The effects of safety net hospital closures and conversions on patient travel distance to hospital services

Health Services Research

Volumn 47, Issue 1 PART 1, 2012, Pages 129-150

  Bazzoli, Gloria J ^a   Lee, Woolton ^a   Hsieh, Hui Min ^b   Mobley, Lee Rivers ^c  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

^b KAOHSIUNG MEDICAL UNIVERSITY   (Taiwan)

^c RTI INTERNATIONAL   (United States)

Author keywords

access to care; racial ethnic disparities; Safety net hospitals

Indexed keywords

AGED; AMBULATORY CARE; ARTICLE; BIRTH; CAUCASIAN; ETHNIC GROUP; FEMALE; HEALTH CARE ACCESS; HEALTH CARE SYSTEM; HISPANIC; HOSPITAL DISCHARGE; HOSPITAL SERVICE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MENTAL HEALTH; NEGRO; PATIENT SAFETY; SUBSTANCE ABUSE; TRAVEL;

AGED; AGED, 80 AND OVER; CONTINENTAL POPULATION GROUPS; HEALTH FACILITY CLOSURE; HEALTH SERVICES ACCESSIBILITY; HISPANIC AMERICANS; HOSPITALS; HOSPITALS, PROPRIETARY; HUMANS; MEDICAID; MEDICALLY UNINSURED; MULTIVARIATE ANALYSIS; OBSTETRICS AND GYNECOLOGY DEPARTMENT, HOSPITAL; OUTPATIENT CLINICS, HOSPITAL; UNITED STATES;

EID: 84862965449     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2011.01318.x     Document Type: Article

References (44)

