Changes in Geographical Access to Trauma Centers for Vulnerable Populations in the United States, Author Manuscript
Hsia, Renee Y.
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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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Possible Geographical Barriers to Trauma Center Access for Vulnerable Patients in the United States: An Analysis of Urban and Rural Communitie Hsia, Renee; Shen, Yu-Chu (American Medical Association, 2011-01);Objective—To study whether traditionally vulnerable populations have worse geographic access to trauma centers. Design—A cross-sectional analysis using data from the American Hospital Association Annual Survey from 2005 ...
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