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The distance to community medical care and the likelihood of hospitalization: is closer always better?

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Title: The distance to community medical care and the likelihood of hospitalization: is closer always better?
Authors: Goodman DC (AUTHOR), Fisher E (AUTHOR), Stukel TA (AUTHOR), Chang C (AUTHOR)
Source: American Journal of Public Health. Jul97, Vol. 87 Issue 7, p1144-1150. 7p.
Subjects: Community health services, Medical care, Hospital care, Mortality, Medicare, Diagnosis
Abstract: OBJECTIVES: This study examined the influence that distance from residence to the nearest hospital had on the likelihood of hospitalization and mortality. METHODS: Hospitalizations were studied for Maine. New Hampshire, and Vermont during 1989 (adults) and for 1985 through 1989 (children) and for mortality (1989) in Medicare enrollees. RESULTS: After other known predictors of hospitalization (age, sex, bed supply, median household income, rural residence, academic medical center, and presence of nursing home patients) were controlled for, the adjusted rate ratio of medical hospitalization for residents living more than 30 minutes away was 0.85 (95% confidence interval [CI] = 0.82, 0.88) for adults and 0.78 (95% CI = 0.74, 0.81) for children, compared with those living in a zip code with a hospital. Similar effects were seen for the four most common diagnosis-related groups for both adults and children. The likelihood of hospitalization for conditions usually requiring hospitalization and for mortality in the elderly did not differ by distance. CONCLUSIONS: Distance to the hospital exerts an important influence on hospitalization rates that is unlikely to be explained by illness rates. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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  Data: The distance to community medical care and the likelihood of hospitalization: is closer always better?
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  Data: <searchLink fieldCode="AR" term="%22Goodman+DC%22">Goodman DC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fisher+E%22">Fisher E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stukel+TA%22">Stukel TA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chang+C%22">Chang C</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jul97, Vol. 87 Issue 7, p1144-1150. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Mortality%22">Mortality</searchLink><br /><searchLink fieldCode="DE" term="%22Medicare%22">Medicare</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: This study examined the influence that distance from residence to the nearest hospital had on the likelihood of hospitalization and mortality. METHODS: Hospitalizations were studied for Maine. New Hampshire, and Vermont during 1989 (adults) and for 1985 through 1989 (children) and for mortality (1989) in Medicare enrollees. RESULTS: After other known predictors of hospitalization (age, sex, bed supply, median household income, rural residence, academic medical center, and presence of nursing home patients) were controlled for, the adjusted rate ratio of medical hospitalization for residents living more than 30 minutes away was 0.85 (95% confidence interval [CI] = 0.82, 0.88) for adults and 0.78 (95% CI = 0.74, 0.81) for children, compared with those living in a zip code with a hospital. Similar effects were seen for the four most common diagnosis-related groups for both adults and children. The likelihood of hospitalization for conditions usually requiring hospitalization and for mortality in the elderly did not differ by distance. CONCLUSIONS: Distance to the hospital exerts an important influence on hospitalization rates that is unlikely to be explained by illness rates. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.2105/AJPH.87.7.1144
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      – Code: eng
        Text: English
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        PageCount: 7
        StartPage: 1144
    Subjects:
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Mortality
        Type: general
      – SubjectFull: Medicare
        Type: general
      – SubjectFull: Diagnosis
        Type: general
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      – TitleFull: The distance to community medical care and the likelihood of hospitalization: is closer always better?
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            – D: 01
              M: 07
              Text: Jul97
              Type: published
              Y: 1997
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