ArticleHealth affairs (Project Hope)2011
Rising closures of hospital trauma centers disproportionately burden vulnerable populations.
Article in Health affairs (Project Hope), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed.
- Reaching Latinx Communities with Algorithmic Optimization for SARS-CoV-2 Testing Locations.Prevention science : the official journal of the Society for Prevention Research · 2023Trial
- Community Characteristics Associated With Health System Penetration.Medical care research and review : MCRR · 2026Article
- Association between prescription patterns and primary care clinic closures in South Korea: A longitudinal retrospective cohort study.BMC primary care · 2025Article
- Secondary Undertriage in a Rural Trauma System: A Retrospective Study of Twice-Transferred Patients.The Journal of surgical research · 2025Article
- Improving care and equity in the American trauma system: past, present and future.Trauma surgery & acute care open · 2025Article
- System-Level Variability in Trauma Center Utilization for Seriously Injured Older Adults.The Journal of surgical research · 2025Article
- National-scale 1-km maps of hospital travel time and hospital accessibility in China.Scientific data · 2024Article
- Trauma Activation Fees Vary Widely Across US Trauma Centers.Health affairs (Project Hope) · 2024Article
- Racial and ethnic disparities in emergency department transfers to public hospitals.Health services research · 2024Article
- Is state trauma funding associated with mortality among injured hospitalized patients?American journal of surgery · 2024Observational
- Taking action to achieve health equity and eliminate healthcare disparities within acute care surgery.Trauma surgery & acute care open · 2024Article
- Trauma centers: an underfunded but essential asset to the community.Trauma surgery & acute care open · 2024Article
- Sustainable surgical resource initiative for Haiti: the SSRI-Haiti project.Global health action · 2023Article
- Reciprocal Neighborhood Dynamics in Gun Violence Exposure, Community Health, and Concentrated Disadvantage in One Hundred US Cities.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Impact of Community Socioeconomic Characteristics on Emergency Medical Service Delays in Responding to Fatal Vehicle Crashes.AJPM focus · 2023Article
- Change in Geographic Accessibility to Dental Clinics Affects Access to Care.Journal of dental research · 2023Review
- Geographic Disparities in Re-triage Destinations Among Seriously Injured Californians.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023Article
- A Conceptual Framework for Optimizing the Equity of Hospital-Based Emergency Care: The Structure of Hospital Transfer Networks.The Milbank quarterly · 2023Article
- Nationwide emergency department visits for pediatric traumatic spinal cord injury in the United States, 2016-2020.Frontiers in neurology · 2023Article
- Disparities in Spatial Access to Emergency Surgical Services in the US.JAMA health forum · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
Closures of hospital trauma centers have accelerated since 2001. These closures may disproportionately affect disadvantaged communities. We evaluate how driving time between ZIP code areas and the nearest trauma centers-a proxy for access, given the time-sensitive nature of trauma care-changed nationwide during 2001-07. By 2007, sixty-nine million Americans (24 percent of the population) had to travel farther to the nearest trauma center than they did in 2001, and almost sixteen million people had to travel an additional thirty minutes or more. Communities with disproportionately high numbers of African American residents, uninsured people, and people living in poverty, as well as people living in rural areas, were more likely than others to be thus affected. Because mortality from traumatic injuries has also worsened for these vulnerable populations, policy makers should learn more about the possible connections-and consider such measures as paying trauma centers serving these communities higher amounts for treatment of injuries.
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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.