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Insurance status and hospital care for myocardial infarction, stroke, and pneumonia

Insurance status and hospital care for myocardial infarction, stroke, and pneumonia,10.1002/jhm.687,Journal of Hospital Medicine,Omar Hasan,E. John Or

Insurance status and hospital care for myocardial infarction, stroke, and pneumonia   (Citations: 1)
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for Medicaid and uninsured patients with the privately insured. RESULTS: Compared with the privately insured, in-hospital mortality among AMI and stroke patients was significantly higher for the uninsured (adjusted odds ratio (OR) 1.52, 95% confidence interval (CI) (1.24-1.85) for AMI and 1.49 (1.29-1.72) for stroke) and among pneumonia patients was significantly higher for Medicaid recipients (1.21 (1.01-1.45)). Excluding patients who died during hospitalization, LOS was consistently longer for Medicaid recipients for all 3 conditions (adjusted ratio 1.07, 95% CI (1.05-1.09) for AMI, 1.17 (1.14-1.20) for stroke, and 1.04 (1.03-1.06) for pneumonia), although costs were significantly higher for Medicaid recipients for only 2 of the 3 conditions (adjusted ratio 1.06, 95% CI (1.04-1.09) for stroke and 1.05 (1.04-1.07) for pneumonia). CONCLUSIONS: In this nationally representative study of working-age Americans hospitalized for 3 common medical conditions, significantly lower in-hospital mortality was noted for privately insured patients compared with the uninsured or Medicaid recipients. Interventions to reduce insurance-related gaps in inpatient quality of care should be investigated. Journal of Hospital Medicine 2010;000:000-000. V C 2010 Society of Hospital Medicine.
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