Geographic access to interventional cardiology services in one rural state

    loading  Checking for direct PDF access through Ovid

Abstract

Objectives

Explore (1) the characteristics of the Maine population with delayed geographic access to interventional cardiology (IC) services and (2) the effect of delayed geographic IC access on coronary mortality.

Background

Acute coronary syndrome (ACS), ST-segment elevated myocardial infarction (STEMI), and non-ST segment elevated myocardial infarction (NSTEMI) are highly prevalent. Coronary mortality is minimized when victims have prompt IC access.

Methods

The study design was (1) an exploration of census data to investigate disparities in geographic IC access and (2) a secondary analysis of administrative claims data to investigate coronary mortality relative to delayed geographic IC access.

Results

Delayed access was associated in the Maine population with rural residence, advanced age, high school education, and lack of health insurance. Delayed access was associated with increased unadjusted coronary mortality, but not age-adjusted coronary mortality.

Conclusion

Delayed geographic IC access was associated with disparity but not with increased age-adjusted coronary mortality.

Related Topics

    loading  Loading Related Articles