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Michigan Publishing

Financial Stability of Level I Trauma Centers Within Safety-Net Hospitals

Overview of attention for article published in Journal of the American College of Surgeons, April 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (94th percentile)
  • Good Attention Score compared to outputs of the same age and source (77th percentile)

Mentioned by

news
2 news outlets
twitter
39 X users
facebook
3 Facebook pages
wikipedia
1 Wikipedia page

Citations

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16 Dimensions

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mendeley
22 Mendeley
Title
Financial Stability of Level I Trauma Centers Within Safety-Net Hospitals
Published in
Journal of the American College of Surgeons, April 2018
DOI 10.1016/j.jamcollsurg.2018.03.043
Pubmed ID
Authors

Lisa M Knowlton, Arden M Morris, Lakshika Tennakoon, David A Spain, Kristan L Staudenmayer

Abstract

Level I trauma centers often exist within Safety-Net Hospitals (SNHs), facilities servicing high proportions of low-income and uninsured patients. Given the current healthcare funding environment, trauma centers within SNHs may be at particular risk. Using California as a model, we hypothesized that SNHs with trauma centers vary in terms of financial stability. A retrospective cohort study using data from publically-available financial disclosure reports from California's Office of Statewide Health Planning and Development. Safety-net hospitals were identified from the California Association of Public Hospitals and Health Systems. The primary outcome metric for financial performance was operating margin. California hospitals with Level I Trauma Centers were analyzed (11 SNH sites, 2 non SNH). SNHs did not behave uniformly, and were clustered into county owned SNHs (36%, n=4) and non-profit owned SNHs (64%, n=7). Mean operating margins for county SNHs, non-profit SNHs and non SNHs were -16.5%, 8.4% and 9.5% respectively (p<0.001). From 2010 to 2015, operating margins improved for all hospitals, partly due to increases in the percent of insured patients and changes in payer mix. Non-profit SNHs had a payer mix similar to non SNHs, whereas county SNHs had the highest proportions of MediCal (California Medicaid) (45% vs. 36% vs. 12%, p<0.001) and uninsured patients (17% vs. 5% vs. 0%, p<0.001) compared to non-profit SNHs and non SNHs respectively. The majority (85%) of Level I Trauma Centers are within SNHs, whose financial stability is highly variable. A group of SNHs rely upon on infusions of government funds and are therefore susceptible to changes in policy. These findings suggest deliberate funding efforts are critical to protect the health of the U.S. academic trauma system.

X Demographics

X Demographics

The data shown below were collected from the profiles of 39 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 22 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 4 18%
Student > Ph. D. Student 4 18%
Student > Doctoral Student 3 14%
Other 3 14%
Lecturer 2 9%
Other 0 0%
Unknown 6 27%
Readers by discipline Count As %
Medicine and Dentistry 6 27%
Business, Management and Accounting 4 18%
Nursing and Health Professions 1 5%
Sports and Recreations 1 5%
Psychology 1 5%
Other 2 9%
Unknown 7 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 47. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 November 2018.
All research outputs
#893,429
of 25,382,440 outputs
Outputs from Journal of the American College of Surgeons
#320
of 4,355 outputs
Outputs of similar age
#19,812
of 340,527 outputs
Outputs of similar age from Journal of the American College of Surgeons
#13
of 57 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,355 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.4. This one has done particularly well, scoring higher than 92% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 340,527 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 57 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 77% of its contemporaries.