Navigation Links
Due to Cost, Heart Attack Patients Often Avoid Follow-up Care and Medication

A lack of funds to pay for medical treatment and prescriptions is common among heart attack patients and leads to a worse recovery//, more angina, poorer quality of life and higher risk of re-hospitalization, according to a study by researchers at Yale School of Medicine.

The study sought to determine if self-reported financial barriers to health care services or medication were associated with worse patient outcomes. The 2,498 participants were part of the Prospective Registry Evaluating Myocardial Infarction: Event and Recovery (PREMIER), an observational, multi-center U.S. study of patients with acute myocardial infarction (AMI) over 12 months. AMI is a common medical condition that requires continuing access to healthcare and guideline-based medications.

The researchers found that one in five patients in the PREMIER study reported that financial constraints kept them from seeking health care services. One in eight said a lack of funds kept them from filling prescriptions for vital medications. According to senior author Harlan M. Krumholz, M.D., this financial barrier to care was a strong predictor of adverse outcomes, even after controlling for other risk factors. Krumholz will present the paper at a JAMA media briefing at the National Press Club at 10 a.m. on March 13.

“Patients with financial barriers had a higher prevalence of angina, worse quality of life, and poorer overall physical and mental function, both at the time of their AMI and one year later,” said Krumholz, the Harold H. Hines, Jr. Professor of Medicine and Epidemiology and Public Health at Yale School of Medicine.

First author Ali R. Rahimi, M.D., said that the more severe clinical consequences were seen in those who couldn’t afford medications. “These patients had poorer health status outcomes overall and had a 50 percent higher chance of being re-hospitalized for any reason and a 70 percent higher chance of being re-hospitalized for a cardiac co ndition,” said Rahimi.

Having access to health insurance may not eliminate financial barriers to care, according to Krumholz. About 68 percent of the patients in the study who reported financial barriers to health care services had health insurance, and about 47 percent had Medicaid or Medicare coverage.

“Our study may be highlighting under-insurance, which can mean that too few services are covered or the coverage is inadequate; amounts of out-of-pocket expenditures are excessive, or insurance is perceived to be inadequate,” said Krumholz. “There is a need to develop approaches that will mitigate this increased risk and address this barrier to care and medications so that patients aren’t avoiding care or cutting pills in half.”

Source-YALE Universiy
SRM
'"/>




Related medicine news :

1. Need For Low Cost, Heat Stable HIV Drug in Developing Countries
2. A.U. Health Ministers Receive Plan To Produce Low-Cost, Generic Drugs in Africa
3. One in Three Heart Attack Patients Have No Chest Pains
4. Epileptic Seizures Can Be Due to Heart Problem
5. Bypass Heart Surgery Performed Without General Anesthesia
6. New CPR Guidelines issued by Heart Association
7. White Cells Count Can Predict Heart Attack Death Risk
8. Vitamins-The answer to Heart Disease?
9. Fight Heart disease and Pain with Meditation
10. Heart disease in the newborn is related to maternal malnutrition
11. New drug to treat Heart Attack and damaged tissue
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:8/22/2017)... ... 2017 , ... The Women’s Choice Award, a growing platform that gives a ... Women’s Choice Award. The identification by women of an effective new migraine relief ... are women. In a survey taken by the Women’s Choice Award organization, nine out ...
(Date:8/22/2017)... ... August 22, 2017 , ... GeBBS ... recently the availability of a new professional fee E/M leveling calculator tool. The ... to the healthcare industry. E/M coding is complex which supports the need for ...
(Date:8/22/2017)... ... August 22, 2017 , ... ... of child abuse and neglect, and the struggles faced while hoping for a ... creation of published author, Judy Von Bernewitz, who spent 13 years working with ...
(Date:8/22/2017)... ... ... “Call Of Spiritual Duty”: a revelation in an era defined by intentional confusion. ... up on the streets of North Visalia, California, Carlos Lizarde quickly became familiar with ... to his life, he noticed immediately that opportunities and blessings began to shift in ...
(Date:8/21/2017)... , ... August 21, 2017 , ... ... addition of two plastic surgery fellows for academic year 2017-2018, Christina M. Busuito, ... who have successfully completed residency in Plastic and Reconstructive Surgery. The candidate ...
Breaking Medicine News(10 mins):
(Date:8/2/2017)... 2017  Life Flight Network and PeaceHealth Oregon Network announced ... care and operational efficiency for patients at hospitals in ... Cottage Grove , and Florence, Oregon ... Life Flight Network work collaboratively to move patients who require ... a time sensitive emergency exists. ...
(Date:7/31/2017)... Tru-D SmartUVC robots have arrived at Brian Allgood Army Community ... for "Total Room Ultraviolet Disinfection," is a 5-foot-5 germ-killing robot that is ... cleans the area with traditional cleaning protocols. ... Tru-D fights germs at Army hospitals ... "Although the BAACH has a very low infection rate, below national ...
(Date:7/27/2017)... 2017  Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH) ... 30, 2017.  The Company reported second quarter net sales ... prior year period, and an increase of 2.1% on ... of contribution from the LDR Holding Corporation acquisition, second ... of 2016, or 0.3% on a constant currency basis. ...
Breaking Medicine Technology: