HOME >> MEDICINE >> NEWS
Elderly heart attack patients fare well with managed care

Study shows HMO emergency care for acute myocardial infarction equal to or better than with fee-for-service insurance

BOSTON, MA - The timeliness and quality of care for elderly patients with acute myocardial infarction (AMI) who are covered by non-profit health maintenance organizations (HMO) is equal to, or better than, the care provided under fee-for-service insurance, according to a study in the September 27, 1999 edition of the Archives of Internal Medicine. Two indicators of clinical quality - use of lifesaving therapy and use of emergency transportation - were higher among elderly patients enrolled in HMOs than in fee-for-service. In all other areas studied, the clinical data between HMO and fee-for-service coverage were comparable.

Cardiovascular disease is the leading cause of disability and death in the elderly, and, each year, nearly 300,000 Americans die of a heart attack before reaching the hospital. Of those who survive, most of the permanent damage done to the heart occurs during the first hour following a heart attack.

Despite public fears that managed care may interfere with the provision of timely urgent care, especially among vulnerable patients like the elderly, the study's findings indicate otherwise. One example was the higher use of emergency transportation by HMO patients (56%) compared to patients with fee-for-service coverage (51%). Most of the ambulance use by HMO patients occurred at night, suggesting that 24-hour call-in lines or other services available from HMOs may have improved patients' access to emergency transportation. The study also found that HMO patients were somewhat more likely than fee-for-service patients to receive aspirin (88% vs. 83%) and beta-blocker therapies (73% vs. 62%) en route to or soon after arrival at the hospital.

For this study, Stephen B. Soumerai, Sc.D., and other researchers at t
'"/>

Contact: Bill Schaller
schaller@hms.harvard.edu
617-432-0441
Harvard Medical School
27-Sep-1999


Page: 1 2

Related medicine news :

1. Elderly receiving inappropriate prescriptions from their doctors office
2. Elderly people cared for by spouse are at greater risk for abuse, Pitt researchers find
3. Elderly with advanced chronic diseases burdened with symptoms
4. Elderly cancer patients are significantly under-represented in cancer clinical trials
5. Elderly experience long-term cognitive decline after surgery
6. Elderly men receiving excessive prostate cancer screening, study suggests
7. Elderly women over-screened for cancers with little measurable benefit
8. Elderly care is inadequate, especially in nursing homes
9. Elderly getting left out of critical cancer research
10. Elderly do not plan for serious future illness
11. Elderly colon cancer patients benefit from chemotherapy and surgery

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:1/17/2017)... ... January 17, 2017 , ... January is National Stalking Awareness Month (NSAM), now in ... the corners and commit the crime of stalking, a very real danger to many in ... overlooked factor in stalking and other crimes. , “Stalking: know it. Name it. Stop it.”—so ...
(Date:1/17/2017)... ... , ... Anesthesia Progress – Everyone wants less pain during dental ... for each patient. Dentists have several general anesthesia alternatives and finding the right option ... Tokyo Dental College in Tokyo, Japan wanted to find out which anesthetic was the ...
(Date:1/17/2017)... (PRWEB) , ... January 17, 2017 , ... Gym Source, ... of a new showroom at South Dixie Hwy in Miami, FL. , “We are ... Gym Source. “The new innovative in-store concept is designed to give clients a seamless ...
(Date:1/17/2017)... ... January 17, 2017 , ... In the ... Activewear is a stand-out company for several differences from other mainstream brands. ... on demand, this is called 'Agile' manufacturing - http://www.leanproduction.com/agile-manufacturing.html . It allows ...
(Date:1/17/2017)... ... , ... For breast cancer clinicians and researchers who were unable to attend ... intimate review and analysis of its highlights, a novel half-day, complimentary meeting—the 14th Annual ... on February 4, 2017 in Chicago. Chaired by Kathy S. Albain, MD, FACP, FASCO ...
Breaking Medicine News(10 mins):
(Date:1/17/2017)... , Jan. 17, 2017 Precision ... and for the treatment of disease. The approach ... response to a therapy. The approach studies the ... their lifestyle and environment. In January 2015, Precision ... medicine to all diseases with more than one ...
(Date:1/17/2017)... , Jan. 17, 2017 North America Insulin ... new report, "North America Insulin Delivery Market Outlook to ... Insulin Delivery market. The report provides value, in millions ... (USD) within market segments - Insulin Pens, Insulin Pumps, ... report also provides company shares and distribution shares data ...
(Date:1/17/2017)... 17, 2017 Secretary of Health Dr. ... Gary Tennis are warning Pennsylvanians of the ... overdose deaths from the drug in Beaver ... to sedate large animals and is not meant for ... into contact with it," Secretary Murphy said. "It,s absolutely ...
Breaking Medicine Technology:
Cached News: