Admissions across state lines: harnessing the insight of the National Burn Repository for the healthcare accessibility, fiscal, and legislative concerns facing the American Burn Association

Journal of Burn Care & Research : Official Publication of the American Burn Association
Mark F GuagliardoMichael Peck

Abstract

One of the most significant data collection efforts undertaken by the American Burn Association, the National Burn Repository (NBR) now encompasses more than 180,000 admissions. The Government Affairs Committee designated the prevalence of across-state-line burn admissions as one of its initial major inquiries to be made of the NBR. This line of inquiry could have bearings on healthcare access, legislative advocacy, and burn center solvency. The NBR Advisory Committee provided a specifically abstracted report after the 2005 call for data. Because of patient confidentiality concerns the file only contained admission frequencies by state-of-injury:state-of-care pairs. Nevertheless we were able to produce suggestive summary statistics and national maps for interpretations. This abstracted data encompasses records between 1995 and 2005, during which 8157 cross-state border admissions occurred, 6714 of which were to non-Shriner's hospitals. The rate of border crossing ranged from 0 to 202 patients annually. The highest rates were from the northernmost western states, northernmost New England states, and several southern states. Utah, West coast, and Great Lakes states sent relatively few admissions to other states. Twenty-seven stat...Continue Reading

References

Dec 14, 1973·Science·J Wennberg, Gittelsohn
Apr 8, 1998·The Journal of Bone and Joint Surgery. American Volume·J N WeinsteinJ E Wennberg
Sep 30, 2000·The Journal of Ambulatory Care Management·R M PolitzerM Gaston
Dec 15, 2000·Archives of Family Medicine·R L PhillipsB Ewigman
Jan 12, 2001·Journal of Epidemiology and Community Health·K E Pickett, M Pearl
Aug 21, 2001·International Journal of Epidemiology·N Krieger
Jan 1, 1985·The Professional Geographer : the Journal of the Association of American Geographers·J M Hunter, G W Shannon
May 17, 2002·The New England Journal of Medicine·David C GoodmanKenneth S Schoendorf
Jan 23, 2004·BMC Health Services Research·Mark F GuagliardoDavid C Goodman
Feb 28, 2004·International Journal of Health Geographics·Mark F Guagliardo
Jan 11, 2007·Health Affairs·Aaron CatlinUNKNOWN National Health Expenditure Accounts Team

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Citations

Jan 12, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Tam N PhamMatthew B Klein
Nov 7, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·Sandra L TaylorTina L Palmieri
Dec 17, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·James H Holmes
Jan 19, 2017·Journal of Burn Care & Research : Official Publication of the American Burn Association·Lori ChriscoErnest J Grant
Jul 3, 2013·Journal of Burn Care & Research : Official Publication of the American Burn Association·Randy D KearnsBruce A Cairns
Jun 5, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Michael D PeckDavid W Voigt
Dec 9, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Tam N PhamMatthew B Klein

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