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Potentially Avoidable Rehospitalizations Following Acute Myocardial Infarction by Insurance Status

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Abstract

Few studies have explored the impact of health insurance on patients with severe, chronic diseases. This retrospective study examined the association between health insurance and the risk of potentially avoidable rehospitalization in the 3 years following validated acute myocardial infarction (AMI) for a community-based probability sample of 683 patients admitted to 30 California hospitals in 1990–1991. In a multivariate analysis adjusted for measures of comorbidity burden, severity of illness, and AMI-related inpatient care, the risk of readmission was not significantly different among patients with no insurance, Medicare insurance, and non-Medicaid, non-Medicare (“private or other”) insurance. However, compared to the latter group, patients with Medicaid were 2.6 times more likely to be readmitted for an AMI-related process (risk ratio, 2.61; 95% confidence interval, 1.33 to 5.11). Additional studies are needed to define the role of health insurance on clinical outcomes and health care access across a broader range of conditions and communities.

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Authors and Affiliations

  1. Department of Internal Medicine, Division of General Medicine, University of California Davis Medical Center, Patient Support Services Building, 4150 V Street, Suite 2400, Sacramento, CA, 95817-1498

    Jorge A. García

  2. San Jose, California

    Martin C. Yee (Internist)

  3. Division of Medical Informatics and Outcomes Research, Oregon Health and Science University, Portland

    Benjamin K. S. Chan

  4. Department of Internal Medicine, Division of General Medicine, University of California Davis Medical Center, Sacramento

    Patrick S. Romano

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  1. Jorge A. García
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García, J.A., Yee, M.C., Chan, B.K.S. et al. Potentially Avoidable Rehospitalizations Following Acute Myocardial Infarction by Insurance Status. Journal of Community Health 28, 167–184 (2003). https://doi.org/10.1023/A:1022904206936

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