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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