ArticleMaternal and child health journal2008
Disparities in geographic access to pediatric subspecialty care.
Article in Maternal and child health journal, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed.
- Disparities in Rural-Urban Cancer Care Outcomes among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Review
- Predictors of Subspecialty Appointment Scheduling and Completion for Patients Referred From a Pediatric Primary Care Clinic.Clinical pediatrics · 2024Article
- Adapting a clinical decision support system to improve identification of pediatric hypertension in a rural health system: Design of a pragmatic trial.Contemporary clinical trials · 2023Article
- Pediatric Pulmonary Fellowship Program Size Effect on Recruitment and Workforce Distribution.ATS scholar · 2023Article
- Article
- Perceived Usefulness of Increased Telemedicine Use by Pediatric Subspecialists: A National Survey.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
- Rural Barriers to Surgical Care for Children With Sleep-Disordered Breathing.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2022Article
- Delayed diagnosis and racial bias in children with genetic conditions.American journal of medical genetics. Part A · 2022Article
- Diagnosis and Management of Insect Allergy: Barriers and Facilitators in the United States.Journal of asthma and allergy · 2022Review
- A prospective survey study of lower urinary tract dysfunction in childhood cancer survivors after vincristine and/or doxorubicin chemotherapy.Pediatric blood & cancer · 2021Article
- Socioeconomic disparities in survival after high-risk neuroblastoma treatment with modern therapy.Pediatric blood & cancer · 2021Article
- Optimizing e-Consultations to Adolescent Medicine Specialists: Qualitative Synthesis of Feedback From User-Centered Design.JMIR human factors · 2021Article
- Availability of Pediatric Inpatient Services in the United States.Pediatrics · 2021Article
- Influence of Geographic Access on Surgical Center Readmissions After Index Congenital Heart Surgery.The Journal of pediatrics · 2021Article
- Capacity Building for a New Multicenter Network Within the ECHO IDeA States Pediatric Clinical Trials Network.Frontiers in pediatrics · 2021Article
- Understanding Geospatial Factors Associated With Cervical Cancer Screening Uptake in Amazonian Peruvian Women.JCO global oncology · 2020Article
- Telemedicine and Outpatient Subspecialty Visits Among Pediatric Medicaid Beneficiaries.Academic pediatrics · 2020Article
- Technology-Dependent Pediatric Inpatients at Children's Versus Nonchildren's Hospitals.Hospital pediatrics · 2020Article
- Emergency medicine physicians infrequently perform pediatric critical procedures: a national perspective.Clinical and experimental emergency medicine · 2020Article
- How far is too far? A nationwide cross-sectional study for establishing optimal hospital access time for Korean pregnant women.BMJ open · 2019Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
purposeTo identify correlates of geographic access to pediatric medical subspecialists in the United States and identify characteristics of populations at risk for poor geographic access.
methodsGeographic access was operationalized as distance to care. Using data from the American Board of Pediatrics and the Claritas' Pop-Facts Database, the straight-line distance between each zip code in the United States and the nearest subspecialist was calculated for each pediatric subspecialty using zip code centroids. Using 16 specialty-specific, random-effects multiple regression models, zip code characteristics associated with being farther from a subspecialty provider were identified.
resultsUnder-18 population, metropolitan status, and presence of a nearby teaching facility were associated with shorter distances to care across pediatric subspecialties. The proportion of the population below the federal poverty level was positively associated with greater distances to care. Zip codes in the Mountain and West North Central regions, likewise, were significantly farther from pediatric subspecialists, even when statistically controlling for other factors.
conclusionsPediatric populations at risk for poor geographic access to pediatric subspecialty care include those who reside in zip codes with high concentrations of poverty, in rural and small metropolitan areas, and in the Mountain and West North Central regions. The extent to which these distances create barriers to receipt of care is not established.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.