Much research attention has focused on regional variations in health care costs and use of health care services across the United States, primarily based on Medicare experience. Less attention has focused on geographic variations in access and the implications for quality of care and health outcomes. Analyzing data from the Commonwealth Fund report, Rising to the Challenge: Results from a Scorecard on Local Health System Performance, 2012, this perspective finds widespread differences across local areas in residents’ ability to access care, with implications for receipt of preventive care and outcomes.
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