Expansion of 340B Disproportionate Share Hospitals in the United States From 2010 to 2022.

IF 3.1 2区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Services Research Pub Date : 2025-03-14 DOI:10.1111/1475-6773.14446

Benjamin Y Liu, Massimiliano Russo, Aaron S Kesselheim, Ryan Knox, Ameet Sarpatwari, William B Feldman

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引用次数: 0

Abstract

Objective: To evaluate how the communities of newly registered 340B Disproportionate Share Hospitals (DSHs), child sites, and contract pharmacies have changed over time on key socioeconomic measures.

Study setting/design: Serial cross-sectional analysis from 2010 to 2022 examining yearly change in Social Deprivation Index (SDI).

Data sources/analytic sample: 340B DSHs, child sites, and contract pharmacies were identified in the Office of Pharmacy Affairs and Information System and linked to socioeconomic measures by ZIP code.

Findings: Seven hundred and seventy five newly registered 340B DSHs, 29,475 child sites, and 48,214 contract pharmacies were included in the analysis. The SDI of communities with newly registered DSHs remained stable during the study period (median 62). By contrast, the SDI of communities with newly registered child sites decreased from a median of 59 in 2010 to 53 in 2022 (-0.18 centiles per year on linear regression, p < 0.001), and the SDI of communities with newly registered contract pharmacies decreased from a median of 72 in 2010 to 53 in 2022 (-0.69 centiles per year on linear regression, p < 0.001), suggesting expansion into areas with lower social deprivation over time.

Conclusions: 340B DSH hospitals have registered new child sites and contract pharmacies in increasingly wealthy areas.

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来源期刊

Health Services Research 医学-卫生保健

CiteScore

4.80

自引率

5.90%

发文量

193

审稿时长

4-8 weeks

期刊介绍： Health Services Research (HSR) is a peer-reviewed scholarly journal that provides researchers and public and private policymakers with the latest research findings, methods, and concepts related to the financing, organization, delivery, evaluation, and outcomes of health services. Rated as one of the top journals in the fields of health policy and services and health care administration, HSR publishes outstanding articles reporting the findings of original investigations that expand knowledge and understanding of the wide-ranging field of health care and that will help to improve the health of individuals and communities.