Researchers studied how patient location impacts access to healthcare by comparing travel times across various types of care to identify patient travel patterns and evaluate market definitions.
Patient travel patterns often differ from geographic market boundaries, particularly for specialty care. The researchers sought to assess how well thresholds such as hospital service area or zipcode capture the true travel time to access to care for a majority of patients. Primary care service area and HSA were not accurate definitions of a patient population.Researchers used data of healthcare utilization from Medical Expenditure Panel Survey , from 2018 to 2021.
Researchers used an online geographic information system to geocode patient and provider addresses. Travel times were calculated using a routing engine and OpenStreetMap data.For emergency department visits, 74.8% occurred within the patient's county, with 81.3% located within 30 minutes of their home and 92.4% within 60 minutes of home.
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