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Table 2 Travel Distances/Times from a Patient’s Home to the Emergency Department by Hospital and Patient Characteristics

From: National travel distances for emergency care

 

Miles to Hospital

Driving Minutes to Hospital

Mean (SD)

Coefficient (95% CI)

Mean (SD)

Coefficient (95% CI)

Hospital Characteristics

 Rurality

  Rural (N = 1494)

11.08 (12.49)

2.68 (− 0.13, 5.48)

25.85 (25.51)

8.19 (2.70, 13.69)**

  Urban [ref] (N = 13,318)

7.75 (10.69)

0.00

16.38 (16.67)

0.00

 Teaching Affiliation

  Major [ref] (N = 3852)

10.15 (13.06)

0.00

20.62 (20.28)

0.00

  Minor (N = 7165)

6.61 (9.81)

−2.95 (−5.07, − 0.83)**

14.22 (15.91)

− 5.45 (−9.59, − 1.30)**

  Non-Teaching (N = 3795)

8.78 (10.14)

− 2.12 (−4.55, 0.31)

19.87 (18.23)

−3.30 (−8.05, 1.45)

 Census Region

  Midwest (N = 3277)

7.87 (11.24)

−2.13 (−4.29, 0.02)

16.48 (17.47)

−5.11 (−9.33, − 0.89)*

  Northeast (N = 2945)

7.29 (9.11)

−1.52 (−3.73, 0.68)

16.91 (17.35)

− 1.73 (−6.05, 2.58)

  South [ref] (N = 5859)

9.25 (11.72)

0.00

19.73 (19.57)

0.00

  West (N = 2731)

6.71 (10.33)

−2.11 (−4.54, 0.32)

13.69 (14.73)

−4.80 (−9.56, − 0.04)*

 ED Volumea

  Low (N = 267)

9.14 (13.48)

2.66 (−3.40, 8.72)

18.07 (14.42)

5.06 (−6.79, 16.91)

  Medium (N = 4624)

8.09 (10.68)

0.15 (−1.73, 2.03)

18.27 (18.73)

1.38 (−2.31, 5.06)

  High [ref] (N = 9921)

8.06 (10.97)

0.00

16.87 (17.71)

0.00

 Low Performing Hospitalsb

  Yes (N = 3595)

5.54 (9.21)

−2.75 (−4.78, −0.72)**

11.92 (13.37)

−5.69 (−9.67, −1.71)**

  No [ref] (N = 11,217)

8.91 (11.31)

0.00

19.07 (18.91)

0.00

Patient Characteristics

 Age

  18–24 [ref] (N = 2246)

8.81 (12.75)

0.00

17.91 (19.58)

0.00

  25–34 (N = 3243)

8.04 (10.85)

−0.61 (−1.17, − 0.05)*

17.01 (17.50)

− 0.62 (− 1.52, 0.27)

  35–44 (N = 2467)

7.99 (10.37)

−0.64 (− 1.23, − 0.04)*

17.20 (17.34)

−0.53 (− 1.48, 0.42)

  45–54 (N = 2360)

8.26 (10.69)

− 0.50 (− 1.10, 0.10)

17.85 (18.27)

−0.19 (− 1.15, 0.77)

  55–64 (N = 1801)

8.12 (10.92)

− 0.49 (− 1.14, 0.16)

17.77 (18.51)

0.01 (− 1.02, 1.05)

  65–74 (N = 1298)

8.25 (10.82)

− 0.60 (− 1.32, 0.11)

18.01 (18.12)

−0.41 (− 1.55, 0.73)

  75–84 (N = 839)

7.53 (9.80)

−1.04 (− 1.87, − 0.21)*

16.87 (17.19)

−1.00 (− 2.32, 0.33)

  85+ (N = 514)

5.37 (7.93)

−3.03 (−4.03, − 2.02)***

12.61 (13.75)

−4.82 (−6.42, − 3.22)***

 Sex

  Female [ref] (N = 8782)

8.06 (10.88)

0.00

17.29 (17.74)

0.00

  Male (N = 6029)

8.13 (11.01)

0.02 (−0.33, 0.36)

17.40 (18.35)

0.03 (−0.52, 0.57)

  1. Note: Coefficient, confidence intervals and significance are derived from multivariate models for each outcome (driving distance or time) with fixed effects for hospital and patient characteristics and random hospital effects. Random effects for hospitals were included to control for differences between hospitals. Missing patient characteristics were imputed using the hospital-level mean in models. Table 2 shows the coefficients, confidence intervals and characteristics associated with hospital and patient characteristics; Missing categories not shown
  2. Abbreviations: ED emergency department, ref reference category, SD standard deviation, CI confidence interval
  3. aED volume was classified using number of annual ED visits: Low: 14,000-24,999; Medium: 25,000-49,999; High: 50,000+
  4. bLow performing hospitals are classified as those with HCAHPS Summary Star Ratings of 2 or lower
  5. *p < 0.05
  6. **p < 0.01
  7. ***p < 0.001