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:
TAG: Elderly heart attack patients fare well with managed care

(Date:3/5/2015)... Southlake, TX (PRWEB) March 05, 2015 ... an in-office, non-surgical treatment for OB-GYNs and Urogynecologists. ... system, used for non-surgical dermatological application in aesthetics ... pleased to have a non-invasive, in-office procedure, and ... for women who want results without surgery. ThermiVa ...
(Date:3/5/2015)... Building on its commitment to provide ... The Academy of Oncology Nurse & Patient Navigators (AONN+) ... voice ™ (CONQUER ™). , “Cancer has ... and their loved ones each year,” says Pam Rattananont ... ever, there is a need in the oncology space ...
(Date:3/4/2015)... MyCpapStore.com, an online provider of CPAP equipment ... quality products designed to remedy the problem of snoring. ... merchandise from name-brand manufacturers, giving its customers access to ... Sleep apnea is a common condition affecting people of ... restricted airflow. The CPAP (continuous positive airway pressure) machine ...
(Date:3/4/2015)... Vegas, NV (PRWEB) March 04, 2015 In ... as the fight that is the main event. For ... and that fight will be for the UFC Featherweight Championship. ... the brash, often out-spoken native of Ireland, Conor “Notorious” McGregor. ... MGM Grand Garden Arena in Las Vegas, NV. , When ...
(Date:3/4/2015)... Dr. Christopher Asandra, M.D., Founder and Chief ... lamented the FDA’s recent decision to issue a ... that FDA’s conclusions are not supported by science, and ... testosterone deficiency. , “The FDA appears to have developed ... said Dr. Asandra. “There is not nearly enough evidence ...
Breaking Medicine News(10 mins):Health News:ThermiHealth Announces the Introduction of ThermiVa in North America to OB-GYNs 2Health News:ThermiHealth Announces the Introduction of ThermiVa in North America to OB-GYNs 3Health News:The Academy of Oncology Nurse & Patient Navigators Launches CONQUER: the patient voice™ to Help Meet the Informational Needs of Patients with Cancer 2Health News:Sleep Apnea Machines CPAP and BiPap Machines Now Available for Sale 2Health News:Cheap UFC 189 Tickets: Jose Aldo vs. Conor McGregor UFC 189 Ticket Prices Slashed by Ticket Down for Featherweight Title 2Health News:Cheap UFC 189 Tickets: Jose Aldo vs. Conor McGregor UFC 189 Ticket Prices Slashed by Ticket Down for Featherweight Title 3Health News:NuMale’s Dr. Christopher Asandra: FDA Suffering from “Premature Equivocation” on Issue of Testosterone and Risks 2
(Date:3/4/2015)... , March 4, 2015  NxStage Medical, Inc. (Nasdaq: ... today announced that Jeffrey H. Burbank , Chief Executive ... in Miami, FL on Wednesday, March ... webcast of the event will be made available at ... About NxStage NxStage Medical, Inc. (Nasdaq: ...
(Date:3/4/2015)... Texas , March 4, 2015 ... II pilot study in patients with moderate to ... Dermatology. The open-label Phase II trial evaluated the ... monoclonal antibody that targets interleukin-1 alpha (IL-1a). IL-1a ... inflammatory cells present in skin lesions. The Company ...
(Date:3/4/2015)... Pa. , March 4, 2015  Results of ... 100 Consecutive Cases Using MarginProbe for Intra-Operative Positive Margin ... poster session at the 32 nd Annual Miami ... study, conducted by Moshe Papa , MD, FACS, ... at Tel Aviv University, reports an analysis of MarginProbe,s ...
Breaking Medicine Technology:NxStage to Present at the Barclays Capital Global Healthcare Conference 2XBiotech Announces Phase II Psoriasis Study Results in JAMA Dermatology 2New Study Shows Breast Re-excision Rates Significantly Reduced in 100 Consecutive Cases 2
Cached News: