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:
影响因子:
--
通讯作者:
Shen YC
中科院分区:
文献类型:
--
作者:
Hsia RY;Shen YC
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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