NPS logo Naval Postgraduate School
Dudley Knox Library
        View Item 
        •   Calhoun Home
        • Faculty and Researchers
        • Faculty and Researchers Collection
        • View Item
        •   Calhoun Home
        • Faculty and Researchers
        • Faculty and Researchers Collection
        • View Item
        • How to search in Calhoun
        • My Accounts
        • Ask a Librarian
        JavaScript is disabled for your browser. Some features of this site may not work without it.

        Browse

        All of CalhounCollectionsThis Collection

        My Account

        LoginRegister

        Statistics

        Most Popular ItemsStatistics by CountryMost Popular Authors

        Possible Geographical Barriers to Trauma Center Access for Vulnerable Patients in the United States: An Analysis of Urban and Rural Communitie

        Thumbnail
        View/Open
        IconPossible_Geographical.pdf (311.7Kb)
        Download Record
        Download to EndNote/RefMan (RIS)
        Download to BibTex
        Author
        Hsia, Renee
        Shen, Yu-Chu
        Date
        2011-01
        Metadata
        Show full item record
        Abstract
        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 linked with zip code–level data from the US Census. We used a multinomial logit model to examine the odds of having difficult as opposed to easy access to trauma centers for a given subgroup of vulnerable populations. Setting and Participants—Population in rural and urban communities as defined by zip codes in the United States. Main Outcome Measures—Each community’s distance to the nearest trauma center (levels I– III). Results—In urban areas, 67% of the population had easy access to trauma centers and 12% had difficult access compared with 24% and 31% in rural areas, respectively. Areas with higher shares of the following vulnerable population groups had higher risks (odds ratios) of facing difficult access to trauma center services in 2005: foreign born in urban areas (1.65 for a medium share and 2.18 for a high share [both P < .01]); African American in urban and rural areas (1.25 for a medium share and 1.35 for a high share, respectively [both P < .05]); and near-poor in urban and rural areas (1.52 [P < .05] and 1.69 [P < .01] for a high share, respectively). Conclusions—A significant segment of the US population (representing 38.4 million people) does not have access to trauma care within 1 hour of driving time. Moreover, certain vulnerable groups are at higher risk than others for worse access to trauma centers. Stakeholders and health care planners should consider these factors in the development of trauma systems because a mismatch of potential need and access could signal inefficiencies in the delivery of care.
        Description
        The article of record as published may be found at http://dx.doi.org/10.1001/archsurg.2010.299
        URI
        http://hdl.handle.net/10945/49688
        Collections
        • Faculty and Researchers Collection

        Related items

        Showing items related by title, author, creator and subject.

        • Thumbnail

          Rising Closures Of Hospital Trauma Centers Disproportionately Burden Vulnerable Populations 

          Hsia, Renee Yuen-Jan; Shen, Yu-Chu (2011-10);
          Closures of hospital trauma centers have accelerated since 2001. These closures may disproportionately affect disadvantaged communities. We evaluate how driving time between ZIP code areas and the nearest trauma centers—a ...
        • Thumbnail

          Possible geographical barriers to trauma center access for vulnerable patients in the United States: an analysis of urban and rural communities 

          Hsia, Renee; Shen, Yu-Chu (American Medical Association, 2011);
          A cross-sectional analysis using data from the American Hospital Association Annual Survey from 2005 linked with zip code–level data from the US Census. We used a multinomial logit model to examine the odds of having ...
        • Thumbnail

          Changes in Geographical Access to Trauma Centers for Vulnerable Populations in the United States, Author Manuscript 

          Hsia, Renee Y.; Yu-Chu, Shen (2011-10);
          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 ...
        Feedback

        411 Dyer Rd. Bldg. 339
        Monterey, CA 93943

         

        circdesk@nps.edu
        (831) 656-2947
        DSN 756-2947

        Start Your Research

        • Research Guides
        • How to Cite
        • Search Basics
        • Ask a Librarian
        • Library Liaisons
        • Graduate Writing Center
        • Thesis Processing Office
        • Statistics, Maps & More
        • Copyright at NPS

        Find & Download

        • Databases List
        • Articles, Books & More
        • NPS Theses
        • NPS Faculty Publications: Calhoun
        • Journal Titles
        • Course Reserves

        Use the Library

        • My Accounts
        • Request Article or Book
        • Borrow, Renew, Return
        • Remote Access
        • Workshops & Tours
        • For Faculty & Researchers
        • For International Students
        • For Alumni
        • Print, Copy, Scan, Fax
        • Rooms & Study Spaces
        • Floor Map
        • Computers & Software
        • Adapters, Lockers & More

        Collections

        • NPS Archive: Calhoun
        • Restricted Resources
        • Special Collections & Archives
        • Federal Depository
        • Homeland Security Digital Library

        About

        • Hours
        • Library Staff
        • About Us
        • Visit Us

        NPS-Licensed Resources - Terms & Conditions

        Copyright Notice

         
         

          Federal Depository Library  

        NPS Home Privacy Policy Copyright Accessibility Contact Webmaster