The RWJF community snapshots study: Introduction and overview

Health Affairs

Volumn 15, Issue 2, 1996, Pages

  Ginsburg, Paul B ^a  

^a Physician Payment Review Commission   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DEMOGRAPHY; ECONOMIC ASPECT; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH SERVICES RESEARCH; METHODOLOGY; ORGANIZATION; RESIDENTIAL CARE; STATISTICS; UNITED STATES;

CATCHMENT AREA (HEALTH); COMMUNITY HEALTH PLANNING; DELIVERY OF HEALTH CARE; DEMOGRAPHY; ECONOMIC COMPETITION; HEALTH SERVICES RESEARCH; ORGANIZATIONAL INNOVATION; UNITED STATES;

EID: 0343754614     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.15.2.7     Document Type: Article

References (8)

1. P.B. Ginsburg and N.J. Fasciano, eds., The Community Snapshots Project: Capturing Health System Change (Princeton, N.J.: The Robert Wood Johnson Foundation, 1996). To obtain a copy at no charge, call Barbara Sherwood at The Robert Wood Johnson Foundation, 609-951-5776. The fifteen communities were Albuquerque, New Mexico; Boston, Massachusetts; Columbia, South Carolina; Des Moines, Iowa; Fargo, North Dakota/west central Minnesota; Houston, Texas; Indianapolis, Indiana; Minneapolis/St. Paul, Minnesota; north central Florida; Orange County, California; Portland, Oregon/Vancouver, Washington; St. Louis, Missouri; San Diego, California; south Florida; and Wilmington, Delaware.
2. The site visit reports from the fifteen communities are presumed to have had an affect on each of the cross-cutting analyses published in this volume. Individual contributions of members of the site visit teams are not necessarily acknowledged in each cross-cutting paper.
3. Community Snapshots Conference, 13-14 December 1995, in Washington, D.C., organized by the Center for Studying Health System Change with support from The Robert Wood Johnson Foundation.
4. Sites were defined by the site visit teams in terms of counties (lists of counties are available from the author at the Center for Studying Health System Change, Suite 550, 600 Maryland Avenue, SW, Washington, DC 20024-2512). The data drawn from the Area Resource File in Exhibits 1-3 conform to these county definitions. In the case of consolidated metropolitan statistical areas (CMSAs), the site was defined to include one or more of the primary metropolitan statistical areas (PMSAs). Boston included all of the Boston/Worcester CMSA except for the Worcester PMSA. South Florida included the Miami and Fort Lauderdale PMSAs. Orange County included only the Orange County PMSA. Houston included only the Houston PMSA. Data on health maintenance organization (HMO) penetration differ in that the sites are defined by metropolitan statistical area (MSA).
5. The estimates in these exhibits do not in all cases agree with those in the cross-cutting analyses in this volume, which are drawn from the site reports (Ginsburg and Fasciano, eds., The Community Snapshots Project). The data in the site reports often were those reported by persons interviewed in the community. They have merit in the sense that they reflect what the persons interviewed believed, but they do not have the advantage of standardized data collection that is comparable across sites. In addition, interview subjects might not have defined the boundaries of the community in the same way as the site visit teams did, and in the way they are defined in the exhibits.
6. This classification was based on ongoing research by project team members Robert Miller and Harold Luft.
7. J.R. Knickman et al., "Tracking Consumers' Reactions to the Changing Health Care System: Early Indicators," Health Affairs (Summer 1996): 21-32.
8. The twelve communities selected for intensive study are Boston, Massachusetts; Cleveland, Ohio; Greenville/Spartanburg, South Carolina; Indianapolis, Indiana; Lansing, Michigan; Little Rock, Arkansas; Miami, Florida; Newark, New Jersey; Orange County, California; Phoenix, Arizona; Seattle, Washington; and Syracuse, New York.