The Ongoing Gap in Availability of Imaging Services at Teaching Versus Nonteaching Hospitals

Rosenkrantz, Andrew B.; Wang, Wenyi; Duszak, Richard

doi:10.1016/j.acra.2015.11.017

Cited by 9 publications

(3 citation statements)

References 34 publications

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“…Interestingly, large, university programs, of which some were presumably teaching hospitals with medical trainees, demonstrated significantly longer ED times. This finding may be counterintuitive, given that large university hospitals usually have more resources and beds and are potentially ACS level 1 trauma verification centers, 45 especially given our findings that ACS level 1 trauma verification centers had the shortest LOS in their reference group. One theory is that large academic programs also have much higher ER trauma volume than other centers, thereby contributing to the bottlenecks.…”

Section: Discussionmentioning

confidence: 69%

Predictors of Delayed Emergency Department Throughput Among Blunt Trauma Patients

Steren

Fleming

Zhou

et al. 2020

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 69%

Predictors of Delayed Emergency Department Throughput Among Blunt Trauma Patients

Steren

Fleming

Zhou

et al. 2020

Journal of Surgical Research

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“…4 AMCs typically serve a medically complex patient population and provide specialized expertise across a range of clinical areas. 5 Many AMCs are ranked among the top hospitals in the country, and patients treated at AMCs are more likely than other patients to receive treatments using the latest technologies 6,7 and care adhering to current clinical guidelines. 8,9 …”

Section: Introductionmentioning

confidence: 99%

Hospital Payer and Racial/Ethnic Mix at Private Academic Medical Centers in Boston and New York City

et al. 2017

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Academic medical centers (AMCs) are widely perceived as providing the highest-quality medical care. To investigate disparities in access to such care, we studied the racial/ethnic and payer mixes at private AMCs of New York City (NYC) and Boston, two cities where these prestigious institutions play a dominant role in the health care system. We used individual-level inpatient discharge data for acute care hospitals to examine the degree of hospital racial/ethnic and insurance segregation in both cities using the Index of Dissimilarity, together with recent changes in patterns of care in NYC. In multivariable logistic regression analyses, black patients in NYC were two to three times less likely than whites, and uninsured patients approximately five times less likely than privately insured patients, to be discharged from AMCs. In Boston, minorities were overrepresented at AMCs relative to other hospitals. NYC hospitals were more segregated overall according to race/ethnicity and insurance than Boston hospitals, and insurance segregation became more pronounced in NYC after the Affordable Care Act. Although health reform improved access to insurance, access to AMCs remains limited for disadvantaged populations, which may undermine the quality of care available to these groups.

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“…The ACGME's unfunded and largely unproven mandates threaten many of the small and nonuniversity radiology programs that help provide imaging services to the underserved [15]. The potential loss of GME programs at critical-access teaching hospitals may eventually lead to measurable decreases in their ability to provide advanced imaging services to their patients [16]. With time, loss of radiology training programs that serve the urban and rural poor may even erode resident interest in locating to these underserved areas for practice.…”

mentioning

confidence: 99%

Lessons From Flexner: The Struggle of Small Radiology Residency Programs in the United States

Heitkamp

Ruchman

Rozenshtein

2017

Journal of the American College of Radiology

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In the early 20th century, Abraham Flexner visited and evaluated all medical schools in the United States and Canada, an ambitious campaign aimed at raising medical school standards and eliminating the then popular model of for-profit proprietary medical education in the United States [1]. Although the level of evidence-based inquiry in American medical schools greatly improved as a result of Flexner's efforts, his findings also produced collateral changes in the culture of medicine that many scholars view as regrettable. Some claim that the very ethos of medicine was lost in Flexner's spirited quest for scientific inquiry, leaving us to this day underdeveloped in many vital areas of professionalism and patient engagement [1]. Indeed, even Flexner himself later lamented that because of his reform efforts, the practice of medicine was being so consumed by the scientific approach that it neglected the more human aspects of patient care, such as trust, compassion, and empathy [2-5].

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The Ongoing Gap in Availability of Imaging Services at Teaching Versus Nonteaching Hospitals

Cited by 9 publications

References 34 publications

Predictors of Delayed Emergency Department Throughput Among Blunt Trauma Patients

Predictors of Delayed Emergency Department Throughput Among Blunt Trauma Patients

Hospital Payer and Racial/Ethnic Mix at Private Academic Medical Centers in Boston and New York City

Lessons From Flexner: The Struggle of Small Radiology Residency Programs in the United States

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