Community and Hospital Factors Associated With Stroke Center Certification in the United States, 2009 to 2017 | Zendy

YuChu Shen | Zendy; Gabriel Chen | Zendy; Renee Y. Hsia | Zendy

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Community and Hospital Factors Associated With Stroke Center Certification in the United States, 2009 to 2017

Author(s) -

YuChu Shen,

Gabriel Chen,

Renee Y. Hsia

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.7855

Subject(s) - certification , medicine , stroke (engine) , medicaid , community hospital , health care , environmental health , acute care , family medicine , emergency medicine , demography , medical emergency , gerontology , nursing , economic growth , mechanical engineering , sociology , political science , law , economics , engineering

Key Points Question What economic and financial, hospital, and community characteristics are associated with stroke center certification of hospitals? Findings In this cohort study of 4546 US hospitals, 37% were stroke certified between 2009 and 2017. After controlling for other area and hospital characteristics, hospitals in low-income hospital service areas and in the lower tertile of profit-margin distribution were less likely to adopt stroke certification. Meaning These findings suggest that market-driven factors may be associated with stroke center certification.

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