Evidence map›Paper›PMID 39564567›Full record

ArticleHealth affairs scholar2024

Measuring hospital inpatient Procedure Access Inequality in the United States.

Alon Bergman, Guy David, Ashwin Nathan, Jay Giri, Michael Ryan, Soumya Chikermane, Christin Thompson, Seth Clancy, Candace Gunnarsson

Abstract read
In one paragraph

Article in Health affairs scholar, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alon BergmanDepartment of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA 19104, USA.
Guy DavidHealth Care Management Department, The Wharton School, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID https://orcid.org/0000-0001-9191-741X
Ashwin NathanDepartment of Medicine, University of Pennsylvania, Philadelphia, PA 194104, USA.
Jay GiriDepartment of Medicine, University of Pennsylvania, Philadelphia, PA 194104, USA.
Michael RyanMPR Consulting, Cincinnati, OH 45233, USA.ORCID https://orcid.org/0000-0002-7207-7926
Soumya ChikermaneEdwards Lifesciences, Irvine, CA 92614, USA.ORCID https://orcid.org/0000-0001-5335-3430
Christin ThompsonEdwards Lifesciences, Irvine, CA 92614, USA.ORCID https://orcid.org/0000-0002-4713-4730
Seth ClancyEdwards Lifesciences, Irvine, CA 92614, USA.
Candace GunnarssonGunnarsson Consulting LLC, Jupiter, FL 33477, USA.ORCID https://orcid.org/0000-0003-0723-585X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Geographic disparities in access to inpatient procedures are a significant issue within the US healthcare system. This study introduces the Procedure Access Inequality (PAI) index, a standardized metric to quantify these disparities while adjusting for disease prevalence. Using data from the Healthcare Cost and Utilization Project State Inpatient Databases, we analyzed inpatient procedure data from 18 states between 2016 and 2019. The PAI index reveals notable variability in access inequality across different procedures, with minimally invasive and newer procedures exhibiting higher inequality. Key findings indicate that procedures such as skin grafts and minimally invasive gastrectomy have the highest PAI scores, while cesarean sections and percutaneous coronary interventions have the lowest. The study highlights that higher inequality is associated with greater market concentration and in particular, fewer hospitals offering these procedures. These findings emphasize the need for targeted policy interventions to address procedural access disparities to promote more equitable healthcare delivery across the United States.

Indexed as

access to carehealthcare innovationhealth disparitieshospital market concentrationinpatient proceduresminimally invasive procedures

Identifiers

PMID39564567
PMCPMC11574731

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.