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2024

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The Impact Of Historical Redlining On Neurosurgeon Distribution And Reimbursement In Modern Neighborhoods, Jean-Luc K. Kabangu, John Dugan, Benson Joseph, Amanda Hernandez, Takara R. Newsome-Cuby, Danny Fowler, Momodou G. Bah, Lane Fry, Sonia V. Eden May 2024

The Impact Of Historical Redlining On Neurosurgeon Distribution And Reimbursement In Modern Neighborhoods, Jean-Luc K. Kabangu, John Dugan, Benson Joseph, Amanda Hernandez, Takara R. Newsome-Cuby, Danny Fowler, Momodou G. Bah, Lane Fry, Sonia V. Eden

Student Publications

Background: This study examines the lasting impact of historical redlining on contemporary neurosurgical care access, highlighting the need for equitable healthcare in historically marginalized communities.

Objective: To investigate how redlining affects neurosurgeon distribution and reimbursement in U.S. neighborhoods, analyzing implications for healthcare access.

Methods: An observational study was conducted using data from the Center for Medicare and Medicaid Services (CMS) National File, Home Owner’s Loan Corporation (HOLC) neighborhood grades, and demographic data to evaluate neurosurgical representation across 91 U.S. cities, categorized by HOLC Grades (A, B, C, D) and gentrification status.

Results: Of the 257 neighborhoods, Grade A, B, C, …