Relation of insurance status to performance of coronary angiography in patients with unstable angina pectoris or acute myocardial infarction

被引:9
作者
Cho, L
Bhatt, DL
Brennan, D
Wilcox, RG
Topol, EJ
机构
[1] Loyola Univ, Med Ctr, Maywood, IL 60153 USA
[2] Univ Nottingham, Queens Med Ctr, Nottingham, England
[3] Cleveland Clin Fdn, Cleveland, OH 44195 USA
关键词
D O I
10.1016/S0002-9149(02)03413-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Our study assessing catheterization rates with insurance coverage shows that insurance status is an independent predictor of the in-hospital catheterization rate in patients presenting with non-ST-segment elevation AMI and unstable angina. Medicaid and the uninsured group were significantly less likely to undergo catheterization. Patients who presented with AMI received cardiac catheterization regardless of their insurance status.
引用
收藏
页码:721 / 723
页数:3
相关论文
共 14 条
[1]   Relation of race and sex to the use of reperfusion therapy in medicare beneficiaries with acute myocardial infarction. [J].
Canto, JG ;
Allison, JJ ;
Kiefe, CI ;
Fincher, C ;
Farmer, R ;
Sekar, P ;
Person, S ;
Weissman, NW .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (15) :1094-1100
[2]   Payer status and the utilization of hospital resources in acute myocardial infarction -: A report from the National Registry of Myocardial Infarction 2 [J].
Canto, JG ;
Rogers, WJ ;
French, WJ ;
Gore, JM ;
Chandra, NC ;
Barron, HV .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (06) :817-823
[3]   Use of cardiovascular procedures among black persons and white persons: A 7-year nationwide study in patients with renal disease [J].
Daumit, GL ;
Hermann, JA ;
Coresh, J ;
Powe, NR .
ANNALS OF INTERNAL MEDICINE, 1999, 130 (03) :173-+
[4]   Influence of insurance type on the use of procedures, medications and hospital outcome in patients with unstable angina: Results from the GUARANTEE Registry [J].
Every, NR ;
Cannon, CP ;
Granger, C ;
Moliterno, DJ ;
Aguirre, FV ;
Talley, JD ;
Booth, J ;
Sapp, S ;
Ferguson, JJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 32 (02) :387-392
[5]   RESOURCE UTILIZATION IN TREATMENT OF ACUTE MYOCARDIAL-INFARCTION - STAFF-MODEL HEALTH MAINTENANCE ORGANIZATION VERSUS FEE-FOR-SERVICE HOSPITALS [J].
EVERY, NR ;
FIHN, SD ;
MAYNARD, C ;
MARTIN, JS ;
WEAVER, WD .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1995, 26 (02) :401-406
[6]  
FRONSTIN P, 2000, SOURCES HLTH INSURAN, P1
[7]   VARIATIONS IN THE UTILIZATION OF CORONARY ANGIOGRAPHY FOR ELDERLY PATIENTS WITH AN ACUTE MYOCARDIAL-INFARCTION - AN ANALYSIS USING HIERARCHICAL LOGISTIC-REGRESSION [J].
GATSONIS, CA ;
EPSTEIN, AM ;
NEWHOUSE, JP ;
NORMAND, SL ;
MCNEIL, BJ .
MEDICAL CARE, 1995, 33 (06) :625-642
[8]   Appropriateness of coronary angiography after myocardial infarction among medicare beneficiaries: Managed care versus fee for service. [J].
Guadagnoli, E ;
Landrum, MB ;
Peterson, EA ;
Gahart, MT ;
Ryan, TJ ;
McNeil, BJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (20) :1460-1466
[9]   THE EFFECT OF COST-CONTAINMENT POLICIES ON RATES OF CORONARY REVASCULARIZATION IN CALIFORNIA [J].
LANGA, KM ;
SUSSMAN, EJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (24) :1784-1789
[10]   Underuse of cardiac procedures: Do women, ethnic minorities, and the uninsured fail to receive needed revascularization? [J].
Leape, LL ;
Hilborne, LH ;
Bell, R ;
Kamberg, C ;
Brook, RH .
ANNALS OF INTERNAL MEDICINE, 1999, 130 (03) :183-+