Access to Trauma Centers in the United States

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Access to trauma centers in the United States.

CONTEXT Previous studies have reported that the number and distribution of trauma centers are uneven across states, suggesting large differences in access to trauma center care. OBJECTIVE To estimate the proportion of US residents having access to trauma centers within 45 and 60 minutes. DESIGN AND SETTING Cross-sectional study using data from 2 national databases as part of the Trauma Reso...

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ORIGINAL CONTRIBUTION Access to Trauma Centers in the United States

THE SYSTEMS APPROACH TO THE delivery of trauma care is widely accepted as an effective strategy for reducing death due to injury. A critical component of this systems approach is the designation or verification of trauma center hospitals equipped to treat more severely injured patients. Although the overall number of trauma centers has increased over the last decade, recent studies have shown t...

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Access to pediatric trauma care in the United States.

OBJECTIVES To catalog trauma center resources and estimate access to age-specific trauma care for children younger than 15 years in the United States. DESIGN Cross-sectional study collating information from national, state, and local trauma systems authorities to create a catalog of verified pediatric trauma centers (PTCs) and self-designated "candidate" trauma centers. Access-to-care calcula...

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Health System Reform in the United States

In 2010, the United States adopted its first-ever comprehensive set of health system reforms in the Affordable Care Act (ACA). Implementation of the law, though politically contentious and controversial, has now reached a stage where reversal of most elements of the law is no longer feasible. The controversial portions of the law that expand affordable health insurance coverage to most U.S. cit...

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Complications of Trauma Patients Admitted to the ICU in Level I Academic Trauma Centers in the United States

BACKGROUND The aims of this study were to evaluate the complications that occur after trauma and the characteristics of individuals who develop complications, to identify potential risk factors that increase their incidence, and finally to investigate the relationship between complications and mortality. METHODS We did a population-based retrospective study of trauma patients admitted to ICUs...

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ژورنال

عنوان ژورنال: JAMA

سال: 2005

ISSN: 0098-7484

DOI: 10.1001/jama.293.21.2626