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Area of Science:

  • Public Health
  • Rural Health Disparities
  • Geographic Information Systems (GIS) in Healthcare

Background:

  • Montana faces challenges with limited access to advanced trauma care.
  • The state experiences higher injury fatality rates than the national average.

Purpose of the Study:

  • To assess trauma care proximity in Montana using GIS.
  • To identify demographic characteristics of underserved regions.

Main Methods:

  • Utilized Maptitude GIS software to map trauma center accessibility.
  • Defined access as within a 60-minute drive to Level II/III trauma centers or any trauma care facility.
  • Analyzed demographic data to pinpoint populations lacking access.

Main Results:

  • 63% of Montana residents are within 60 minutes of higher-level trauma care.
  • 83% are within 60 minutes of any trauma care.
  • Elderly (over 65) and American Indian populations showed reduced access to both levels of trauma care.

Conclusions:

  • Trauma care access in Montana is significantly lower than national averages, with notable disparities for American Indians.
  • Ensuring rural hospitals are equipped for trauma care is crucial to mitigate these disparities.