{"id":"https://openalex.org/W1994799208","doi":"https://doi.org/10.1377/hlthaff.27.6.1707","title":"Hospital Remoteness And Thirty-Day Mortality From Three Serious Conditions","display_name":"Hospital Remoteness And Thirty-Day Mortality From Three Serious Conditions","publication_year":2008,"publication_date":"2008-11-01","ids":{"openalex":"https://openalex.org/W1994799208","doi":"https://doi.org/10.1377/hlthaff.27.6.1707","mag":"1994799208","pmid":"https://pubmed.ncbi.nlm.nih.gov/18997230"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.27.6.1707","doi":"https://doi.org/10.1377/hlthaff.27.6.1707","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.27.6.1707","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5031832642","display_name":"Joseph S. Ross","orcid":"https://orcid.org/0000-0002-9218-3320","observed_orcids":["https://orcid.org/0000-0002-9218-3320"]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph S. Ross","raw_affiliation_strings":["Mt. Sinai School of Medicine, New York City, USA. joseph.ross@mssm.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mt. Sinai School of Medicine, New York City, USA. joseph.ross@mssm.edu","institution_ids":["https://openalex.org/I98704320"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072881675","display_name":"Sharon\u2010Lise T. Normand","orcid":"https://orcid.org/0000-0001-7027-4769","observed_orcids":["https://orcid.org/0000-0001-7027-4769"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sharon-Lise T. Normand","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100377607","display_name":"Yun Wang","orcid":"https://orcid.org/0000-0001-9438-5586","observed_orcids":["https://orcid.org/0000-0001-9438-5586","https://orcid.org/0000-0002-7889-5161"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yun Wang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051796100","display_name":"Brahmajee K. Nallamothu","orcid":"https://orcid.org/0000-0003-4331-6649","observed_orcids":["https://orcid.org/0000-0003-4331-6649"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Brahmajee K. Nallamothu","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021366966","display_name":"Judith H. Lichtman","orcid":"https://orcid.org/0000-0001-5362-3875","observed_orcids":["https://orcid.org/0000-0001-5362-3875"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Judith H. Lichtman","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5088028306","display_name":"Harlan M. Krumholz","orcid":"https://orcid.org/0000-0003-2046-127X","observed_orcids":["https://orcid.org/0000-0003-2046-127X"]},"institutions":[{"id":"https://openalex.org/I98704320","display_name":"Icahn School of Medicine at Mount Sinai","ror":"https://ror.org/04a9tmd77","country_code":"US","type":"education","lineage":["https://openalex.org/I1320796813","https://openalex.org/I98704320"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Harlan M. Krumholz","raw_affiliation_strings":["Mt. Sinai School of Medicine in New York City"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mt. Sinai School of Medicine in New York City","institution_ids":["https://openalex.org/I98704320"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.8552,"has_fulltext":false,"cited_by_count":18,"citation_normalized_percentile":{"value":0.93612176,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"27","issue":"6","first_page":"1707","last_page":"1717"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.6509000062942505,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.6509000062942505,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.2273000031709671,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.0210999995470047,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rural-hospitals","display_name":"rural hospitals","score":0.8130000233650208},{"id":"https://openalex.org/keywords/geographic-remoteness","display_name":"geographic remoteness","score":0.6439999938011169},{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":0.9980000257492065},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.9980000257492065},{"id":"https://openalex.org/keywords/pneumonia","display_name":"pneumonia","score":0.9900000095367432},{"id":"https://openalex.org/keywords/rural-health-care-access","display_name":"rural healthcare