Payment source, quality of care, and outcomes in patients hospitalized with heart failure.

ABSTRACT:

Objectives

The aim of this study was to analyze the relationship between payment source and quality of care and outcomes in heart failure (HF).

Background

HF is a major cause of morbidity and mortality. There is a lack of studies assessing the association of payment source with HF quality of care and outcomes.

Methods

A total of 99,508 HF admissions from 244 sites between January 2005 and September 2009 were analyzed. Patients were grouped on the basis of payer status (private/health maintenance organization, no insurance, Medicare, or Medicaid) with private/health maintenance organization as the reference group.

Results

The no-insurance group was less likely to receive evidence-based beta-blockers (adjusted odds ratio [OR]: 0.73; 95% confidence interval [CI]:

SUBMITTER: Kapoor JR 

PROVIDER: S-EPMC4603423 | biostudies-literature | 2011 Sep

REPOSITORIES: biostudies-literature