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Mapping Access to Children's Hospitals in Texas
Shadi Maleki1, Nathaniel Dede-Bamfo2, Elizabeth Ekren1
1Translational Health Research Center, Texas State University, 151 Stagecoach Trail, San Marcos, TX 78666, USA.
Insights
Many Texas children face long travel times to pediatric emergency care, especially in rural areas. This study highlights disparities and the need for expanded pediatric healthcare services statewide.
Area of Science:
- Healthcare accessibility research
- Pediatric emergency medicine
- Rural health disparities
Background:
- Access to pediatric emergency services and hospital beds is crucial for children's healthcare.
- Texas's vast rural areas and limited public transit create significant access challenges.
- 75% of children in Texas live more than an hour from pediatric emergency or specialty care facilities.
Purpose of the Study:
- To map geographical accessibility to children's hospitals in Texas.
- To model hospital bed availability per capita within service areas.
- To identify disparities in pediatric healthcare access across the state.
Main Methods:
- Geospatial analysis of hospital locations and patient travel times.
- Modeling of hospital bed capacity relative to population density.
- Analysis of healthcare access metrics for children in Texas.
Main Results:
- Significant geographical disparities in accessing pediatric emergency care were identified, particularly affecting rural populations.
- Major metropolitan areas show better geographical access but may face limitations in hospital bed availability.
- Rural Texas exhibits a critical need for increased pediatric healthcare services.
Conclusions:
- Urgent expansion of pediatric healthcare services is required in rural Texas.
- Healthcare infrastructure development is also necessary in growing metro areas to address bed capacity issues.
- Addressing these access and capacity disparities is vital for improving pediatric healthcare outcomes in Texas.
Abstract:
Vehicle access, travel time, and distance to hospitals and emergency rooms with sufficient patient beds are critical healthcare accessibility measures, especially for children who require specific pediatric services. In a large state like Texas with vast rural areas and limited public transit infrastructure, 75% of the children live over an hour from the closest facility that provides pediatric emergency services or specialty care. In view of this challenge, this study first sought to map the prevailing geographical accessibility to children's hospitals and, second, to model the hospital beds per capita for each hospital's service area within the state of Texas. The results showed disparities in accessing emergency pediatric care, especially in rural areas. However, despite major metro areas recording better geographical accessibility to pediatric healthcare, residents in these areas may experience limited hospital bed availability. The findings indicate an urgent need for more pediatric healthcare services in rural Texas. Given the increasing population growth in metro areas and their surroundings, there is also a need for the expansion of healthcare infrastructure in these areas.
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