Does supplemental private insurance affect care of Medicare recipients hospitalized for myocardial infarction?

• Autores: Jing Fang, Michael H Alderman
• Localización: American journal of public health, ISSN 0090-0036, Vol. 94, Nº. 5, 2004, págs. 778-782
• Idioma: inglés
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• Resumen

  • 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.;