Rising closures of hospital trauma centers disproportionately burden vulnerable populations.

Rising closures of hospital trauma centers disproportionately burden vulnerable populations.
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DOI:
10.1377/hlthaff.2011.0510
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发表时间:
2011-10
期刊:
Health affairs (Project Hope)
影响因子:
--
通讯作者:
Shen YC
Shen YC
中科院分区:
其他
文献类型:
--
作者:
Hsia RY;Shen YC

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自2001年以来,创伤中心的关闭速度加快。这些关闭可能会对弱势社区造成不成比例的影响。我们评估了2001-2007年全国范围内邮政编码和最近的创伤中心之间的驾驶时间如何变化。在此期间,24%的人经历了到最近的创伤中心的驾驶时间增加。非裔美国人、没有保险的人、生活在贫困中的人和生活在农村地区的人比例过高的社区比其他社区更有可能经历日益恶化的机会。为这些社区服务的剩余创伤中心应获得资金,在区域一级协调创伤护理的努力应考虑到获得差异。
Closures of trauma centers have accelerated since 2001. These closures may be disproportionately affecting disadvantaged communities. We evaluate how driving time between ZIP codes and nearest trauma centers changed nationwide from 2001–2007. During this period, 24% of the population experienced increased driving times to the nearest trauma center. Communities with disproportionately high numbers of African Americans, uninsured, people living in poverty and in rural areas were more likely to experience deteriorating access than other communities. Remaining trauma centers serving these communities should be allocated funding, and efforts to coordinate trauma care at the regional level should account for access disparities.
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发表时间: 1996-11-01
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