Distance to hospital and children's use of preventive care: Is being closer better, and for whom?

This article examines the effect of distance to hospital on preventive care among children using data from the National Longitudinal Survey of Youth's Child-Mother file matched to data from the 1990 American Hospital Association Survey. Among central-city black children, each additional mile from the hospital is associated with a 3-percentage-point decline in the probability of having had a checkup (from a mean baseline of 74%). Moreover, the effects are similar for privately and publicly insured black children. For this group, access to providers is as important as private insurance coverage in predicting use of preventive care.