Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York City
Objective. To identify modifiable neighborhood factors and quantify their effect on the rate of revascularization among acute myocardial infarction (AMI) patients. Method. Using the New York City hospital discharge records during 1998–2002, we employed a hierarchical regression model that integrates...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.4061/2011/348527 |
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| _version_ | 1849308128562118656 |
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| author | Abdissa Negassa Jing Fang |
| author_facet | Abdissa Negassa Jing Fang |
| author_sort | Abdissa Negassa |
| collection | DOAJ |
| description | Objective. To identify modifiable neighborhood factors and quantify their effect on the rate of revascularization among acute myocardial infarction (AMI) patients. Method. Using the New York City hospital discharge records during 1998–2002, we employed a hierarchical regression model that integrates patient-level risk factors and neighborhood-level factors to retrospectively examine revascularization patterns among AMI patients. Results. Access to revascularization varied substantially (27%–88%) among neighborhoods. Ready access to a hospital with on-site capacity of revascularization increased the likelihood of receiving the procedure after adjusting for individual-level sociodemographic factors and comorbidity. More than 64% of the variation in rate of revascularization is explained by access to revascularization. Conclusion. Optimizing the AMI patients' delivery system to hospitals with on-site capacity of revascularization might enhance access to needed care thereby help to alleviate the prevailing variation in the rate of revascularization among New York City neighborhoods. |
| format | Article |
| id | doaj-art-140d5d9ad4d643e2b5823def2d9da389 |
| institution | Kabale University |
| issn | 2090-0597 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-140d5d9ad4d643e2b5823def2d9da3892025-08-20T03:54:33ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/348527348527Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York CityAbdissa Negassa0Jing Fang1Division of Biostatistics, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USADivision of Epidemiology, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USAObjective. To identify modifiable neighborhood factors and quantify their effect on the rate of revascularization among acute myocardial infarction (AMI) patients. Method. Using the New York City hospital discharge records during 1998–2002, we employed a hierarchical regression model that integrates patient-level risk factors and neighborhood-level factors to retrospectively examine revascularization patterns among AMI patients. Results. Access to revascularization varied substantially (27%–88%) among neighborhoods. Ready access to a hospital with on-site capacity of revascularization increased the likelihood of receiving the procedure after adjusting for individual-level sociodemographic factors and comorbidity. More than 64% of the variation in rate of revascularization is explained by access to revascularization. Conclusion. Optimizing the AMI patients' delivery system to hospitals with on-site capacity of revascularization might enhance access to needed care thereby help to alleviate the prevailing variation in the rate of revascularization among New York City neighborhoods.http://dx.doi.org/10.4061/2011/348527 |
| spellingShingle | Abdissa Negassa Jing Fang Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York City Cardiology Research and Practice |
| title | Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York City |
| title_full | Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York City |
| title_fullStr | Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York City |
| title_full_unstemmed | Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York City |
| title_short | Neighborhood Variation in Rate of Revascularization among Acute Myocardial Infarction Patients in New York City |
| title_sort | neighborhood variation in rate of revascularization among acute myocardial infarction patients in new york city |
| url | http://dx.doi.org/10.4061/2011/348527 |
| work_keys_str_mv | AT abdissanegassa neighborhoodvariationinrateofrevascularizationamongacutemyocardialinfarctionpatientsinnewyorkcity AT jingfang neighborhoodvariationinrateofrevascularizationamongacutemyocardialinfarctionpatientsinnewyorkcity |