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Prince George's County, Maryland, faces the ongoing challenge of ensuring the health of its residents in the context of severe fiscal constraints. This challenge has grown more complex in the past decade, as the county's population has become increasingly diverse, demographically and socio-demographically. To help policymakers address this challenge, this report describes the demographic and health characteristics of Prince George's County residents; assesses health care system access and capacity within the county; and analyzes patterns of hospital and emergency department use. The authors review existing studies on the health and health service utilization of Prince George's County residents; synthesize the findings; and report on their original analyses of data about residents' health behaviors, the county's physician workforce, and hospital discharge rates.
Table of Contents
Chapter One
Introduction
Chapter Two
Demographic Characteristics of Prince George's County Residents
Chapter Three
Health Status
Chapter Four
Health Behaviors and Use of Preventive Care
Chapter Five
Barriers to Health Care Access and Utilization for Adults
Chapter Six
Physician Supply
Chapter Seven
Hospital, Emergency Department, and Safety-Net Clinic Capacity
Chapter Eight
Hospital Quality
Chapter Nine
Ambulatory Care-Sensitive Hospitalizations and Emergency Department Visits
Chapter Ten
Patterns of Hospital Inpatient and Emergency Department Use
Chapter Eleven
Summary and Policy Implications
Appendix 1
Description of Data Sources
Appendix 2
Existing Studies on Prince George's County
Appendix 3
Detailed Method Descriptions for Selected Chapters
Appendix 4
Measures of Physician Capacity
Appendix 5
Trends in Hospital and Emergency Department Capacity
Appendix 6
Hospital Quality Figures
Appendix 7
Ambulatory Care-Sensitive Hospitalizations and Emergency Department Visits Across Prince George's County by Age Group
Appendix 8
Patterns of Hospital Inpatient and Emergency Department Use for Specific Hospitals
This work was sponsored by Prince George's County Council. The research was conducted in RAND Health, a division of the RAND Corporation.
This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.
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