Suchergebnisse

Background: It is unknown whether insurancestatus influences care provided and patients'prognosis, in China.Methods: This retrospective cohort studyincluded medical records of 4,714 patients withacute myocardial infarction aged 20 and older,discharged consecutively from 14 Chinese hospitalsbetween January 2000 and February 2003.Uni-variate analysis, multivariate logistic regressionand linear regression were used to compare differencesin patients' characteristics, care providedand prognosis between insured patients and theuninsured.Results: The uninsured were more likely to beolder, female, have transfer admissions, and lesslikely to be hospitalized to institutions with cardiacinterventional facilities, intensive care units orcoronary care units. The uninsured were also lesslikely to undergo diagnostic procedures, interventionsand to receive medications, and stayedshorter in hospital and consumed less health careresources. In-hospital mortality in the uninsured,the non-government insured and the governmentinsured was 10.5%, 12.2% and 8.4% respectively.After adjusting for potential confounders, oddratio in hospital mortality was 1.079 (95% CI,0.836–1.392) and 0.763 (95% CI, 0.559–1.041) for thenon-government insured and the governmentinsured, compared to the uninsured. At significantlevel of 0.05, we could not assert insurance statusis a significant factor to in-hospital mortality.