Prevalence and Impact of Adverse Social and Behavioral Determinants of Health in Heart Failure: Analysis of a Safety-Net Population.
J Health Care Poor Underserved
; 35(2): 503-515, 2024.
Article
em En
| MEDLINE
| ID: mdl-38828578
ABSTRACT
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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Determinantes Sociais da Saúde
/
Provedores de Redes de Segurança
/
Insuficiência Cardíaca
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Health Care Poor Underserved
Assunto da revista:
SERVICOS DE SAUDE
Ano de publicação:
2024
Tipo de documento:
Article
País de publicação:
Estados Unidos