Impact of Community Wealth on Use of Cardiac-Resynchronization Therapy With Defibrillators for Heart Failure Patients

Center for Cardiovascular Innovation, Northwestern University School of Medicine, Chicago, IL.
Circulation Cardiovascular Quality and Outcomes (Impact Factor: 5.04). 10/2012; 5(6). DOI: 10.1161/CIRCOUTCOMES.112.965509
Source: PubMed

ABSTRACT BACKGROUND: <0.0001) and implantable cardioverter-defibrillator implantation volume (P<0.001) remained significant predictors of CRT-D receipt. Patients treated at hospitals in affluent communities were more likely to receive CRT-D than patients treated in poor communities, despite accounting for other patient and hospital characteristics, including insurance status.Conclusions-These findings suggest that the likelihood of receiving CRT-D is mediated by community wealth and hospital resources, and that health policy targeting insurance coverage alone may be ineffective in resolving inequities in care.