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Table 10 Association between private managed care and inpatient mortality for pneumonia

From: Managed care and inpatient mortality in adults: effect of primary payer

Characteristic

Patient characteristicsa

Patient + hospital characteristicsb

Patient characteristic + hospital fixed effects

Patient + hospital characteristics + county fixed effects

Point estimate

95% Wald confidence limits

Point estimate

95% Wald confidence limits

Point estimate

95% Wald confidence limits

Point estimate

95% Wald confidence limits

Managed care

0.904

0.817

1.00

0.889

0.802

0.985

0.828

0.724

0.947

0.875

0.78

0.98

Age 18–44 years

0.396

0.33

0.476

0.393

0.328

0.472

0.374

0.308

0.454

0.393

0.326

0.474

Age 45–64 years

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

Age 65+ years

1.57

1.408

1.751

1.573

1.409

1.757

1.654

1.457

1.878

1.54

1.371

1.731

Male

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

Female

0.988

0.894

1.093

0.992

0.897

1.097

1.040

0.933

1.158

1.012

0.912

1.123

APRMORT_137xxx

88.389

46.656

167.452

88.596

46.759

167.866

109.154

57.155

208.459

101.242

53.279

192.383

APRMORT_139002

31.018

16.5

58.31

30.906

16.44

58.103

32.666

17.294

61.701

31.239

16.585

58.841

APRMORT_139003

140.387

75.185

262.133

140.697

75.342

262.744

172.269

91.576

324.066

155.064

82.832

290.284

APRMORT_139004

570.545

304.621

>999.999

576.589

307.753

>999.999

851.446

450.071

>999.999

687.987

365.93

>999.999

APRMORT_OTHER

517.875

277.751

965.593

518.855

278.119

967.97

669.828

355.990

>999.999

606.831

324.27

>999.999

Lowest income

0.811

0.697

0.943

0.832

0.712

0.972

0.870

0.714

1.060

0.937

0.775

1.134

Low income

0.798

0.696

0.914

0.822

0.713

0.947

0.917

0.769

1.093

0.89

0.751

1.055

Moderate income

0.911

0.801

1.035

0.931

0.818

1.06

1.014

0.870

1.181

1.009

0.872

1.168

High income

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

0-99 beds

   

1.214

1.018

1.447

   

1.2

0.971

1.483

100-299 beds

   

REF

REF

REF

   

REF

REF

REF

300-499 beds

   

1.012

0.883

1.159

   

1.026

0.879

1.198

500+ beds

   

0.892

0.749

1.062

   

0.851

0.699

1.035

Nonteaching

   

REF

REF

REF

   

REF

REF

REF

Teaching

   

1.221

1.063

1.402

   

1.204

1.021

1.419

Governmental

   

1.323

1.103

1.587

   

1.305

1.052

1.62

Not-for-profit

   

REF

REF

REF

   

REF

REF

REF

For-profit

   

0.868

0.699

1.079

   

0.87

0.68

1.113

Large metropolitan

   

REF

REF

REF

      

Medium and small metropolitan

   

0.844

0.747

0.953

      

Nonmetropolitan

   

0.879

0.718

1.077

      
  1. Abbreviation: REF, reference group
  2. Notes: aPatient characteristics were age, sex, All Patient Refined-Diagnosis Related Group (APR-DRG), and community income. bHospital characteristics were bed size, ownership, teaching status, and urban/rural location
  3. Source: Agency for Healthcare Research and Quality, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, 2009, from the following 11 states: Arizona, California, Connecticut, Massachusetts, Michigan, Minnesota, New Hampshire, Nevada, New York, Ohio, and Pennsylvania
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BMC Health Services Research

ISSN: 1472-6963

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