Kentucky is a rural southern state with the third highest heart disease rate and one of the highest poverty rates in the country, a situation that often leads to decreased access to and utilization of healthcare facilities. We assess the relationship between patterns of healthcare facility utilization for heart-related disease and material deprivation for 2002 using data from the Kentucky Discharge Database, and explore the geographic clustering and possible overlaps among material deprivation, heart disease prevalence, healthcare facility utilization, and incidence severity. We find significant clustering of healthcare facility utilization in southeastern Kentucky that corresponds with high levels of socio-economic deprivation and high rates of heart-related disease mortality. The findings suggest the need for increased services and interventions to lower the risk and prevalence of heart disease and increased research to understand better who utilizes healthcare services and their relationships to gaps in service delivery and utilization.
Southeastern Geographer – University of North Carolina Press
Published: Nov 1, 2007
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera