{"id":"https://openalex.org/W1977009706","doi":"https://doi.org/10.1001/archinte.159.17.2013","title":"Timeliness and Quality of Care for Elderly Patients With Acute Myocardial Infarction Under Health Maintenance Organization vs Fee-for-Service Insurance","display_name":"Timeliness and Quality of Care for Elderly Patients With Acute Myocardial Infarction Under Health Maintenance Organization vs Fee-for-Service Insurance","publication_year":1999,"publication_date":"1999-09-27","ids":{"openalex":"https://openalex.org/W1977009706","doi":"https://doi.org/10.1001/archinte.159.17.2013","mag":"1977009706","pmid":"https://pubmed.ncbi.nlm.nih.gov/10510986"},"language":"en","primary_location":{"id":"doi:10.1001/archinte.159.17.2013","doi":"https://doi.org/10.1001/archinte.159.17.2013","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.159.17.2013","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:32692618","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074451946","display_name":"Stephen B. Soumerai","orcid":"https://orcid.org/0000-0001-6811-2496","observed_orcids":["https://orcid.org/0000-0001-6811-2496"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210111543","display_name":"Harvard Pilgrim Health Care","ror":"https://ror.org/01zxdeg39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210111543"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen B. Soumerai","raw_affiliation_strings":["Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA. ssoumerai@hms.harvard.edu","Department of Ambulatory Care and Prevention, Harvard Medical School, and Harvard Pilgrim Health Care, Boston, Mass. 02215, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA. ssoumerai@hms.harvard.edu","institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210111543"]},{"raw_affiliation_string":"Department of Ambulatory Care and Prevention, Harvard Medical School, and Harvard Pilgrim Health Care, Boston, Mass. 02215, USA","institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210111543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103575508","display_name":"Thomas J. McLaughlin","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Thomas J. McLaughlin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089946924","display_name":"Jerry H. Gurwitz","orcid":"https://orcid.org/0000-0003-1630-8213","observed_orcids":["https://orcid.org/0000-0003-1630-8213"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jerry H. Gurwitz","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106236144","display_name":"Steven D. Pearson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Steven Pearson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074470319","display_name":"C L Christiansen","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cindy L. Christiansen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043592514","display_name":"Catherine Borbas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Catherine Borbas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080336072","display_name":"Nora Morris","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nora Morris","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105835719","display_name":"Barbara McLaughlin","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Barbara McLaughlin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030151797","display_name":"Xiaoming Gao","orcid":"https://orcid.org/0000-0002-6058-8120","observed_orcids":["https://orcid.org/0000-0002-6058-8120"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Xiaoming Gao","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5077719091","display_name":"Dennis Ross\u2010Degnan","orcid":"https://orcid.org/0000-0002-0066-1242","observed_orcids":["https://orcid.org/0000-0002-0066-1242"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dennis Ross-Degnan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.4997,"has_fulltext":false,"cited_by_count":28,"citation_normalized_percentile":{"value":0.92936971,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"159","issue":"17","first_page":"2013","last_page":"2013"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.5884000062942505,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.5884000062942505,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.3043999969959259,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.03460000082850456,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":0.9319999814033508},{"id":"https://openalex.org/keywords/health-maintenance-organizations","display_name":"health maintenance organizations","score":0.878000020980835},{"id":"https://openalex.org/keywords/fee-for-service-insurance","display_name":"fee-for-service insurance","score":0.9919999837875366},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.6489999890327454},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.9710000157356262},{"id":"https://openalex.org/keywords/emergency-transportation","display_name":"emergency transport","score":0.5830000042915344},{"id":"https://openalex.org/keywords/treatment-delay","display_name":"treatment delay","score":0.906000018119812},{"id":"https://openalex.org/keywords/door-to-needle-time","display_name":"door-to-needle time","score":0.9309999942779541},{"id":"https://openalex.org/keywords/thrombolysis","display_name":"thrombolysis","score":0.9309999942779541},{"id":"https://openalex.org/keywords/aspirin","display_name":"aspirin","score":0.7749999761581421},{"id":"https://openalex.org/keywords/beta-blockers","display_name":"beta-blockers","score":0.9940000176429749},{"id":"https://openalex.org/keywords/quality-of-emergency-care","display_name":"emergency