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Correlation between Motor Vehicle Mortality Rate and Density of Medical Resources

Published online by Cambridge University Press:  28 June 2012

Ronald F. Maio*
Affiliation:
Division of Emergency Services, Department of Surgery, University of Michigan, Ann Arbor
Richard E. Burney
Affiliation:
Division of Emergency Services, Department of Surgery, University of Michigan, Ann Arbor
Scott Lazzara
Affiliation:
Division of Emergency Services, Department of Surgery, University of Michigan, Ann Arbor
Robert B. Takla
Affiliation:
Division of Emergency Services, Department of Surgery, University of Michigan, Ann Arbor
*
Ronald F. Maio, DO, B1C255 University Hospital, 1500 E. Medical Center Drive, Ann Arbor, MI, USA 48109-0014 (Ph: 313-936-6025)

Abstract

An inverse correlation has been reported between motor vehicle crash mortality rate (MVCMR) and population density. The reasons for this are unknown, but variations in prehospital and hospital resources are a possible explanation.

Hypothesis:

Densities of prehospital and hospital resources correlate inversely with motor vehicle crash mortality rates.

Methods:

Data regarding population, area, number of motor vehicle deaths, and number and types of hospital and prehospital care resources for 1987, were obtained from the Michigan State Department of Public Health and transformed to create measures of resource per square mile by county. Correlation coefficients were computed between motor vehicle death rate and medical resource densities.

Results:

Small negative correlations were seen for all variables. Correlation coefficients ranged from -0.224 (EMTs per sq mi) to -0.167 (beds per sq mi). Only the coefficient for EMTs per square mile was statistically significant (p=0.043).

Conclusion:

Small negative correlations exist in Michigan counties between MVCMR and medical resources. We conclude that only a small proportion of MVCMR variation can be accounted for by the density of medical resources.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1990

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References

1. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control: Perspectives in Disease Prevention and Health Promotion: Progress Toward Achieving the National 1990 Objectives for Injury Prevention and Control. Morbidity & Mortality Weekly Report 1988;37:138146.Google Scholar
2. U.S. Congress, Office of Technology Assessment: Rural Emergency Medical Services-Special Report. OTA-H-445 (Washington, DC: U.S. Government Printing Office, November 1989) pp 2223.Google Scholar
3. Waller, JA, Curran, R, Noyes, F: Traffic deaths: a preliminary study of urban and rural fatalities in California. Calif Med 1964;101:272276.Google Scholar
4. Certo, TF, Rogers, FB, Pilcher, DB: Review of care of fatally injured patients in a rural state. J Trauma 1983;23:559565.CrossRefGoogle Scholar
5. Brodsky, H, Hakkert, AS: Highway fatal accidents and accessibility of emergency medical services. Soc Sci Med 1983;17:731740.CrossRefGoogle ScholarPubMed
6. Bentham, G: Proximity to hospital and mortality from motor vehicle traffic accidents. Soc Sci Med 1986;23:10211026.CrossRefGoogle ScholarPubMed
7. Mueller, BA, Rivara, FP, Bergman, AB: Urbanrural location and the risk of dying in a pedestrian-vehicle collision. J Trauma 1988;28:9194.CrossRefGoogle Scholar
8. Baker, SP, Whitfield, MA, O'Neil, B: Geographic variations in mortality from motor vehicle crashes. N Engl J Med 1987;316:13841387.CrossRefGoogle ScholarPubMed
9. Pepe, PE, Copass, MK: Prehospital care. In: Early Care of the Injured Patient. Maier, RV (sec. ed.) Moore, EE, Ducker, TB, Edlich, RF et al. (eds). Toronto:B.C. Decker, 1990, p 46.Google Scholar