Featured Research

from universities, journals, and other organizations

Uninsured Americans have 50 percent higher odds of dying in hospital from heart attack or stroke

Date:
June 10, 2010
Source:
Wiley-Blackwell
Summary:
An analysis of over 150,000 hospital discharges has revealed that there are significant insurance related differences in hospital mortality, length of stay, and costs among working-age Americans hospitalized for acute myocardial infarction, stroke or pneumonia. These three conditions are among the leading causes of non-cancer in-patient deaths in patients under 65 years old.

An analysis of over 150,000 hospital discharges has revealed that there are significant insurance related differences in hospital mortality, length of stay, and costs among working-age Americans (age 18-64 years) hospitalized for acute myocardial infarction (AMI), stroke, or pneumonia. These three conditions are among the leading causes of non-cancer in-patient deaths in patients under 65 years old. The analysis is published June 10 in the Journal of Hospital Medicine.

Compared with the privately insured, hospital mortality among AMI and stroke patients was significantly higher for the uninsured, 52% and 49% higher odds, respectively, and 21% higher among Medicaid recipients with pneumonia. Length of stay was significantly longer for Medicaid recipients for all three conditions while hospital costs were higher for Medicaid recipients for stroke and pneumonia, but not AMI. These disparities in hospital care were present even after accounting for differences in baseline health, socioeconomic status, and disease severity.

With about one in five working-age Americans currently uninsured and a large number relying on Medicaid, adequate access to quality health care services is becoming increasingly difficult. Although numerous studies have focused on insurance related disparities in the outpatient setting, few nationally representative studies have examined such disparities among hospitalized patients. The current study is a retrospective database analysis of 154,381 adult discharges with a principal diagnosis of AMI, stroke, or pneumonia from the 2005 Nationwide Inpatient Sample.

"We hope that the results of our study will broach a national dialogue on whether provider sensitivity to insurance status or unmeasured sociodemographic and clinical prognostic factors are responsible for the observed disparities and stimulate additional research to find answers to these questions," said lead author Dr. Omar Hasan of Harvard Medical School and Brigham and Women's Hospital in Boston, USA.

"The new healthcare bill will bring vast changes to the insurance status of millions of Americans, and we hope that our work will provoke policymakers, healthcare administrators, and practicing physicians to consider devising policies to address potential insurance related gaps in the quality of inpatient care."

Compared with the privately insured, uninsured and Medicaid patients were generally younger, less likely to be white, more likely to have lower income, and more likely to be admitted through the emergency department (ED). The researchers speculated that being admitted through the ED could indicate more severe illness at admission, possibly due to a delay in seeking treatment.

"The presence of substantial variability in healthcare utilization and outcomes for these three common conditions suggests that more needs to be done to ensure that every hospital patient receives appropriate evidence-based care," added Hasan.


Story Source:

The above story is based on materials provided by Wiley-Blackwell. Note: Materials may be edited for content and length.


Cite This Page:

Wiley-Blackwell. "Uninsured Americans have 50 percent higher odds of dying in hospital from heart attack or stroke." ScienceDaily. ScienceDaily, 10 June 2010. <www.sciencedaily.com/releases/2010/06/100610093513.htm>.
Wiley-Blackwell. (2010, June 10). Uninsured Americans have 50 percent higher odds of dying in hospital from heart attack or stroke. ScienceDaily. Retrieved October 1, 2014 from www.sciencedaily.com/releases/2010/06/100610093513.htm
Wiley-Blackwell. "Uninsured Americans have 50 percent higher odds of dying in hospital from heart attack or stroke." ScienceDaily. www.sciencedaily.com/releases/2010/06/100610093513.htm (accessed October 1, 2014).

Share This



More Health & Medicine News

Wednesday, October 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Cases Keep Coming for Monrovia's Island Hospital

Ebola Cases Keep Coming for Monrovia's Island Hospital

AFP (Oct. 1, 2014) — A look inside Monrovia's Island Hospital, a key treatment centre in the fight against Ebola in Liberia's capital city. Duration: 00:34 Video provided by AFP
Powered by NewsLook.com
Ebola Puts Stress on Liberian Health Workers

Ebola Puts Stress on Liberian Health Workers

AP (Oct. 1, 2014) — The Ebola outbreak is putting stress on first responders in Liberia. Ambulance drivers say they are struggling with chronic shortages of safety equipment and patients who don't want to go to the hospital. (Oct. 1) Video provided by AP
Powered by NewsLook.com
Doctors Reassure Public Ebola Patient Won't Cause Outbreak

Doctors Reassure Public Ebola Patient Won't Cause Outbreak

Newsy (Sep. 30, 2014) — After the announcement that the first U.S. patient had been diagnosed with Ebola, doctors were quick to say a U.S. outbreak is highly unlikely. Video provided by Newsy
Powered by NewsLook.com
TX Hospital Confirms Patient Admitted With Ebola

TX Hospital Confirms Patient Admitted With Ebola

AP (Sep. 30, 2014) — Medical officials from Texas Health Presbyterian Hospital confirm they are treating a patient with the Ebola virus, the first case found in the US. (Sept. 30 Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins