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Prince George's County, Maryland, faces the ongoing challenge of ensuring the health of its residents in the context of severe fiscal constraints. This challenge has grown more complex in the past decade, as the county's population has become increasingly diverse, demographically and socio-demographically. To help policymakers address this challenge, this report describes the demographic and health characteristics of Prince George's County residents; assesses health care system access and capacity within the county; and analyzes patterns of hospital and emergency department use. The authors review existing studies on the health and health service utilization of Prince George's County residents; synthesize the findings; and report on their original analyses of data about residents' health behaviors, the county's physician workforce, and hospital discharge rates.

Table of Contents

  • Chapter One


  • Chapter Two

    Demographic Characteristics of Prince George's County Residents

  • Chapter Three

    Health Status

  • Chapter Four

    Health Behaviors and Use of Preventive Care

  • Chapter Five

    Barriers to Health Care Access and Utilization for Adults

  • Chapter Six

    Physician Supply

  • Chapter Seven

    Hospital, Emergency Department, and Safety-Net Clinic Capacity

  • Chapter Eight

    Hospital Quality

  • Chapter Nine

    Ambulatory Care-Sensitive Hospitalizations and Emergency Department Visits

  • Chapter Ten

    Patterns of Hospital Inpatient and Emergency Department Use

  • Chapter Eleven

    Summary and Policy Implications

  • Appendix 1

    Description of Data Sources

  • Appendix 2

    Existing Studies on Prince George's County

  • Appendix 3

    Detailed Method Descriptions for Selected Chapters

  • Appendix 4

    Measures of Physician Capacity

  • Appendix 5

    Trends in Hospital and Emergency Department Capacity

  • Appendix 6

    Hospital Quality Figures

  • Appendix 7

    Ambulatory Care-Sensitive Hospitalizations and Emergency Department Visits Across Prince George's County by Age Group

  • Appendix 8

    Patterns of Hospital Inpatient and Emergency Department Use for Specific Hospitals

This work was sponsored by Prince George's County Council. The research was conducted in RAND Health, a division of the RAND Corporation.

This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

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