In-hospital outcomes by insurance type among patients undergoing percutaneous coronary interventions for acute myocardial infarction in New South Wales public hospitals.
Juliana de Oliveira CostaSallie-Anne PearsonDavid B BriegerSanja LujicMd Shajedur Rahman ShawonLouisa R JormKees van GoolMichael O FalsterPublished in: International journal for equity in health (2023)
Our findings suggest patients undergoing PCI in Australian public hospitals with private health insurance experience lower in-hospital mortality compared with their publicly insured counterparts, but in-hospital complications are not related to patient health insurance status. Our findings are likely due to unmeasured confounding of broader patient selection, socioeconomic differences and pathways of care (e.g. access to emergency and ambulatory care; delays in treatment) that should be investigated to improve equity in health outcomes.
Keyphrases
- health insurance
- healthcare
- affordable care act
- patients undergoing
- acute myocardial infarction
- coronary artery disease
- case report
- percutaneous coronary intervention
- adverse drug
- palliative care
- blood pressure
- emergency department
- minimally invasive
- left ventricular
- coronary artery
- atrial fibrillation
- heart failure
- st segment elevation myocardial infarction
- acute care
- st elevation myocardial infarction
- type diabetes
- pain management
- atomic force microscopy
- combination therapy
- radiofrequency ablation
- skeletal muscle
- coronary artery bypass grafting
- coronary artery bypass