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Author Notes:

Correspondence should be sent to Jeremy Hess, MD, MPH, Emory University, Department of Emergency Medicine, Steiner Building, 1st Floor, 49 Jesse Hill Jr Drive, Atlanta, GA 30303 (Email: jhess@emory.edu)

J. Hess, D. Bednarz, and J. Pierce conceptualized the article.

J. Hess and J. Bae conducted the analyses.

J. Hess drafted the article.

All authors participated in revising the article.

The authors would like to acknowledge Arie Manangan for his assistance with cartography.

We would also like to acknowledge Ned Becker, Howie Frumkin, David Galbraith, Cindy Parker, Brian Schwartz, and 5 anonymous reviewers for their helpful review comments.

Subjects:

Petroleum and Health Care: Evaluating and Managing Health Care's Vulnerability to Petroleum Supply Shifts

Journal Title:

American Journal of Public Health

Volume:

Volume 101, Number 9

Publisher:

, Pages 1568-1579

Type of Work:

Article | Post-print: After Peer Review

Abstract:

Petroleum is used widely in health care—primarily as a transport fuel and feedstock for pharmaceuticals, plastics, and medical supplies—and few substitutes for it are available. This dependence theoretically makes health care vulnerable to petroleum supply shifts, but this vulnerability has not been empirically assessed. We quantify key aspects of petroleum use in health care and explore historical associations between petroleum supply shocks and health care prices. These analyses confirm that petroleum products are intrinsic to modern health care and that petroleum supply shifts can affect health care prices. In anticipation of future supply contractions lasting longer than previous shifts and potentially disrupting health care delivery, we propose an adaptive management approach and outline its application to the example of emergency medical services.

Copyright information:

© American Public Health Association 2011

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