The association of Medicaid expansion and racial/ethnic inequities in access, treatment, and outcomes for patients with acute myocardial infarction.
Erica M ValdovinosMatthew J NiedzwieckiJoanna GuoRenee Y HsiaPublished in: PloS one (2020)
The Medicaid expansion was associated with a decrease in racial disparities in transfers and rates of PCI after AMI. We did not find an association between the Medicaid expansion and admission to a PCI hospital, readmissions, and in-hospital mortality. Additional factors outside of insurance coverage likely continue to contribute to disparities in outcomes after AMI. These findings are crucial for policy makers seeking to reduce racial disparities in access, treatment and outcomes in AMI.
Keyphrases
- acute myocardial infarction
- affordable care act
- health insurance
- percutaneous coronary intervention
- healthcare
- left ventricular
- coronary artery disease
- acute coronary syndrome
- mental health
- emergency department
- st segment elevation myocardial infarction
- public health
- st elevation myocardial infarction
- type diabetes
- heart failure
- african american
- atrial fibrillation
- adipose tissue
- drug induced
- smoking cessation