Residential Segregation and the Survival of U.S. Urban Public Hospitals

@article{Ko2014ResidentialSA,
  title={Residential Segregation and the Survival of U.S. Urban Public Hospitals},
  author={Michelle Ko and Jack Needleman and Kathryn Pitkin Derose and Miriam J Laugesen and Ninez A Ponce},
  journal={Medical Care Research and Review},
  year={2014},
  volume={71},
  pages={243 - 260}
}
Residential segregation is associated geographic disparities in access to care, but its impact on local health care policy, including public hospitals, is unknown. We examined the effects of racial residential segregation on U.S. urban public hospital closures from 1987 to 2007, controlling for hospital, market, and policy characteristics. We found that a high level of residential segregation moderated the protective effects of Black population composition, such that a high level of residential… 
Racial/Ethnic Residential Segregation, the Distribution of Physician’s Offices and Access to Health Care: The Case of Houston, Texas
Previous research has demonstrated the impacts of racial/ethnic residential segregation on access to health care, but little work has been conducted to tease out the mechanisms at play. I posit that
Residential Segregation, Neighborhood Health Care Organizations, and Children's Health Care Utilization in the Phoenix Urbanized Area
Research has demonstrated health care consequences of racial/ethnic residential segregation. Here, I test one possible mechanism—the distribution of community health care organizations and service
Racial and ethnic residential segregation and access to health care in rural areas
TLDR
By broadening the spatial scale of segregation beyond urban areas, findings showed the complex interaction between social and spatial factors in rural areas.
To What Extent do Community Characteristics Explain Differences in Closure among Financially Distressed Rural Hospitals?
TLDR
Closed rural hospitals had a smaller market share despite being in areas with higher population density, were located nearer to another hospital, and were located in markets that had a higher rate of unemployment and a higher percentage of Black and Hispanic residents.
Decline In Public Substance Use Disorder Treatment Centers Most Serious In Counties With High Shares Of Black Residents.
Previous research has associated declines in health care resources such as hospitals and trauma centers with communities' racial composition. However, little is known about changes in the substance
Disparities in kidney transplantation across the United States: Does residential segregation play a role?
TLDR
There was no association between residential segregation and kidney transplantation rates, and factors other than residential segregation may play roles in kidney transplants disparities across the U.S.
Rurality and Race: Inequities in Access to Five Types of Healthcare Services - eScholarship
TLDR
Unadjusted estimates suggest disadvantaged rates for certain measures of access to healthcare by rurality and segregation, while adjusted models attenuated some of these disparities.
Understanding The Health Landscapes Where Latinx Immigrants Establish Residence In The US.
TLDR
Compared with new destinations, established destinations had more health professional shortages, as well as higher rates of child and adult health uninsurance, and fewer health care safety-net services per 100,000 county residents than established destinations.
Addressing reproductive health disparities as a healthcare management priority: pursuing equity in the era of the Affordable Care Act
  • P. Mehta
  • Medicine
    Current opinion in obstetrics & gynecology
  • 2014
TLDR
The Affordable Care Act offers important opportunities to address persistent reproductive health disparities, but significant gaps remain and efforts must be made to reduce the negative outcomes and high financial and human costs associated with disparities in reproductive health.
County-level characteristics associated with incidence, late-stage incidence, and mortality from screenable cancers.
TLDR
Lower cancer burden was observed in counties that were metropolitan and more segregated, and effect modification was observed by metropolitan status and county-level residential segregation, indicating that residential segregation may impact healthcare access differently in different county types.
...
1
2
...

References

SHOWING 1-10 OF 62 REFERENCES
Community residential segregation and the local supply of federally qualified health centers.
TLDR
Residential segregation likely produces geographic segregation of health services, such that provider maldistribution may explain the association between residential segregation and FQHC supply.
Residential Segregation and Disparities in Health Care Services Utilization
TLDR
The findings suggest that disparities in health care utilization are related to both individuals’ racial and ethnic identity and theracial and ethnic composition of their communities, and efforts to improve access to health care services and to eliminate health care disparities for African Americans and Hispanics should not only focus on individual-level factors but also include community- level factors.
Residential segregation and the availability of primary care physicians.
TLDR
Efforts to address PCP shortages should target African American communities especially in segregated MSAs, found that odds of being a PCP shortage area were 67 percent higher for majority African American zip codes but 27 percent lower for majority Hispanic zip codes.
Racial Residential Segregation in American Cities
This chapter examines the causes and consequences of black-white residential segregation in the United States. Segregation can arise through black self-segregation, collective action to exclude
Racial differences in hospital use after acute myocardial infarction: does residential segregation play a role?
TLDR
Risk of admission to high-mortality hospitals was 35 percent higher for blacks than for whites in markets with high residential segregation, and blacks were more likely than whites to be admitted to hospitals with high mortality.
Elucidating the role of place in health care disparities: the example of racial/ethnic residential segregation.
TLDR
Increasing evidence indicates that racial/ethnic residential segregation is a key factor driving place-based health care inequalities, and closer attention to address research gaps has implications for advancing and strengthening the literature.
Racial Residential Segregation: A Fundamental Cause of Racial Disparities in Health
  • David R. Williams, C. Collins
  • Sociology, Medicine
    Public health reports
  • 2001
TLDR
Evidence that suggests that segregation is a primary cause of racial differences in socioeconomic status by determining access to education and employment opportunities and that effective efforts to eliminate racial disparities in health must seriously confront segregation is reviewed.
Racial residential segregation and weight status among US adults.
  • V. Chang
  • Medicine
    Social science & medicine
  • 2006
TLDR
Findings suggest that in addition to differences among people, differences among places and, in particular, differences in the spatial organization of persons may be relevant to health policy and promotion efforts.
Residential segregation, geographic proximity and type of services used: evidence for racial/ethnic disparities in mental health.
TLDR
It is suggested that living in segregated neighborhoods influence access and utilization of mental health services differently for race/ethnic groups which contradicts findings that suggest living in ethnic enclaves is beneficial to health.
Segregation, poverty, and empowerment: health consequences for African Americans.
  • T. Laveist
  • Geography, Medicine
    The Milbank quarterly
  • 1993
TLDR
Analysis of data from all U.S. cities with a population of 50,000, at least 10 percent of which is black indicates substantial geographic variation in black-white infant mortality rates.
...
1
2
3
4
5
...