wow-inequalities/02-data/intermediate/wos_sample/1a393cd4c2f71f1302b82a5622192119-gowda-niraj-and-pat/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'ObjectiveThe purpose of this study was to describe the local communities
served by major teaching hospitals.MethodsUsing a dataset of hospitals
around the United States provided by the Association of American Medical
Colleges, we identified major teaching hospitals (MTHs) using the
Association of American Medical Colleges'' definition of those with an
intern-to-resident bed ratio above 0.25 and more than 100 beds. We
defined the local geographic market surrounding these hospitals as the
Dartmouth Atlas hospital service area (HSA). Using MATLAB R2020b
software, data from each ZIP Code Tabulation Area from the US Census
Bureau''s 2019 American Community Survey 5-Year Estimate Data tables were
grouped by HSA and attributed to each MTH. One-sample t tests were used
to evaluate for statistical differences between the HSAs and the US
average data. We further stratified the data into regions as defined by
the US Census Bureau: West, Midwest, Northeast, and South. One-sample t
tests were used to evaluate for statistical differences between MTH HSA
regional populations with their respective US regional
population.ResultsThe local population surrounding 299 unique MTHs
covered 180 HSAs and was 57\% White, 51\% female, 14\% older than 65
years old, 37\% with public insurance coverage, 12\% with any
disability, and 40\% with at least a bachelor''s degree. Compared with
the overall US population, HSAs surrounding MTHs had higher percentages
of female residents, Black/African American residents, and residents
enrolled in Medicare. In contrast, these communities also showed higher
average household and per capita income, higher percentages of
bachelor''s degree attainment, and lower rates of any disability or
Medicaid insurance.ConclusionsOur analysis suggests that the local
population surrounding MTHs is representative of the wide-ranging ethnic
and economic diversity of the US population that is advantaged in some
ways and disadvantaged in others. MTHs continue to play an important
role in caring for a diverse population. To support and improve policy
related to the reimbursement of uncompensated care and care of
underserved populations, researchers and policy makers must work to
better delineate and make transparent local hospital markets.'
affiliation: 'Miller, BJ (Corresponding Author), Johns Hopkins Univ Hosp, 600 N Wolfe
St, Meyer 8-143, Baltimore, MD 21287 USA.
Gowda, Niraj, Emory Univ, Dept Med, Div Pulm Allergy Crit Care \& Sleep Med, Sch
Med, Atlanta, GA USA.
Patel, Nisha M. M., Univ Florida, Dept Med, Div Gen Internal Med, Coll Med, Gainesville,
FL USA.
Ellenbogen, Michael I. I., Johns Hopkins Univ, Div Hosp Med, Dept Med, Sch Med,
Baltimore, MD USA.
Miller, Brian J. J., Johns Hopkins Univ Hosp, Div Hosp Med, Baltimore, MD 21287
USA.'
author: Gowda, Niraj and Patel, Nisha M. M. and Ellenbogen, Michael I. I. and Miller,
Brian J. J.
author-email: 'ngowda2015@gmail.com
nmpatel012@gmail.com
mellenb6@jhmi.edu
brian@brianjmillermd.com'
author_list:
- family: Gowda
given: Niraj
- family: Patel
given: Nisha M. M.
- family: Ellenbogen
given: Michael I. I.
- family: Miller
given: Brian J. J.
da: '2023-09-28'
doi: 10.14423/SMJ.0000000000001554
eissn: 1541-8243
files: []
issn: 0038-4348
journal: SOUTHERN MEDICAL JOURNAL
keywords: 'academic medical centers; demography; health catchment area; hospital
service area; teaching hospitals'
keywords-plus: CARE
language: English
month: MAY
number: '5'
number-of-cited-references: '20'
orcid-numbers: Ellenbogen, Michael/0000-0003-0701-8054
pages: 410-414
papis_id: 22519b1976e6f3f3e8b7d0a86378d08f
ref: Gowda2023localmarket
times-cited: '0'
title: The Local Market of Major Teaching Hospitals
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000975601100006
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '116'
web-of-science-categories: Medicine, General \& Internal
year: '2023'