Leighton Chan, MD

CMS Region X


Publications - (4)

  • Geographic Access to Health Care for Rural Medicare Beneficiaries
    WWAMI Rural Health Research Center
    Date: 04/2005
    This study looked at where Medicare beneficiaries of five states obtain their care, how far they travel for that care, and the mix of physician specialties from whom they obtain their ambulatory care. Findings from this study suggest that rural residents do not rely on urban areas for the majority of their care. Those living in small and isolated rural areas have decreased geographic access to healthcare providers, particularly specialists, and rely heavily on generalists for the majority of their care. Additionally, results of the study suggest that these individuals have few visits overall and must travel longer distances to access certain types of care. These findings have policy implications for geographic reimbursement differentials, telehealth networks, and graduate medical education. Report available upon request by contacting the Center.
  • Quality of Care for Acute Myocardial Infarction in Rural and Urban U.S. Hospitals
    WWAMI Rural Health Research Center
    Date: 2004
    Acute myocardial infarction (AMI) is a common and important cause of admission to rural hospitals, as transport of patients with AMI to urban settings can result in unacceptable delays in care. This study examines the quality of care for patients with AMI in rural hospitals with differing degrees of remoteness from urban centers.
  • Quality of Care for Acute Myocardial Infarction: Are the Gaps Between Rural and Urban Hospitals Closing?
    Policy Brief
    WWAMI Rural Health Research Center
    Date: 03/2010

    Many simple, evidence-based guidelines that improve acute myocardial infarction outcomes are inadequately implemented in both rural and urban hospitals. Overall, there has been improvement in acute myocardial infarction quality measures, and persistent rural-urban disparities in only a few. Particularly in small and remote small rural locations, developing strategies to increase use of beneficial discharge medications is important.

  • Quality of Care for Myocardial Infarction in Rural and Urban Hospitals
    WWAMI Rural Health Research Center