1. Baxter, R. J., and, R. E. Mechanic,. 1997. " The Status of Local Health Care Safety Nets." Health Affairs 16: 7-23. (Pubitemid 127464327)
2. Bazzoli, G. J., L. M. Manheim, and, T. M. Waters,. 2003. " US Hospital Industry Restructuring and the Hospital Safety Net." Inquiry 40: 6-24. (Pubitemid 36718095)
3. Bazzoli, G. J., S. M. Shortell, N. Dubbs, C. Chan, and, P. Kralovec, 1999. " A Taxonomy of Healthcare Networks and Systems: Bringing Order out of Chaos." Health Services Research 33: 1683-717. (Pubitemid 29081170)
4. Bazzoli, G. J., R. Kang, R. Hasnain-Wynia, and, R. C. Lindrooth,. 2005 " An Update on the Safety-Net Hospitals: Coping with the Late 1990s and Early 2000s." Health Affairs 24: 1047-56. (Pubitemid 41058605)
5. Billings, J., L. Zeitel, J. Lukomnik, T. S. Carey, A. E. Blank, and, L. Newman,. 1993. " Impact of Socioeconomic Status on Hospital Use in New York City." Health Affairs 12: 162-73. (Pubitemid 23159140)
6. Buchmueller, T. C., M. Jacobson, and, C. Wold,. 2006. " How Far to the Hospital? The Effect of Hospital Closures on Access to Care." Journal of Health Economics 25: 740-61. (Pubitemid 43994187)
7. Center for Medicare and Medicaid Services. 2011. " Brief Summaries of Medicare & Medicaid as of November 1, 2002." Washington, DC. [accessed on February 4]. Available at
8. Cromwell, J., N. T. McCall, J. Burton, and, C. Urato,. 2005. " Race/Ethnic Disparities in Utilization of Lifesaving Technologies by Medicare Ischemic Heart Disease Beneficiaries." Medical Care 43: 330-7. (Pubitemid 40515622)
9. Cunningham, P., G. J. Bazzoli, and, A. Katz,. 2008. " Caught in the Competitive Crossfire: Safety Net Providers Balance Margin and Mission in a Profit-Driven Health Care Market." Health Affairs Web Exclusive 27 (5): w374-82.
10. Cunningham, P., and, H. T. Tu,. 1997. " A Changing Picture of Uncompensated Care." Health Affairs 16: 167-75. (Pubitemid 127464340)
11. Cunningham, P. J., 2007. " The Health Care Safety Net: What is It, What Good Does It Do, and Will It Still Be There When We Need It? " Harvard Health Policy Review 8 (2): 5-14.
12. Dranove, D., W. D. White, and, L. Wu,. 1993. " Segmentation in Local Hospital Markets." Medical Care 3 (1): 52-64.
13. Draper, D. A., R. E. Hurley, C. S. Lesser, and, B. C. Strunk,. 2002. " The Changing Face of Managed Care." Health Affairs 21: 11-23.
14. Duan, N., 1983. " Smearing Estimate: A Nonparametric Retransformation Method " Journal of the American Statistical Association, 78: 605-10.
15. Elixhauser, A., C. Steiner, D. R. Harris, and, R. M. Coffey, 1998. " Comorbidity Measures for Use with Administrative Data." Medical Care January 36 (1): 8-27. (Pubitemid 128456396)
16. Felland, L. E., C. S. Lesser, A. B. Staiti, A. Katz, and, P. Lichiello,. 2003. " The Resilience of the Health Care Safety Net, 1996-2001." Health Services Research 38 (1 Pt 2): 489-502. (Pubitemid 41705165)
17. Felland, L. E., S. Felt-Lisk, and, M. McHugh,. 2004. Health Care Access for Low-Income People: Significant Safety Net Gaps Remain. Issue Brief No. 84, June. Washington, DC: Center for Studying Health System Change.
18. Fishman, L. E., and, J. D. Bentley,. 1997. " The Evolution of Support for Safety Net Hospitals." Health Affairs 16: 30-47. (Pubitemid 127464330)
19. Gaskin, D. J., J. Hadley, and, V. G. Freeman,. 2001. " Are Urban Safety Net Hospitals Losing Low-Risk Medicaid Maternity Patients? " Health Services Research 36 (Part I): 25-51. (Pubitemid 32374384)
20. Gaskin, D. J., and, J. Hadley,. 1999. " Population Characteristics of Markets of Safety-Net and Non-Safety-Net Hospitals." Journal of Urban Health 76: 351-70. (Pubitemid 29455890)
21. Gaskin, D. J., and, C. Hoffman,. 2000. " Racial and Ethnic Differences in Preventable Hospitalizations across 10 States." Medical Care Research and Review 57 (Supplement 1): 85-107.
22. Gresenz, C. R., J. Rogowski, and, J. J. Escarce,. 2007. " Health Care Markets, the Safety Net, and Utilization of Care among The Uninsured " Health Services Research, 42 (1 Part 1): 239-64. (Pubitemid 46145535)
23. Hadley, J., and, P. Cunningham,. 2004. " Availability of Safety Net Providers and Access to Care of Uninsured Persons." Health Services Research 39: 1527-46. (Pubitemid 39318936)
24. Hadley, J., and, J. Holahan,. 2003. " How Much Medical Care Do the Uninsured Use, and Who Pays for It? " Health Affairs Web Exclusive: w3-81.
25. Hadley, J., J. Holahan, T. Coughlin, and, D. Miller,. 2008. " Covering the Uninsured in 2008: Current Costs, Sources of Payment, and Incremental Costs." Health Affairs Web Exclusive 27 (5): W399-415.
26. Hargraves, J. L., and, J. Hadley,. 2003. " The Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care." Health Services Research 38 (June): 809-29. (Pubitemid 36682488)
27. Holahan, J., and, B. Spillman,. 2002. Health Care Access for Uninsured Adults: A Strong Safety Net is Not the Same as Insurance. The New Federalism Project of the Urban Institute, Series B, No. B-42, Washington, DC January 2002.
28. Horwitz, J. R., 2005. " Making Profits and Providing Care: Comparing Nonprofit, For-profit, and Government Hospitals." Health Affairs 24 (3): 790-6.
29. Institute of Medicine, Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers. 2000. America's Health Care Safety Net: Intact But Endangered, Washington, DC: National Academy Press.
30. Jha, A. K., E. S. Fisher, L. Zhonghe, J. Orav, and, A. M. Epstein,. 2005. " Racial Trends in the Use of Major Procedures among the Elderly." The New England Journal of Medicine 353: 683-91. (Pubitemid 41175676)
31. Liu, J., G. Rm. Bellamy, and, M. McCormick,. 2007. " Patient Bypass Behavior and Critical Access Hospitals: Implications for Patient Retention." The Journal of Rural Health 23 (Winter): 17-24. (Pubitemid 46161046)
32. Marquis, M. S., J. A. Rogowski, and, J. J. Escarce,. 2004. " Recent Trends in Geographic Variation in the Safety Net." Medical Care 42 (May): 408-15.
33. Mobley, L., and, H. E. III Frech,. 2000. " Managed Care, Distance Traveled, and Hospital Market Definition." Inquiry 37 (Spring): 91-107. (Pubitemid 30415717)
34. National Alliance on Mental Illness (NAMI) and National Council for Community Behavioral Healthcare (NCCBH), 2008. Coverage for All: Inclusion of Mental Illness and Substance Use Disorders in State Healthcare Reform Initiatives. June, Washington, DC: NAMI and NCCBH.
35. National Council for Community Behavioral Healthcare (NCCBH), 2009. Healthcare Payment Reform and the Behavioral Health Safety Net: What's on the Horizon for the Community Behavioral Health System: Full Report, April. Washington, DC: NCCBH.
36. Shavers, V. L., and, M. L. Brown,. 2002. " Racial Disparities in the Receipt of Cancer Treatment." Journal of the National Cancer Institute 94 (March): 334-57. (Pubitemid 34257478)
37. Shavers, V. L., L. C. Harlan, and, J. L. Stevens, 2003. " Racial/Ethnic Variation in Clinical Presentation, Treatment, and Survival among Breast Cancer Patients under Age 35." Cancer 97 (January): 134-47. (Pubitemid 36033873)
38. Spillman, B. C., S. Zuckerman, and, B. Garrett,. 2003. Does the Health Care Safety Net Narrow the Access Gap?. Assessing the New Federalism Project, Discussion Paper #03-02, April 2003. Washington, DC: Urban Institute.
39. Taylor, E. F., P. J. Cunningham, and, K. L. McKenzie,. 2006. " Community Approaches to Providing Care for the Uninsured." Health Affairs Web Exclusive, 25 (3): w173-82. (Pubitemid 43824900)
40. Weinick, R. M., S. H. Zuvekas, and, J. W. Cohen,. 2000. " Racial and Ethnic Differences in Access and Use of Health Care Services, 1977 to 1996." Medical Care Research and Review 57 (Supplement 1): 36-54.
41. White, W. D., and, M. A. Morrisey,. 1998. " Are Patients Traveling Further? " International Journal of the Economics of Business 5 (2): 203-21.
42. Woolridge, J. M., 2003. Introductory Econometrics: A Modern Approach, 2d Edition. Florence, KY: Thomson-Southwestern.
43. Zaman, O. S., L. C. Cummings, and, S. Siegel,. 2009. America's Public Hospitals and HealthSystems, 2007: Results of the Annual NAPH Hospital Characteristics Survey. Washington, D.C.: National Association of Public Hospitals and Health Systems. [accessed on January 8, 2010]. Available at.
44. Zuckerman, S., G. J. Bazzoli, A. Davidoff, and, A. T. LoSasso, 2001. " How Have Safety Net Hospitals Coped during the 1990s? " Health Affairs 20: 159-168.