Impact of Free Universal Medical Coverage on Medical Care and Outcomes in Low-Income Patients Hospitalized for Acute Myocardial Infarction: An Analysis From the French National Health Insurance System.

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Impact of Free Universal Medical Coverage on Medical Care and Outcomes in Low-Income Patients Hospitalized for Acute Myocardial Infarction: An Analysis From the French National Health Insurance System.

Circ Cardiovasc Qual Outcomes. 2011 Oct 4;

Authors: Danchin N, Neumann A, Tuppin P, De Peretti C, Weill A, Ricordeau P, Allemand H

Abstract
BACKGROUND: =0.45). In-hospital mortality was also comparable (3.1% versus 2.8%, P=0.69). There was no difference in early use of secondary prevention medications after multivariate adjustment. At 30 months, survival and acute coronary syndrome-free survival were lower in CMUC patients (trend, not significant after adjustment). Long-term adherence to statin therapy was lower in CMUC patients (64% versus 77%; adjusted relative risk, 0.82; 95% confidence interval, 0.73-0.92).ConclusionsFree full coverage for socially deprived people levels inequalities in the acute and midterm treatment of AMI patients. However, full reimbursement per se is not sufficient to ensure optimal patient adherence to secondary prevention medications and may not be enough to prevent an excess of long-term events.

PMID: 21972406 [PubMed - as supplied by publisher]

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