Socioeconomic status and access to care and the incidence of a heart failure diagnosis in the inpatient and outpatient settings.

ABSTRACT:

Purpose

Despite well-documented associations of socioeconomic status with incident heart failure (HF) hospitalization, little information exists on the relationship of socioeconomic status with HF diagnosed in the outpatient (OP) setting.

Methods

We used Poisson models to examine the association of area-level indicators of educational attainment, poverty, living situation, and density of primary care physicians with incident HF diagnosed in the inpatient (IP) and OP settings among a cohort of Medicare beneficiaries (n = 109,756; 2001-2013).

Results

The age-standardized rate of HF incidence was 35.8 (95% confidence interval [CI], 35.1-36.5) and 13.9 (95% CI, 13.5-14.4) cases per 1000 person-years in IP and OP settings, respectively. The incidence rate differences (IRDs

SUBMITTER: Cuthbertson CC 

PROVIDER: S-EPMC5971162 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature