alexa Inpatients Outcomes Following Diabetic Myocardial Infarction: Income, Insurance, and Length of Stay in Teaching vs. Nonteaching Hospitals in the United States | Abstract
ISSN: 2167-0943

Journal of Metabolic Syndrome
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Inpatients Outcomes Following Diabetic Myocardial Infarction: Income, Insurance, and Length of Stay in Teaching vs. Nonteaching Hospitals in the United States

Priscilla O Okunji1*, Johnnie Daniel2 and Anthony Wutoh3
1Howard University College of Nursing and Allied Health Sciences, Washington, DC, USA
2Department of Sociology and Anthropology, Washington, DC, USA
3College of Pharmacy, Washington, DC, USA
Corresponding Author : Priscilla O Okunji
Howard University College of Nursing and Allied Health Sciences
Washington, DC, USA
E-mail: [email protected]
Received July 04, 2013; Accepted August 25, 2013; Published August 30, 2013
Citation: Okunji PO, Daniel J, Wutoh A (2013) Inpatients’ Outcomes Following Diabetic Myocardial Infarction: Income, Insurance, and Length of Stay in Teaching vs. Nonteaching Hospitals in the United States. J Metabolic Synd 2:125. doi:10.4172/2167-0943.1000125
Copyright: © 2013 Okunji PO, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

This paper assesses whether there is a significant difference in socioeconomic condition (income), insurance status, and Length of Stay (LOS) of inpatients diagnosed with diabetic myocardial infarction in teaching vs nonteaching hospitals. A retrospective data analysis of discharges was conducted from the 2008 Healthcare Cost and Utilization Project, Nationwide Inpatient Sample. Sample selection was based on the International Classification of Diseases, Ninth Revision, codes with LOS as the outcome variable. Teaching hospitals have longer LOS compared to nonteaching hospitals for patients with incomes below $48,000 (χ2=16.185, df=6, P < 0.013). The duration of hospital LOS is higher in teaching than in nonteaching hospitals for patient insurance (χ2=24.975, df=6, P=0.0001). For patients with Medicare, the hospital stay of 1 day and less is lower in nonteaching hospitals. Teaching hospitals have higher rates of LOS than nonteaching hospitals for the age group, 65-74 (χ2=37.294, df=6, P=0.0001). Especially for hospital stays of more than 6 days, the LOS is higher in teaching hospitals. The difference in LOS in teaching and nonteaching hospitals is statistically significant for males (P=0.009) vs. females (P=0.003). The results of this study indicate that the difference in LOS between teaching and nonteaching hospitals based on patient age, income, and insurance is statistically significant. When one controls for the independent variables in this study, the difference presented is large enough to affect clinical policy. These findings highlight the need for interventions to increase awareness of health care disparities that exist among inpatients with diabetic myocardial infarction, especially for low-income and older patients who do not qualify for Medicare.

Keywords

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7