July 22, 2014International Journal for Equity in HealthOpen Access

Do low-income coronary artery bypass surgery patients have equal opportunity to access excellent quality of care and enjoy good outcome in Taiwan?

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Why the study?

Does low-income status increase inpatient mortality and reduce access to excellent quality of care in patients undergoing CABG?

Population

10,320 adults who underwent coronary artery bypass surgery between 2006 and 2008 in Taiwan, mean age 65.35…

Comparison

Low-income status vs Non-low-income status

Design

Cross-sectional

Follow-up

Inpatient

Authors

TYTsung‐Hsien YuNational Taipei University of Nursing and Health Science YHYu-Chang HouHeilongjiang University KCKuo‐Piao ChungNational Taiwan University

Discussion

Member takes

Implication

Income disparities in CABG mortality may reflect care quality gaps; observational data leaves open causal mechanisms and equity interventions.

Structured PICO

Does low-income status increase inpatient mortality and reduce access to excellent quality of care in patients undergoing CABG?

Population

10,320 adults who underwent coronary artery bypass surgery (CABG) between 2006 and 2008 in Taiwan, mean age 65.35, 76.5% male. Excluded patients under 18 years of age or with unknown gender or insured classifications.

Intervention

Low-income status (identified via insurance classification)

Comparator

Non-low-income status

Outcome

Inpatient mortality (in-hospital death following CABG or critical cases discharged against advice)hard clinical

Low-income patients undergoing CABG experience higher inpatient mortality, which is partially driven by unequal access to high-quality healthcare providers.

Limitations

Reliance on insurance information rather than tax data to identify low-income individuals
Hospital and surgeon quality of care was assessed using data from the previous year, which might change over time

Cite This Study

Yu et al. (2014) studied this question.

synapsesocial.com/papers/6a80c72ef5e643fd86fd0f60 https://doi.org/10.1186/s12939-014-0064-8

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Implication

Income disparities in CABG mortality may reflect care quality gaps; observational data leaves open causal mechanisms and equity interventions.

Do low-income coronary artery bypass surgery patients have equal opportunity to access excellent quality of care and enjoy good outcome in Taiwan?

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Do low-income coronary artery bypass surgery patients have equal opportunity to access excellent quality of care and enjoy good outcome in Taiwan?

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider