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Variations by health region in treatment and survival after heart attack

Helen Johansen1, Julie Bernier, Philippe Finès

  • 1Health Analysis Division, Statistics Canada, Ottawa, Ontario, K1A 0T6. Helen.Johansen@statcan.gc.ca

Health Reports
|September 5, 2009
PubMed

Insights

Geographical variations in Canadian heart attack care show rising revascularization rates and falling mortality. However, some regions with high treatment rates still had high mortality, questioning healthcare efficiency.

Area of Science:

  • Cardiovascular Medicine
  • Health Services Research
  • Public Health

Background:

  • Acute myocardial infarction (AMI) care quality varies geographically.
  • Understanding these variations is crucial for improving patient outcomes.

Purpose of the Study:

  • To examine geographical variations in 30-day revascularization rates and 30-day in-hospital mortality for Canadian AMI patients.
  • To identify potential disparities in treatment and survival across different health regions.

Main Methods:

  • Analysis of data from the Health Person-Oriented Information Database.
  • Inclusion of health regions with populations ≥100,000 across seven Canadian provinces.
  • Comparison of data from 1995/1996 and 2003/2004.

Main Results:

  • Revascularization rates increased in all regions studied.
  • Mortality rates decreased in most, but not all, regions.
  • A general trend of lower mortality with higher revascularization was observed, but exceptions existed, indicating complex relationships.

Conclusions:

  • Significant geographical variations in AMI treatment and survival persist in Canada.
  • The efficiency of healthcare delivery for AMI patients requires further investigation.
  • Improved data collection is necessary to understand and address these disparities.

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