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Does the United States economy affect heart failure readmissions? A single metropolitan center analysis.

Titulo Does the United States economy affect heart failure readmissions? A single metropolitan center analysis.
Autoría Thompson KA, Morrissey RP, Phan A, Schwarz ER.
Fuente Clin Cardiol. 2012 Aug;35(8):474-7
Resumen

BACKGROUND: To determine the effects of the US economy on heart failure hospitalization rates. HYPOTHESIS: The recession was associated with worsening unemployment, loss of private insurance and prescription medication benefits, medication nonadherence, and ultimately increased rates of hospitalization for heart failure. METHODS: We compared hospitalization rates at a large, single, academic medical center from July 1, 2006 to February 28, 2007, a time of economic stability, and July 1, 2008 to February 28, 2009, a time of economic recession in the United States. RESULTS: Significantly fewer patients had private medical insurance during the economic recession than during the control period (36.5% vs 46%; P = 0.04). Despite this, there were no differences in the heart failure hospitalization or readmission rates, length of hospitalization, need for admission to an intensive care unit, in-hospital mortality, or use of guideline-recommended heart failure medications between the 2 study periods. CONCLUSIONS: We conclude that despite significant effects on medical insurance coverage, rates of heart failure hospitalization at our institution were not significantly affected by the recession. Additional large-scale population-based research is needed to better understand the effects of fluctuations in the US economy on heart failure hospitalization rates.

URL www.ncbi.nlm.nih.gov/pubmed/22522474
Tipo de documento Artículo cientifico
Impacto en el sistema sanitario Cobertura y cartera de servicios
Impacto en la salud --