access","score":0.7590000033378601}],"concepts":[{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.5605296492576599},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5313591957092285},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45787331461906433},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4364425837993622},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.4328629672527313},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.4299226999282837},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.421356737613678},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3962990641593933},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3274584412574768},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.11920461058616638},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005843","descriptor_name":"Geography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005843","descriptor_name":"Geography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005843","descriptor_name":"Geography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006276","descriptor_name":"Health Facility Size","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006276","descriptor_name":"Health Facility Size","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006276","descriptor_name":"Health Facility Size","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006780","descriptor_name":"Hospitals, Rural","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D017052","descriptor_name":"Hospital Mortality","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D018588","descriptor_name":"Fee-for-Service Plans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018588","descriptor_name":"Fee-for-Service Plans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018588","descriptor_name":"Fee-for-Service Plans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1377/hlthaff.27.6.1707","doi":"https://doi.org/10.1377/hlthaff.27.6.1707","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.27.6.1707","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:18997230","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18997230","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health affairs (Project Hope)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.4000000059604645,"id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","score":0.8799999952316284,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G1799214346","display_name":null,"funder_award_id":"1K01 DP000085-01","funder_id":"https://openalex.org/F4320337383","funder_display_name":"National Center for Chronic Disease Prevention and Health Promotion"},{"id":"https://openalex.org/G8987995519","display_name":null,"funder_award_id":"HHSM-500-2005-C0001C","funder_id":"https://openalex.org/F4320332505","funder_display_name":"U.S. Public Health Service"}],"funders":[{"id":"https://openalex.org/F4320332505","display_name":"U.S. Public Health Service","ror":"https://ror.org/05xf94514"},{"id":"https://openalex.org/F4320337383","display_name":"National Center for Chronic Disease Prevention and Health Promotion","ror":"https://ror.org/021rths28"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W1973719822","https://openalex.org/W1997758993","https://openalex.org/W2043072190","https://openalex.org/W2050348363","https://openalex.org/W2063743138","https://openalex.org/W2129268804","https://openalex.org/W2133979383","https://openalex.org/W2135157036","https://openalex.org/W2136109052","https://openalex.org/W2151934006","https://openalex.org/W2397676091","https://openalex.org/W4237556338"],"related_works":["https://openalex.org/W2794923195","https://openalex.org/W2065216562","https://openalex.org/W2768958750","https://openalex.org/W2621771662","https://openalex.org/W2937790329","https://openalex.org/W4206371019","https://openalex.org/W2003076158","https://openalex.org/W7099186569","https://openalex.org/W4404383130","https://openalex.org/W2281068269"],"abstract_inverted_index":{"Rural":[0],"U.S.":[1],"communities":[2],"face":[3],"major":[4],"challenges":[5],"in":[6,48],"ensuring":[7],"the":[8,71,76,82],"availability":[9],"of":[10,78,84],"high-quality":[11],"health":[12],"care.":[13,93],"We":[14,37,59,74],"examined":[15],"whether":[16],"hospital-specific,":[17],"all-cause,":[18],"thirty-day":[19],"risk-standardized":[20],"mortality":[21,63],"rates":[22],"(RSMRs)":[23],"following":[24],"acute":[25],"myocardial":[26],"infarction,":[27],"heart":[28],"failure,":[29],"and":[30],"pneumonia":[31],"varied":[32],"by":[33],"hospitals'":[34],"geographic":[35],"remoteness.":[36],"analyzed":[38],"2001-2003":[39],"Medicare":[40],"administrative":[41],"data,":[42],"comparing":[43],"RSMRs":[44],"among":[45],"hospitals":[46,90],"located":[47],"urban,":[49],"large":[50],"rural,":[51,53],"small":[52,56,62],"or":[54],"remote":[55],"rural":[57,89],"regions.":[58],"found":[60],"only":[61],"differences":[64],"across":[65],"remoteness":[66],"regions":[67],"for":[68,70,81,91],"hospitalizations":[69],"three":[72],"conditions.":[73],"examine":[75],"implications":[77],"these":[79],"findings":[80],"millions":[83],"Americans":[85],"who":[86],"rely":[87],"upon":[88],"their":[92]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2016,"cited_by_count":3},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-11T09:32:39.932853","created_date":"2016-06-24T00:00:00"}