Differences in patient mix: a partial explantation for the excessive Medicare mortality observed in some Puerto Rican hospitals
De Andino, R.M.; Conde, J.G.; Mendoza, M.
Boletin de la Asociacion Medica de Puerto Rico 83(8): 329-332
1991
ISSN/ISBN: 0004-4849 PMID: 1816783 Document Number: 700367
Data from a census in a Puerto Rican community were used to retrospectively compare patients admitted to government hospitals in terms of demographic variables, mental status and functional status in the community prior to admission. A total of 268 patients admitted to a hospital at least once during the study period were identified. Patients admitted to government hospitals were poorer, less educated, less functional and had a higher level of mental impairment. However, in comparison to private hospitals, stratified analysis showed consistently higher in-hospital mortality rates among patients admitted to government hospitals when other variables were taken into account.
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