Disparities in access to trauma centers

March 08, 2019

Bottom Line: An analysis of census tract data for neighborhoods in America's three largest cities suggests black-majority neighborhoods are associated with disparities in access to trauma centers. The study paired census tract data for New York City, Los Angeles and Chicago with coordinates for trauma centers within a five-mile buffer. Black-majority neighborhoods were more likely than white-majority neighborhoods to be located in so-called trauma deserts in Chicago and Los Angeles, although racial/ethnic disparities were only significant in New York after accounting for poverty and its interaction with race. This suggests that New York's extensive trauma network may limit racial/ethnic disparities by ensuring access to low-income neighborhoods. New York is more densely populated than Los Angeles and Chicago. Hispanic/Latino neighborhoods were less likely to be in  trauma deserts in New York and Los Angeles but slightly more likely in Chicago. A limitation of the study is that it only shows associations and causal inferences can't be drawn. This study suggests trauma planning should address racial equity.

Authors: Elizabeth L. Tung, M.D., M.S., University of Chicago, Chicago, Illinois, and coauthors

(doi: 10.1001/jamanetworkopen.2019.0138)

Editor's Note: The article contains funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

#  #  #

Want to embed a link to this study in your story? This full-text link will be live at the embargo time http://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2019.0138?utm_source=JAMA_Network&utm_medium=referral&utm_campaign=ftm_links&utm_term=030819

About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. Every Friday, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
-end-


JAMA Network Open

Related Trauma Centers Articles from Brightsurf:

LGBTQ+ campus centers 'more important than ever' argue scholars
In a new commentary piece, scholars from Lehigh University and Ohio State University argue that LGBTQ+ college and university campus resource centers are essential to the health, well-being and academic achievement of LGBTQ+ students.

Nanoearthquakes control spin centers in SiC
Researchers from the Paul-Drude-Institut in Berlin, the Helmholtz-Zentrum in Dresden and the Ioffe Institute in St.

Trauma relapse in a novel context may be preventable
Korea Brain Research Institute (KBRI, President: Pann-Ghill Suh) announced on February 10 that its research team led by Dr.

Data centers use less energy than you think
Using the most detailed model to date of global data center energy use, researchers found that massive efficiency gains by data centers have kept energy use roughly flat over the past decade.

Paving the way to healing complex trauma
A major study led by researchers at La Trobe University in Australia has identified key themes that will be used to inform strategies to support Aboriginal and Torres Strait Islander parents in the first years of their children's lives.

Improving trauma pain outcomes
A 7-year prospective cohort study from the Corporal Michael J.

Making a 'to do' list for trauma docs
Researchers from Drexel's College of Computing & Informatics have been integrating a tablet-based checklist tool into the workflow of a pediatric trauma center and, over the course of 15 months, have shown that it doesn't hamper doctors' performance.

Disparities in access to trauma centers
An analysis of census tract data for neighborhoods in America's three largest cities suggests black-majority neighborhoods are associated with disparities in access to trauma centers.

Patients with head injuries do better when treated by trauma centers, even if it means bypassing other hospitals
Patients who sustain severe head injuries tend to have better outcomes if they are taken to a designated trauma center, but 44 percent of them are first taken to hospitals without these specialized care capabilities, according to new research from the Perelman School of Medicine at the University of Pennsylvania.

Immigrant detention centers referred to as family centers, but resemble prisons
University of Kansas researchers in interviews with attorneys found immigrant detention complexes function like jails and prisons.

Read More: Trauma Centers News and Trauma Centers Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.