| Restricted access to care: the role of race, managed care, and type of insurance. | |
| | |
MedLine Citation:
|
PMID: 15839527 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This article compares African American patients who entered the hospital with the same medical condition-acute myocardial infarction-to similar white patients to assess the relative contributions of insurance type and managed care to the race gap in access to three expensive invasive procedures for treating heart disease: cardiac catheterization, percutaneous transluminal coronary angioplasty (angioplasty or PTCA), and coronary artery bypass surgery (CABG). With data from the state of Maryland, we find that the races differ markedly in their insurance coverage and African Americans have significantly less access to the procedures. Type of insurance and HMO explained little of the difference in access to procedures. Medicare appears to offer as much access to African Americans as commercial providers. We conclude that equalizing access to types of insurance coverage would reduce only a small proportion of the race gap in access to the three procedures. |
| | |
Authors:
|
Samuel L Brown; Len O'Connell |
Related Documents
:
|
8427177 - Complications associated with percutaneous placement and use of intraaortic balloon cou... 8111767 - Early stress tests after successful coronary angioplasty. 9448907 - Improving the results of coronary angioplasty. 10150917 - Outcome following coronary balloon angioplasty in young adults aged 35 years or less. 19255347 - Frequency of myocardial bridges and dynamic compression of epicardial coronary arteries... 15492587 - Clinical contribution of the collateral circulation to myocardial protection. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Journal of health care finance Volume: 31 ISSN: 1078-6767 ISO Abbreviation: J Health Care Finance Publication Date: 2004 |
Date Detail:
|
Created Date: 2005-04-20 Completed Date: 2005-05-24 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9503024 Medline TA: J Health Care Finance Country: United States |
Other Details:
|
Languages: eng Pagination: 26-37 Citation Subset: IM |
Affiliation:
|
Public Administration and Public Health in the School of Public Administration at the University of Nebraska at Omaha, Omaha, NE, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult African Americans* Aged European Continental Ancestry Group* Female Gatekeeping* Health Maintenance Organizations / organization & administration* Health Services Accessibility* Humans Insurance Coverage / classification* Male Maryland Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Making the business case for hospital information systems--a Kaiser Permanente investment decision.
Next Document: Derivative financial instruments and nonprofit health care providers.