Effect of health insurance coverage on outcome for heart failure in high-risk patients.

Ishak A. Mansi, Runhua Shi, Ryan Altenburg, Sharon Mukoosa, Jian Huang

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Lack of health insurance is linked to adverse patient outcomes. To evaluate the effect of health insurance on clinical outcome in patients with chronic heart failure. Retrospective cohort study to all patients admitted with a diagnosis of heart failure at a university hospital in Louisiana during 2003-2004. Patients were divided into four groups: group 1, uninsured; group 2, government insurance covering services and medications; group 3, government insurance covering professional services only and group 4, commercial insurance. Outcome measures were in-hospital death, readmission rates and average serum markers of heart failure during the follow-up period. Six hundred forty-six patient records were reviewed; 70 patients in group 1, 167 in group 2, 96 in group 3 and 24 in group 4. The four groups differed significantly in age, ethnicity, presence of ischemic heart disease, proportions of alcohol abuse and proportions of illicit drug use. Multiple linear and logistic regression analyses showed that health insurance coverage was not a significant predictor of any outcome measure. Presence and type of health insurance coverage for heart failure patients at a university hospital in Louisiana were not associated with improved clinical outcome. Significant social differences exist between patients' group in relation to their insurance status.

Original languageEnglish (US)
Pages (from-to)268-275
Number of pages8
JournalThe Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
Volume163
Issue number5
StatePublished - Sep 1 2011

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Insurance Coverage
Health Insurance
Heart Failure
Insurance
Outcome Assessment (Health Care)
Patient Readmission
Street Drugs
Alcoholism
Myocardial Ischemia
Linear Models
Cohort Studies
Retrospective Studies
Biomarkers
Logistic Models
Regression Analysis
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effect of health insurance coverage on outcome for heart failure in high-risk patients. / Mansi, Ishak A.; Shi, Runhua; Altenburg, Ryan; Mukoosa, Sharon; Huang, Jian.

In: The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society, Vol. 163, No. 5, 01.09.2011, p. 268-275.

Research output: Contribution to journalArticle

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