Understanding the Risk Factors of Trauma Center Closures: Do Financial Pressure and Community Characteristics Matter?
Abstract
Objectives: We analyze whether hazard rates of shutting down trauma centers are higher due to financial pressures or in areas with
vulnerable populations (such as minorities or the poor).
Materials and Methods: This is a retrospective study of all hospitals with trauma center services in urban areas in the continental US between 1990 and
2005, identified from the American Hospital Association Annual Surveys. These data were linked with Medicare cost reports,
and supplemented with other sources, including the Area Resource File. We analyze the hazard rates of trauma center closures
among several dimensions of risk factors using discrete-time proportional hazard models.
Description
The article of record as published may be located at http://dx.doi.org/10.1097/MLR.0b013e31819c9415
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.Collections
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