medical Administration | Health Policy | Health Services Administration

Language

English

Permissions

Use Find in Your Library, contact the author, or interlibrary loan to garner a copy of the item. Publisher policy does not allow archiving the final published version. If a post-print (author's peer-reviewed manuscript) is allowed and available, or publisher policy changes, the item will be deposited.

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