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Table 8 Association between private managed care and inpatient mortality for stroke

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

0.758

0.694

0.829

0.797

0.728

0.874

0.843

0.754

0.942

0.79

0.714

0.874

Age 18–44 years

0.801

0.688

0.933

0.802

0.689

0.934

0.776

0.661

0.911

0.806

0.688

0.943

Age 45–64 years

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

Age 65+ years

1.884

1.708

2.078

1.828

1.655

2.019

1.857

1.662

2.075

1.871

1.684

2.08

Male

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

Female

1.192

1.093

1.301

1.188

1.089

1.296

1.213

1.106

1.331

1.204

1.1

1.319

APRMORT_45002

17.472

11.606

26.303

17.306

11.494

26.059

18.513

12.194

28.107

17.421

11.539

26.301

APRMORT_45003

37.647

24.751

57.261

37.876

24.895

57.626

43.941

28.546

67.640

38.88

25.466

59.36

APRMORT_45004

286.246

190.76

429.527

297.971

198.442

447.421

429.277

281.752

654.044

327.875

217.389

494.516

APRMORT_44001

48.124

30.516

75.892

50.302

31.866

79.403

58.461

36.453

93.756

52.76

33.217

83.801

APRMORT_44002

31.378

20.633

47.719

32.77

21.531

49.876

38.932

25.279

59.958

33.019

21.609

50.454

APRMORT_44003

125.356

82.532

190.4

130.734

85.984

198.776

172.875

112.064

266.685

141.576

92.638

216.366

APRMORT_44004

>999.999

832.177

>999.999

>999.999

873.693

>999.999

>999.999

>999.999

>999.999

>999.999

>999.999

>999.999

APRMORT_21XXX

134.17

90.207

199.559

142.957

95.953

212.986

195.398

129.375

295.113

154.649

103.417

231.263

APRMORT_OTHER

49.024

32.526

73.89

51.902

34.385

78.342

68.715

44.962

105.018

53.797

35.508

81.505

Lowest income

0.973

0.855

1.107

0.925

0.811

1.055

0.929

0.791

1.092

0.996

0.846

1.174

Low income

1.028

0.912

1.158

0.959

0.848

1.084

0.993

0.859

1.148

1.044

0.9

1.212

Moderate income

1.041

0.93

1.166

1.01

0.901

1.132

1.063

0.932

1.212

1.065

0.934

1.214

High income

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

REF

0-99 beds

   

1.417

1.118

1.796

   

1.35

1.032

1.766

100-299 beds

   

REF

REF

REF

   

REF

REF

REF

300-499 beds

   

0.899

0.792

1.021

   

0.885

0.767

1.021

500+ beds

   

0.96

0.829

1.111

   

0.885

0.749

1.045

Nonteaching

   

REF

REF

REF

   

REF

REF

REF

Teaching

   

0.983

0.872

1.108

   

1.003

0.87

1.156

Governmental

   

1.506

1.299

1.746

   

1.352

1.139

1.603

Not-for-profit

   

REF

REF

REF

   

REF

REF

REF

For-profit

   

0.832

0.678

1.022

   

0.976

0.764

1.247

Large metropolitan

   

REF

REF

REF

      

Medium and small metropolitan

   

1.221

1.101

1.354

      

Nonmetropolitan

   

1.423

1.141

1.774

      
  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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