Objectives The study come from University of Chicago Pritzker School of Medicine, USA, which aim was to analyze the relationship between payment source and quality of care and outcomes in heart failure (HF). A total of 99 508 HF admissions from 244 sites between January 2005 and September 2009 were analyzed. Patients were grouped on the basis of payer status (private/health maintenance organisation, no insurance, Medicare, or Medicaid) with private/health maintenance organisation as the reference group. Decreased quality of care and outcomes for patients with HF were observed in the no-insurance, Medicaid, and Medicare groups compared with the private/health maintenance organisation group.
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