دورية أكاديمية
أعرض في EDS

Geographic distance to Commission on Cancer-accredited and nonaccredited hospitals in the United States.

التفاصيل البيبلوغرافية
العنوان: Geographic distance to Commission on Cancer-accredited and nonaccredited hospitals in the United States.
المؤلفون: Schroeder MC; Division of Health Services Research, University of Iowa, Iowa City, Iowa, USA., Semprini J; Department of Epidemiology, University of Iowa, Iowa City, Iowa, USA., Kahl AR; Iowa Cancer Registry, University of Iowa, Iowa City, Iowa, USA., Lizarraga IM; Department of Surgery, University of Iowa, Iowa City, Iowa, USA., Birken SA; Department of Implementation Science, Wake Forest University, Winston-Salem, North Carolina, USA., Wahlen MM; Department of Epidemiology, University of Iowa, Iowa City, Iowa, USA., Johnson EC; Department of Management and Entrepreneurship, University of Iowa, Iowa City, Iowa, USA., Gorzelitz J; Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa, USA., Seaman AT; Department of Internal Medicine, University of Iowa, Iowa City, Iowa, USA., Charlton ME; Department of Epidemiology, University of Iowa, Iowa City, Iowa, USA.; Iowa Cancer Registry, University of Iowa, Iowa City, Iowa, USA.
المصدر: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association [J Rural Health] 2024 Jul 04. Date of Electronic Publication: 2024 Jul 04.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Country of Publication: England NLM ID: 8508122 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1748-0361 (Electronic) Linking ISSN: 0890765X NLM ISO Abbreviation: J Rural Health Subsets: MEDLINE
أسماء مطبوعة: Publication: [Oxford, Eng.] : Blackwell
Original Publication: [Burlington, Vt.?] : Journal of Rural Health, c1985-
مستخلص: Purpose: The Commission on Cancer (CoC) establishes standards to support multidisciplinary, comprehensive cancer care. CoC-accredited cancer programs diagnose and/or treat 73% of patients in the United States. However, rural patients may experience diminished access to CoC-accredited cancer programs. Our study evaluated distance to hospitals by CoC accreditation status, rurality, and Census Division.
Methods: All US hospitals were identified from public-use Homeland Infrastructure Foundation-Level Data, then merged with CoC-accreditation data. Rural-Urban Continuum Codes (RUCC) were used to categorize counties as metro (RUCC 1-3), large rural (RUCC 4-6), or small rural (RUCC 7-9). Distance from each county centroid to the nearest CoC and non-CoC hospital was calculated using the Great Circle Distance method in ArcGIS.
Findings: Of 1,382 CoC-accredited hospitals, 89% were in metro counties. Small rural counties contained a total of 30 CoC and 794 non-CoC hospitals. CoC hospitals were located 4.0, 10.1, and 11.5 times farther away than non-CoC hospitals for residents of metro, large rural, and small rural counties, respectively, while the average distance to non-CoC hospitals was similar across groups (9.4-13.6 miles). Distance to CoC-accredited facilities was greatest west of the Mississippi River, in particular the Mountain Division (99.2 miles).
Conclusions: Despite similar proximity to non-CoC hospitals across groups, CoC hospitals are located farther from large and small rural counties than metro counties, suggesting rural patients have diminished access to multidisciplinary, comprehensive cancer care afforded by CoC-accredited hospitals. Addressing distance-based access barriers to high-quality, comprehensive cancer treatment in rural US communities will require a multisectoral approach.
(© 2024 National Rural Health Association.)
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معلومات مُعتمدة: 5R01CA254628 United States CA NCI NIH HHS; HHSN261201800012I/HHSN26100001 United States CA NCI NIH HHS; P30CA086862 United States CA NCI NIH HHS
فهرسة مساهمة: Keywords: access; cancer; disparities; distance; hospital accreditation; quality
تواريخ الأحداث: Date Created: 20240704 Latest Revision: 20240704
رمز التحديث: 20240704
DOI: 10.1111/jrh.12862
PMID: 38963176
قاعدة البيانات: MEDLINE
الوصف
تدمد:1748-0361
DOI:10.1111/jrh.12862