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Differences in the effect of patients' socioeconomic status on the use of invasive cardiovascular procedures across health insurance categories

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  • Carlisle, D.M.
  • Leake, B.D.

Abstract

Objectives. This study evaluated the effect of patients' socioeconomic status on use of coronary angiography, bypass grafting, and angioplasty across health insurance categories. Methods. Multiple logistic regression was used to compute the odds of receiving each procedure among 206 233 ischemic heart disease patients residing in urban California zip codes from 1991 through 1993. Results. Residents of high socioeconomic status areas were more likely (odds ratios [ORs] = 1.20-1.41) and residents of low socioeconomic status areas were less likely (ORs = 0.79-0.84) than residents of middle socioeconomic status areas to undergo each procedure. These effects were common among Medicare and health maintenance organization patients and uncommon for privately insured and uninsured patients. Conclusions. The effect of socioeconomic status varies across health insurance categories.

Suggested Citation

  • Carlisle, D.M. & Leake, B.D., 1998. "Differences in the effect of patients' socioeconomic status on the use of invasive cardiovascular procedures across health insurance categories," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1089-1092.
    • Handle: RePEc:aph:ajpbhl:1998:88:7:1089-1092_6
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    Cited by:

    1. Julian Perelman & Amir Shmueli & Kathryn M Mcdonald & Louise Pilote & Olga Saynina & Marie-Christine Closon & Carine Milcent, 2009. "Inequality in treatment use among elderly patients with acute myocardial infarction: USA, Belgium and Quebec," Post-Print hal-04691134, HAL.

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