Key result
Health insurance status significantly influenced the occurrence of clinical events (OR 0.830) and was a leading factor affecting length of stay and hospitalization costs in patients with acute myocardial infarction.
Why the study?
Whether different medical insurance systems influence the hospitalization cost and therapeutic effect of acute myocardial infarction patients needed further investigation.
Does health insurance status affect hospitalization costs, length of stay, and clinical outcomes in patients with acute myocardial infarction?
Observational (n=600)
No
Does health insurance status affect hospitalization costs, length of stay, and clinical outcomes in patients with acute myocardial infarction?
In Chinese patients with acute myocardial infarction, health insurance status significantly impacts hospitalization costs, length of stay, and the occurrence of clinical events, independent of age.
Answers are grounded in this paper and cite their sources.
Insurance status may affect AMI events and costs; leaves open whether expanding coverage improves equity in Chinese cohorts.
BACKGROUND: Acute myocardial infarction is still a burden on Chinese patients. Whether different medical insurance system have any influence on the hospitalization cost and therapeutic effect of acute myocardial infarction patient needs further investigation. METHOD: In this study, 600 patients were stratified by health insurance status to investigate the cost effectiveness. RESULT: Compared with free medical care, patients with other health insurance status have a significantly lower age (P ˂ 0.05-0.001), the youngest of which is new rural cooperative medical system. The hospital expense, nursing fee, length of stay, daily hospitalization cost, daily drug cost, daily nursing cost and percent of nursing cost of different health insurance status were statistically significant. ANCOVA analyses controlling for age showed that the differences of hospital expenses, nursing fee, length of stay and daily hospitalization cost were still statistically significant. Further studies found that health insurance status was the leading factors influencing length of stay (β = - 0.305, P = 0.0000001), nursing costs (β = - 0.319, P = 0.004), daily hospitalization costs (β = 0.296, P = 0.0001) and occurrence of clinical events (β = - 0.186, OR = 0.830, 95% CI 0.694-0.993, P = 0.041). CONCLUSIONS: The hospitalization cost, length of stay, nursing work and therapeutic effect of acute myocardial infarction patients are affected by different health insurance status and age.
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Chu et al. (2022) conducted an observational in Acute myocardial infarction (n=600). Health insurance status vs. Free medical care was evaluated on Occurrence of clinical events (OR 0.830, 95% CI 0.694-0.993, p=0.041). Health insurance status significantly influenced the occurrence of clinical events (OR 0.830) and was a leading factor affecting length of stay and hospitalization costs in patients with acute myocardial infarction.
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