care quality","score":0.7720000147819519},{"id":"https://openalex.org/keywords/health-insurance-type","display_name":"health insurance type","score":0.3720000088214874},{"id":"https://openalex.org/keywords/physician-age","display_name":"physician age","score":0.5839999914169312},{"id":"https://openalex.org/keywords/community-hospitals","display_name":"community hospitals","score":0.5099999904632568},{"id":"https://openalex.org/keywords/minnesota","display_name":"Minnesota","score":0.5230000019073486},{"id":"https://openalex.org/keywords/model-of-care","display_name":"models of care","score":0.4129999876022339}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9102256298065186},{"id":"https://openalex.org/C2777628954","wikidata":"https://www.wikidata.org/wiki/Q18216","display_name":"Aspirin","level":2,"score":0.7175804376602173},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.6837198138237},{"id":"https://openalex.org/C2992556508","wikidata":"https://www.wikidata.org/wiki/Q12147","display_name":"Health maintenance","level":3,"score":0.6137076020240784},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5863040685653687},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.4304342269897461},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.4249749481678009},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.39584463834762573},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.366682767868042},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3372924327850342},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000319","descriptor_name":"Adrenergic beta-Antagonists","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001241","descriptor_name":"Aspirin","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D004562","descriptor_name":"Electrocardiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004638","descriptor_name":"Emergency Treatment","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005343","descriptor_name":"Fibrinolytic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006279","descriptor_name":"Health Maintenance Organizations","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008499","descriptor_name":"Medical Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008910","descriptor_name":"Minnesota","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009203","descriptor_name":"Myocardial Infarction","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D010360","descriptor_name":"Patient Transfer","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018588","descriptor_name":"Fee-for-Service Plans","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":5,"locations":[{"id":"doi:10.1001/archinte.159.17.2013","doi":"https://doi.org/10.1001/archinte.159.17.2013","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinte.159.17.2013","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:10510986","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10510986","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of internal medicine","raw_type":"Comparative Study"},{"id":"pmh:oai:dash.harvard.edu:1/32692618","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:32692618","pdf_url":null,"source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Journal Article"},{"id":"pmh:oai:escholarship.umassmed.edu:meyers_pp-1142","doi":null,"is_oa":false,"landing_page_url":"https://escholarship.umassmed.edu/meyers_pp/99","pdf_url":null,"source":{"id":"https://openalex.org/S4306400883","display_name":"The Journal of the American Medical Association (JAMA) Network (American Medical Association)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I173654999","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/I173654999"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Meyers Primary Care Institute Publications","raw_type":"text"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/927463","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10822/927463","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:207704","raw_type":null}],"best_oa_location":{"id":"pmh:oai:dash.harvard.edu:1/32692618","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:32692618","pdf_url":null,"source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Journal Article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G1279146126","display_name":null,"funder_award_id":"HSO7357","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"},{"id":"https://openalex.org/G2319705505","display_name":null,"funder_award_id":"AG14474","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G4430191342","display_name":"MEDICARE CAPITATION AND QUALITY OF CARE FOR ACUTE