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