Potentially avoidable rehospitalizations following acute myocardial infarction by insurance status

Jorge A Garcia, Martin C. Yee, Benjamin K S Chan, Patrick S Romano

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Few studies have explored the impact of health insurance on patients with severe, chronic diseases. This retrospective study examined the association between health insurance and the risk of potentially avoidable rehospitalization in the 3 years following validated acute myocardial infarction (AMI) for a community-based probability sample of 683 patients admitted to 30 California hospitals in 1990-1991. In a multivariate analysis adjusted for measures of comorbidity burden, severity of illness, and AMI-related inpatient care, the risk of readmission was not significantly different among patients with no insurance, Medicare insurance, and non-Medicaid, non-Medicare ("private or other") insurance. However, compared to the latter group, patients with Medicaid were 2.6 times more likely to be readmitted for an AMI-related process (risk ratio, 2.61; 95% confidence interval, 1.33 to 5.11). Additional studies are needed to define the role of health insurance on clinical outcomes and health care access across a broader range of conditions and communities.

Original languageEnglish (US)
Pages (from-to)167-184
Number of pages18
JournalJournal of Community Health
Volume28
Issue number3
DOIs
StatePublished - Jun 2003

Keywords

  • Access to care
  • Acute myocardial infarction
  • Medicaid
  • Medically uninsured
  • Medicare
  • Readmission
  • Socioeconomic status
  • Underserved populations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

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