{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:53:09Z","timestamp":1757454789819,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,7,28]],"date-time":"2015-07-28T00:00:00Z","timestamp":1438041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001030","name":"National Heart Foundation of Australia","doi-asserted-by":"publisher","award":["G 08A 3656"],"award-info":[{"award-number":["G 08A 3656"]}],"id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001030","name":"National Heart Foundation of Australia","doi-asserted-by":"publisher","award":["G 11P 5661"],"award-info":[{"award-number":["G 11P 5661"]}],"id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Funding source\/insurance status has been associated with disparity in the management and outcomes of cardiovascular disease, with poorer outcomes among disadvantaged groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>Using proposed quality indicators for permanent pacemaker (<jats:styled-content style=\"fixed-case\">PPM<\/jats:styled-content>) implantation and administrative data, this study aimed to determine whether quality indicator\u2010based outcomes of <jats:styled-content style=\"fixed-case\">PPM<\/jats:styled-content> implantation were comparable for publicly and privately funded patients within <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia's two\u2010tier health system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based cohort study of adults implanted with a <jats:styled-content style=\"fixed-case\">PPM<\/jats:styled-content> between 1995 and 2009 in <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>estern <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia. The association of funding outcomes derived from linked administrative data was tested in multivariate logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 9748 <jats:styled-content style=\"fixed-case\">PPMs<\/jats:styled-content> implanted, 48% being among privately funded patients. The mean age was 75 years for both public and private patients. Private patients had better health status (fewer with cardiac conditions and lower non\u2010cardiac comorbidity scores), were less likely to be an emergency admission (33% vs 60%, <jats:italic>P<\/jats:italic> &lt; 0.001) and more likely to have dual\u2010 or triple\u2010chamber pacing. Mean length of stay was significantly greater for private patients (4.3 (standard deviation 6.3) vs 5.1 (6.8) days &lt;0.001), related to longer elective admissions. Crude mortality was lower for private patients in\u2010hospital (0.7 vs 1.3%), 30\u2010day post\u2010procedure (1.3 vs 2.1%) and at 1 year (7.3 vs 9.5%). Emergency admission, comorbidity and other demographic and clinical factors, not funding source, were significant predictors of these outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was no difference between publicly and privately funded patients in study outcomes, after adjustment for demographic and clinical factors. The exception was longer hospital stay for elective <jats:styled-content style=\"fixed-case\">PPM<\/jats:styled-content> among privately funded patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12762","type":"journal-article","created":{"date-parts":[[2015,4,8]],"date-time":"2015-04-08T06:27:16Z","timestamp":1428474436000},"page":"813-820","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Using quality indicators to compare outcomes of permanent cardiac pacemaker implantation among publicly and privately funded patients"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2560-2537","authenticated-orcid":false,"given":"P. 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