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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.
International Journal of Environmental Research and Public Health
|February 24, 2024
Summary
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.
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