The Association Between Medical Insurance Coverage, In-Hospital Case Fatality Rate, and Length of Hospital Stay Following Admission for Acute Myocardial Infarction in Texas Hospitals

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dc.contributor.advisorAntonio A. Rene
dc.contributor.committeeMemberSally Blakley
dc.contributor.committeeMemberDoug A. Mains
dc.creatorBoppana, Dinesh
dc.date.accessioned2019-08-22T21:15:58Z
dc.date.available2019-08-22T21:15:58Z
dc.date.issued2002-07-01
dc.date.submitted2013-11-20T15:00:08-08:00
dc.description.abstractDinesh Boppana, The Association Between Medical Insurance Coverage, In-hospital Case Fatality Rate and Length of Hospital Stay Following Admission for Acute Myocardial Infarction in Texas Hospitals. Master of Public Health, July 2002, 53pp., 22 tables, bibliography, 63 titles. This study reports the possible association between type of medical insurance coverage, in-hospital case fatality rates and length of hospital stay following admission for acute myocardial infarction (AMI) in Texas hospitals for the year of 1999. Methods. The data sources was the Texas Health Care Information Council public use data file. Crude and multivariable-adjusted analyses were used to examine the relation between type of medical insurance coverage, length of hospital stay and in-hospital case-fatality rates following AMI. Results. Relative to the referent group of private or commercial insurance patients (odds ratio, 1.0) the multi-variable adjusted odds for dying during acute hospitalization were 1.98 (95% CI, 1.53-2.52) for Medicaid, 1.45 (95% CI, 1.27-1.64) for Medicare. The mean length of hospital stay in days after excluding patients with a prolonged hospitalization was 8.53 (95% CI, 7.93-9.14) for Medicaid, 6.75 (95% CI, 6.52-6.95) for Medicare, and 5.58 (95% CI, 5.37-5.79) for commercial insurance. Conclusions. The findings suggest that patient enrolled in Medicaid and Medicare insurance program had increased in-hospital mortality, and higher length of hospital stay following admission with AMI when compared to the patients enrolled in commercial insurance.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/29200
dc.language.isoen
dc.provenance.legacyDownloads0
dc.subjectCardiovascular Diseases
dc.subjectCardiovascular System
dc.subjectClinical Epidemiology
dc.subjectCommunity Health and Preventive Medicine
dc.subjectCritical Care
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectInequality and Stratification
dc.subjectMedicine and Health Sciences
dc.subjectPublic Health
dc.subjectSocial and Behavioral Sciences
dc.subjectAssociation
dc.subjectMedical Insurance Coverage
dc.subjectIn-hospital case fatality rate
dc.subjectlength of hospital stay
dc.subjectadmission
dc.subjectacute myocardial infarction
dc.subjectTexas hospitals
dc.subjectAMI
dc.subjectTexas Health Care Information Council
dc.subjectMedicaid
dc.subjectMedicare
dc.subjectmortality
dc.titleThe Association Between Medical Insurance Coverage, In-Hospital Case Fatality Rate, and Length of Hospital Stay Following Admission for Acute Myocardial Infarction in Texas Hospitals
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentSchool of Public Health
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameMaster of Public Health

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