Prevalence and Impact of Adverse Social and Behavioral Determinants of Health in Heart Failure: Analysis of a Safety-Net Population.
In: Journal of Health Care for the Poor & Underserved, Jg. 35 (2024-05-01), Heft 2, S. 503-515
academicJournal
Zugriff:
Objective. To determine the impact of adverse social and behavioral determinants of health (SBDH) on health care use in a safety-net community hospital (SNCH) heart failure (HF) population. Methods. We performed a retrospective analysis of HF patients at a single SNCH between 2018–2019 (N= 4594). Results. At least one adverse SBDH was present in 21% of the study population. Patients with at least one adverse SBDH were younger (57 vs. 68 years), more likely to identify as Black (50% vs. 36%), be male (68% vs. 53%), and have Medicaid insurance (48% vs. 22%), p<.001. Presence of at least one adverse SBDH (homelessness, substance use, or incarceration) correlated with increased hospitalizations (2.3 vs 1.4/patient) and ED visits (5.1 vs 2.1/patient), p<.0001. Adverse SBDH were independent predictors of HF readmissions. Prescribing of guideline-directed medical therapy was similar among all patients. Conclusions. In a SNCH HF cohort, adverse SBDH predominantly afflict younger Black men on Medicaid and are associated with increased utilization. [ABSTRACT FROM AUTHOR]
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Titel: |
Prevalence and Impact of Adverse Social and Behavioral Determinants of Health in Heart Failure: Analysis of a Safety-Net Population.
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Autor/in / Beteiligte Person: | Zellmer, Lucas |
Zeitschrift: | Journal of Health Care for the Poor & Underserved, Jg. 35 (2024-05-01), Heft 2, S. 503-515 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 1049-2089 (print) |
DOI: | 10.1353/hpu.2024.a928629 |
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