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This Week in JAMA
March 14, 2007

This Week in JAMA

JAMA. 2007;297(10):1031. doi:10.1001/jama.297.10.1031

A JAMA THEME ISSUE

Edited by Phil B. Fontanarosa, MD, MBA, and Drummond Rennie, MD

Rahimi and colleagues determined the prevalence of self-reported financial barriers to health care services or medications (“avoidance due to cost”) among 2498 participants in a prospective observational study of acute myocardial infarction (MI) and examined the association of these barriers with subsequent health outcomes. The authors report that 18.1% of patients reported having had financial barriers to health care services and 12.9% reported having had financial barriers to medication, even though 68.9% and 68.5%, respectively, were insured. Compared with patients without financial barriers, patients with financial barriers had a worse recovery, including higher rates of angina, poorer quality of life, and a higher risk of rehospitalization.

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