Geographic Variation in Cardiac Rehabilitation Participation in Medicare and Veterans Affairs Populations: Opportunity for Improvement
Authors' conclusion
Cardiac rehabilitation participation remains low overall in both Medicare and VA populations. However, remarkably similar regional variation exists, with some regions and hospitals achieving high rates of participation in both populations.
Study context
- Population
- Patients hospitalized for MI, PCI or CABG, US, 2007–2011, alive >30 days after hospitalization
- Participants
- 143,756 vs 88,826
- Exposure
- Cardiac rehabilitation participation in Medicare vs Veterans Affairs (VA), by state, region and hospital
- Medicaren = 143,756
- VAn = 88,826
- Outcome
- Participation in ≥1 outpatient cardiac rehabilitation visit
- Follow-up
- 12 months after hospitalization
Methodological detailsadministrative data, hierarchical logistic regression
- Administrative data
- Hierarchical logistic regression
Main finding
As reported in the abstract
Cardiac rehabilitation participation
| Group | Value | State range | Hospital range |
|---|---|---|---|
| Medicare | 16.3% | 3.2% to 41.8% | 3% to 75% |
| VA | 10.3% | 1.2% to 47.6% | 1% to 43% |
Value
Medicare16.3%
VA10.3%
State range
Medicare3.2% to 41.8%
VA1.2% to 47.6%
Hospital range
Medicare3% to 75%
VA1% to 43%
Observational data: associations, not effects.
Further findings
Participation by region: West North Central (highest) vs Pacific (lowest)
- Medicare: West North Central vs Pacific
- 33.7% versus 10.6%
- VA: West North Central vs Pacific
- 16.6% versus 5.1%
Original publication
Geographic Variation in Cardiac Rehabilitation Participation in Medicare and Veterans Affairs Populations: Opportunity for Improvement. Circulation. Published 5 January 2018. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →