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The Changing Urban-Suburban Distribution of Medical Practice in Large American Metropolitan Areas

Bibliographic Data

ID9103348
AuthorsAlfred E Miller, Maria Miller (0000-0003-0252-5348), Maria G Miller, Jonatham Adelman
Year1978
Volume16
Issue10
Pages799-818
Publication date1978-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197810000-00001
PMID703407
OpenAlexW2036940163
LanguageEN
Citations received1
References cited15

The twenty largest multi-county SMSAs in the U. S. were studied for trends in the suburbanization of medical practice from 1959 to 1974. Fifteen of them allowed a distinction between suburbs and central city on the county level according to criteria developed from a New York City pilot study. In all SMSAs, the density of hospital-based physicians was higher in central cities than in suburbs and still increasing more rapidly there, though hospital practice is also starting to grow in the suburbs at an appreciable rate. The same trends were found for physicians in non-patient care activities. Office based specialists in large Northeastern SMSAs increased much more rapidly in the urbanized suburbs than in the central cities. In the Southern and Western SMSAs, on the contrary, office-based specialists continued to increase rapidly in the central cities despite concentrations already far greater than in the Northeast. Suburban desities were growing more slowly in these areas. General practitioners declined uniformly everywhere, apparently simply by attrition. Implications of these trends for health care are discussed

Archaeology · Central city · Distribution (mathematics) · Family medicine · Geography · Medical care · Metropolitan area · Regional science · Socioeconomics · Sociology · Suburbanization · Demography · Medicine · Urban Transport and Accessibility

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Unique citing works1
Citations per year0,02
Citation span1984 - 1984 (1)
Citation velocityhistorical
Highly citedNo

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