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Health Inequality Among Older Adults with Percutaneous Coronary Intervention and Universal Health Coverage in Japan
- Source :
- Population Health Management. 25:23-30
- Publication Year :
- 2022
- Publisher :
- Mary Ann Liebert Inc, 2022.
-
Abstract
- This study aimed to comprehensively evaluate whether income affects long-term health outcomes for older patients who underwent percutaneous coronary intervention (PCI) provided by a universal health coverage system. Data were from the Latter Stage Elderly Healthcare Insurance database in Fukuoka Prefecture, Japan. A total of 5625 individuals aged ≥65 years who underwent PCI in 2014-2016 were included. Cox proportional hazards models were used to assess the association between income status and the incidence of health outcomes. With a median follow-up of 1095 days, 554 acute myocardial infarction (AMI) cases, 1075 stroke cases, 1690 repeat revascularization cases, and 1094 deaths were observed. Risk of all-cause mortality decreased significantly with increasing income level in both unadjusted and adjusted Cox regression models. Patients in the low-income level had a significantly higher rate of AMI (log-rank
- Subjects :
- Gerontology
Inequality
Leadership and Management
media_common.quotation_subject
medicine.medical_treatment
Coronary Artery Disease
Health outcomes
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
Japan
Older patients
Risk Factors
Universal Health Insurance
medicine
Humans
030212 general & internal medicine
Aged
Proportional Hazards Models
media_common
business.industry
030503 health policy & services
Health Policy
Public Health, Environmental and Occupational Health
Percutaneous coronary intervention
Health Status Disparities
Health equity
Treatment Outcome
Conventional PCI
0305 other medical science
business
Subjects
Details
- ISSN :
- 19427905 and 19427891
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Population Health Management
- Accession number :
- edsair.doi.dedup.....4e0a8d6de60be9e9c8c95f682b01d098