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Table 6 Association between private managed care and inpatient mortality for acute myocardial infarction

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 0.865 0.774 0.967 0.875 0.781 0.980 Failed to converge 0.861 0.758 0.979
Age 18–44 years 0.759 0.577 0.999 0.749 0.569 0.987    0.778 0.584 1.036
Age 45–64 years REF REF REF REF REF REF    REF REF REF
Age 65+ years 1.199 1.064 1.352 1.177 1.043 1.33    1.151 1.01 1.31
Male REF REF REF REF REF REF    REF REF REF
Female 1.087 0.969 1.221 1.081 0.963 1.214    1.122 0.994 1.266
APRMORT_165002 0.352 0.113 1.1 0.352 0.113 1.099    0.362 0.115 1.137
APRMORT_165003 3.616 1.958 6.677 3.62 1.96 6.686    3.554 1.9 6.648
APRMORT_165004 18.445 10.623 32.03 18.668 10.748 32.426    20.617 11.762 36.138
APRMORT_174001 0.095 0.04 0.221 0.094 0.04 0.221    0.091 0.039 0.214
APRMORT_174002 0.675 0.372 1.226 0.674 0.371 1.225    0.68 0.373 1.237
APRMORT_174003 5.988 3.495 10.256 5.994 3.499 10.27    6.221 3.612 10.712
APRMORT_174004 55.13 34.324 88.547 55.374 34.469 88.957    61.919 38.356 99.959
APRMORT_190002 4.869 2.899 8.178 4.847 2.886 8.141    5.085 3.016 8.572
APRMORT_190003 21.942 13.585 35.439 21.726 13.448 35.099    23.972 14.77 38.905
APRMORT_190004 122.158 76.067 196.178 122.164 76.063 196.208    144.677 89.571 233.684
APRMORT_OTHER 17.874 10.931 29.228 17.913 10.949 29.308    19.103 11.619 31.407
Lowest income 0.996 0.847 1.17 1.003 0.848 1.185    1.106 0.897 1.363
Low income 0.989 0.853 1.147 0.997 0.855 1.161    1.054 0.873 1.273
Moderate income 0.927 0.801 1.072 0.933 0.805 1.081    0.976 0.823 1.156
High income REF REF REF REF REF REF    REF REF REF
0-99 beds     1.061 0.796 1.414    1.11 0.792 1.555
100-299 beds     REF REF REF    REF REF REF
300-499 beds     1.079 0.934 1.245    1.063 0.899 1.256
500+ beds     1.224 1.017 1.474    1.243 1.001 1.544
Nonteaching     REF REF REF    REF REF REF
Teaching     0.802 0.693 0.929    0.776 0.648 0.928
Governmental     1.165 0.935 1.453    1.242 0.967 1.594
Not-for-profit     REF REF REF    REF REF REF
For-profit     0.801 0.637 1.007    0.705 0.541 0.92
Large metropolitan     REF REF REF      
Medium and small metropolitan     0.94 0.827 1.068      
Nonmetropolitan     1.072 0.837 1.372      
  1. Abbreviation: REF indicates 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