MI","funder_award_id":"5r01ag014474-03","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":36,"referenced_works":["https://openalex.org/W110050197","https://openalex.org/W1969558892","https://openalex.org/W1971538582","https://openalex.org/W1972077689","https://openalex.org/W1973001775","https://openalex.org/W1978665705","https://openalex.org/W1988169848","https://openalex.org/W1989190276","https://openalex.org/W1995355115","https://openalex.org/W2001728297","https://openalex.org/W2010256798","https://openalex.org/W2022877395","https://openalex.org/W2025518264","https://openalex.org/W2035191223","https://openalex.org/W2042127962","https://openalex.org/W2044351705","https://openalex.org/W2046892565","https://openalex.org/W2052012471","https://openalex.org/W2052905560","https://openalex.org/W2053256073","https://openalex.org/W2054071368","https://openalex.org/W2056707350","https://openalex.org/W2112201497","https://openalex.org/W2119706674","https://openalex.org/W2316873690","https://openalex.org/W2330597428","https://openalex.org/W2333648814","https://openalex.org/W2410992385","https://openalex.org/W2415400866","https://openalex.org/W4232191049","https://openalex.org/W4237793003","https://openalex.org/W4239111797","https://openalex.org/W4239471829","https://openalex.org/W4250340486","https://openalex.org/W4250748027","https://openalex.org/W4252360390"],"related_works":["https://openalex.org/W2152954169","https://openalex.org/W1549947319","https://openalex.org/W207763480","https://openalex.org/W2464515844","https://openalex.org/W2156608844","https://openalex.org/W2058588840","https://openalex.org/W2338823291","https://openalex.org/W312192439","https://openalex.org/W1782675282","https://openalex.org/W2618374213"],"abstract_inverted_index":{"BACKGROUND:":[0],"A":[1,161],"commonly":[2],"voiced":[3],"concern":[4],"is":[5,382],"that":[6,230,324],"health":[7],"maintenance":[8,241],"organizations":[9],"(HMOs)":[10],"may":[11],"withhold":[12],"or":[13,168],"delay":[14,110],"the":[15,26,31,59,169,173,299,325,328,370],"provision":[16],"of":[17,33,62,81,105,120,142,175,177,182,195,206,211,221,280,330,337,341,361,374],"urgent,":[18],"essential":[19],"care,":[20],"especially":[21],"for":[22,226,315,343,391],"vulnerable":[23],"patients":[24,41,66,179,184,208,213,227,243,250,345],"like":[25],"elderly.":[27],"OBJECTIVE:":[28],"To":[29],"compare":[30],"quality":[32,340,362],"emergency":[34,106,215,375],"care":[35,174,342,363],"provided":[36],"in":[37,77,83,172,283,327,356,369,384,387],"Minnesota":[38,78],"to":[39,72,117,133,192,251,289],"elderly":[40,64,344],"with":[42,70,228,346],"acute":[43],"myocardial":[44],"infarction":[45],"(AMI)":[46],"who":[47,67,285],"are":[48],"covered":[49],"by":[50,86,275],"HMO":[51,151,178,207,351,371],"vs":[52,235,256,265,352],"fee-for-service":[53],"(FFS)":[54],"insurance.":[55],"METHODS:":[56],"We":[57],"reviewed":[58],"medical":[60,393],"records":[61],"2304":[63],"Medicare":[65],"were":[68,147,201,244,272,286,296,348,364],"admitted":[69],"AMI":[71],"20":[73],"urban":[74],"community":[75],"hospitals":[76],"(representing":[79],"91%":[80],"beds":[82],"areas":[84],"served":[85],"HMOs)":[87],"from":[88,95,113,130],"October":[89],"1992":[90],"through":[91,98],"July":[92,96],"1993":[93],"and":[94,108,123,128,144,155,180,198,209,261,306,317,339,377,390],"1995":[97],"April":[99],"1996.":[100],"MAIN":[101],"OUTCOME":[102],"MEASURES:":[103],"Use":[104],"transportation":[107,216,376],"treatment":[109,189],"(>6":[111],"hours":[112],"symptom":[114],"onset);":[115],"time":[116,129,191],"electrocardiogram;":[118],"use":[119,194,329],"aspirin,":[121],"thrombolytics,":[122],"beta-blockers":[124,331],"among":[125,150],"eligible":[126],"patients;":[127],"hospital":[131],"arrival":[132],"thrombolytic":[134,196],"administration":[135],"(door-to-needle":[136],"time).":[137],"RESULTS:":[138],"Demographic":[139],"characteristics,":[140],"severity":[141],"symptoms,":[143],"comorbidity":[145],"characteristics":[146],"almost":[148,202],"identical":[149],"(n":[152,157],"=":[153,158,186,218,238,259,268],"612)":[154],"FFS":[156,183,212,249,353],"1692)":[159],"patients.":[160],"cardiologist":[162],"was":[163,224],"involved":[164],"as":[165],"a":[166,276],"consultant":[167],"attending":[170],"physician":[171],"80%":[176],"82%":[181],"(P":[185,217],".12).":[187],"The":[188],"delay,":[190],"electrocardiogram,":[193],"agents,":[197],"door-to-needle":[199],"times":[200],"identical.":[203],"However,":[204,358],"56%":[205],"51%":[210],"used":[214],".02);":[219],"most":[220],"this":[222],"difference":[223],"observed":[225],"AMIs":[229,347],"occurred":[231],"at":[232],"night":[233],"(60%":[234],"52%;":[236],"P":[237,258,267],".02).":[239],"Health":[240],"organization":[242],"somewhat":[245],"more":[246,287],"likely":[247,288],"than":[248],"receive":[252],"aspirin":[253,378],"therapy":[254,263],"(88%":[255],"83%;":[257],".03)":[260],"beta-blocker":[262],"(73%":[264],"62%;":[266],".04);":[269],"these":[270,291],"differences":[271,295,326],"partly":[273],"explained":[274],"significantly":[277,367],"larger":[278],"proportion":[279],"younger":[281],"physicians":[282],"HMOs":[284,302],"order":[290],"drug":[292],"therapies.":[293],"All":[294],"consistent":[297],"across":[298],"3":[300],"largest":[301],"(1":[303],"staff-group":[304],"model":[305,309],"2":[307],"network":[308],"HMOs).":[310],"Logistic":[311],"regression":[312],"analyses":[313],"controlling":[314],"demographic":[316],"clinical":[318],"variables":[319],"produced":[320],"similar":[321],"results,":[322],"except":[323],"became":[332],"insignificant.":[333],"CONCLUSIONS:":[334],"No":[335],"indicators":[336,360],"timeliness":[338],"lower":[349],"under":[350],"insurance":[354],"coverage":[355],"Minnesota.":[357],"two":[359],"slightly":[365],"but":[366],"higher":[368],"setting":[372],"(use":[373],"therapy).":[379],"Further":[380],"research":[381],"needed":[383],"other":[385],"states,":[386],"different":[388,392],"populations,":[389],"conditions.":[394]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2016,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}