Abstract 1587: Impact of Universal Medical Coverage on Medical Care and Outcomes in Low Income Patients Hospitalised for Acute Myocardial Infarction: An Analysis From the French National Health Insurance Database
Background and aim: France offers a universal medical coverage insurance (CMUC) to persons <60 years of age with income <600 euros/month. We investigated whether CMUC permitted low income patients to have similar care and outcomes when hospitalized for acute myocardial infarction (AMI).
Methods: All hospitalisations from January to June 2006 for AMI were included from the French hospital discharge database. Patients covered by the general health insurance scheme (70% of French population) and aged <60 years were selected.
Results (Table⇓): Of 4,939 patients, 587 (12%) were covered by CMUC. CMUC patients were more often women (24% vs 14%, p<0.001), younger (48.1 years vs 49.7, p<0.001), and had more comorbid conditions, in particular diabetes (21% vs 13%, p<0.001) or chronic lung disease (9% vs 5%, p<0.001). CMUC patients were admitted to the same types of institutions, including private clinics, as non-CMUC patients. After ajustment to patient characteristics, no significant differences in medical care or in outcomes were found between low income earners and other patients with AMI.
Conclusion: These data show that universal medical coverage is efficacious in providing adequate care for deprived patients suffering from severe acute conditions such as AMI.