Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Objectives. We examined the association between the size and growth of Latino populations and hospitals' uncompensated care in California.
Methods. Our sample consisted of general acute care hospitals in California operating during 2000 and 2010 (n = 251). We merged California hospital data with US Census data for each hospital service area. We used spatial analysis, multivariate regression, and fixed-effect models.
Results. We found a significant association between the growth of California's Latino population and hospitals' uncompensated care in the unadjusted regression. This association was still significant after we controlled for hospital and community population characteristics. After we added market characteristics into the final model, this relationship became nonsignificant.
Conclusions. Our findings suggest that systematic support is needed in areas with rapid Latino population growth to control hospitals' uncompensated care, especially if Latinos are excluded from or do not respond to the insurance options made available through the Affordable Care Act. Improving availability of resources for hospitals and providers in areas with high Latino population growth could help alleviate financial pressures.
Latino Population Growth and Hospital Uncompensated Care in California
Creators
Jie Chen - University of Maryland, Baltimore
Matthew J. O'Brien - Northwestern Univ, Div Gen Internal Med & Geriatr, Feinberg Sch Med, Chicago, IL 60611 USA
Jeremy Mennis - Temple University
Victor A. Alos - Puentes de Salud Health and Wellness Center
David T. Grande - University of Pennsylvania
Dylan H. Roby - University of California at Los Angeles
Alexander N. Ortega - University of California at Los Angeles
Publication Details
American journal of public health (1971), v 105(8), pp 1710-1717
Publisher
Amer Public Health Assoc Inc
Number of pages
8
Grant note
K23 DK095981 / National Institute of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
P50HL105188 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
K23DK095981 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
P50 HL105188 / National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
Resource Type
Journal article
Language
English
Academic Unit
Health Management and Policy
Web of Science ID
WOS:000362950400061
Scopus ID
2-s2.0-84937569879
Other Identifier
991019296580104721
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