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Policy Approaches to Health Equity: Fundamental Determinants and Increased Diversity
Kathryn Cardarelli, PhD, Kelly Ylitalo and Rachael Jackson


Health
Maintaining a Competitive Health Care System
Having a competitive edge in health care
Having a competitive edge in health care

What does this indicator measure?
This indicator measures the ability of the region to develop, retain, and sustain a competitive edge in health care when compared with some of the region’s peer cities in Texas and across the country.  The area’s local hospital rankings and the amount of funding received by the Greater Dallas Area from the National Institutes of Health (NIH) serve as indicators of a regional competitive edge in health care.


Why is this indicator important?
Having a competitive edge in health care can profoundly affect the Greater Dallas Area in a number of social and economic arenas.  Businesses considering relocation to the Greater Dallas Area may find it beneficial that the area has highly regarded medical facilities at the forefront of biotechnology and health care research.  Certainly the nationally recognized quality of the health care and diversity of the health care resources would be a positive influence on decisions to locate in the area.

How are we doing?
Two indicators confirm the Greater Dallas Area is the home of hospitals ranking among the best health care facilities in the country.

Each year since 1993, one of the major sources of health care business intelligence, Solucient, has ranked the top 100 hospitals in the nation.  The Solucient rankings use objective statistical analyses of public data sources to measure hospital performance.  Comparisons are made within five hospital types or peer groupings: major teaching hospitals, teaching hospitals, large community hospitals, medium community hospitals, and small community hospitals.  

  • Between 1993 and 2003, eight hospitals in the Dallas Primary Metropolitan Statistical Area (PMSA) appeared in Solucient’s top 100 ranking.
  • For the last 15 years, U.S. News & World Report has identified and ranked the nation’s best hospitals in 17 specialties.  Baylor University Medical Center and Parkland Memorial Hospital appeared in the 2004 U.S. News & World Report hospital rankings.  
  • Parkland was named in five categories—Gynecology, Hormonal Disorders, Kidney Disease, Orthopedics, and Urology—in the 2005 U.S. News & World Report rankings.
  • Baylor University Medical Center was named for cardiovascular success by Solucient in 2005.

Additional facts about Dallas PMSA health care resources include the following:

  • The Baylor College of Medicine ranked 13th and the University of Texas Southwestern Medical Center in Dallas ranked 17th of 64 schools in the 2004 U.S. News & World Report rankings for top medical schools in research.  
  • Both of these schools ranked 22nd and 23rd, respectively, of 62 schools among top medical schools in primary care in the 2004 rankings.
  • UT Southwestern Medical Center trains more than 4,000 medical, graduate, and allied health students annually, including clinical residents and postdoctoral fellows.  The Medical Center campus includes St. Paul Building and Zale Lipshy Building, both of which are university hospitals.  Four hospitals are affiliated with UT Southwestern: Parkland Memorial Hospital, Children’s Medical Center Dallas, Richardson Regional Medical Center, and Dallas Veterans Affairs Medical Center.  Texas Scottish Rite Hospital is also associated with the Medical Center through joint efforts to offer seminars.  
  • Baylor College of Dentistry, one of only three dental schools in Texas, is located in Dallas.

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The National Institutes of Health (NIH) is a world leader in medical research funding, and the significant amount of NIH dollars coming to the Greater Dallas Area is a strong indicator of the region’s place as a leader in innovative and groundbreaking medical research.  

  • In fiscal year 2004, institutions in Dallas received $188,092,531 in funding from NIH.
  • In fiscal year 2004, Dallas was listed as second among Texas cities in the amount of NIH funding received.  
  • In 2004, UT Southwestern Medical Center received a total of $172,246,995 in funding from NIH.

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Further information about health care funding can be found through the Health Resources and Services Administration Web site.


       


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