ArticleAmerican journal of public health1997
The distance to community medical care and the likelihood of hospitalization: is closer always better?
Article in American journal of public health, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005445 (Epidemiology of Pediatric Asthma Hospitalization), which is not on this map. Cited by 58 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.
Epidemiology of Pediatric Asthma Hospitalization
Who cites it
58 citing papers in PubMed.
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- Community-Level Procedure Volume and Patient Health Profiles Following PCI-Capable Facility Openings.JAMA network open · 2026Article
- Urban-rural disparities in spatiotemporal accessibility of pharmacy care: a case study of Vermont, USA.BMC health services research · 2025Article
- Lower ambulatory care availability and greater hospital capacity are associated with higher hospital case volumes.Research in health services & regions · 2025Article
- Racial/Ethnic Residential Segregation, Neighborhood Health Care Provision, and Choice of Pediatric Health Care Provider Across the USA.Journal of racial and ethnic health disparities · 2024Article
- Is more better? A multilevel analysis of percutaneous coronary intervention hospital openings and closures on patient volumes.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- Provision of Stroke Care Services by Community Disadvantage Status in the US, 2009-2022.JAMA network open · 2024Article
- Factors Associated With Hospital Admission in the Last Month: A Retrospective Single Center Analysis.Journal of pain and symptom management · 2024Article
- Differential Treatment and Outcomes for Patients With Heart Attacks in Advantaged and Disadvantaged Communities.Journal of the American Heart Association · 2023Article
- Do PCI Facility Openings and Closures Affect AMI Outcomes Differently in High- vs Average-Capacity Markets?JACC. Cardiovascular interventions · 2023Article
- Risk of type 2 diabetes mellitus among adults aging with vision impairment: The role of the neighborhood environment.Disability and health journal · 2023Article
- Racial and Ethnic Disparities in Hospitalization and Clinical Outcomes Among Patients with COVID-19.The western journal of emergency medicine · 2022Article
- Evaluating Distance Bias in Chronic Rhinosinusitis Outcomes.JAMA otolaryngology-- head & neck surgery · 2022Article
- Is Travel Time Associated with Health Service Utilization in Northwest China? Evidence from Shaanxi Province.International journal of general medicine · 2022Article
- Measuring Spatial Accessibility of Urban Medical Facilities: A Case Study in Changning District of Shanghai in China.International journal of environmental research and public health · 2021Article
- A Socially Assistive Robot for Stroke Patients: Acceptance, Needs, and Concerns of Patients and Informal Caregivers.Frontiers in rehabilitation sciences · 2021Article
- Article
- Modelling Potential Geographical Access of the Population to Public Hospitals and Quality Health Care in Romania.International journal of environmental research and public health · 2020Article
- The effect of travel distance on health-related quality of life for patients with nephrolithiasis.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectivesThis study examined the influence that distance from residence to the nearest hospital had on the likelihood of hospitalization and mortality.
methodsHospitalizations were studied for Maine. New Hampshire, and Vermont during 1989 (adults) and for 1985 through 1989 (children) and for mortality (1989) in Medicare enrollees.
resultsAfter 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.
conclusionsDistance to the hospital exerts an important influence on hospitalization rates that is unlikely to be explained by illness rates.
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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.