ArticleHealth services research2004
Hospital choice of rural Medicare beneficiaries: patient, hospital attributes, and the patient-physician relationship.
Article in Health services research, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
65 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Geographic Access to Mammography and Its Relationship to Breast Cancer Screening and Stage at Diagnosis: A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
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- Inter-regional patient outmigration to Seoul in South Korea: the role of regional healthcare quality perceptions.BMC health services research · 2025Article
- Effect on Travel Distance of a Statewide Regionalization Policy for Initial Breast Cancer Surgery.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025Article
- Referral Networks, Racial Inequity, and Hospital Quality for Open Heart Surgery.Circulation. Cardiovascular quality and outcomes · 2025Article
- Use of computer simulation to identify effects on hospital census with reduction of transfers for non-procedural patients in community hospitals.BMJ open quality · 2024Article
- Measuring Local-Area Racial Segregation for Medicare Hospital Admissions.JAMA network open · 2024Article
- The segregation of physician networks providing care to black and white patients with heart disease: Concepts, measures, and empirical evaluation.Social science & medicine (1982) · 2024Article
- Hospital and Patient Factors Affecting Veterans' Hospital Choice.Medical care research and review : MCRR · 2024Article
- Examination of the Black-White racial disparity in severe maternal morbidity among Georgia deliveries, 2016 to 2020.AJOG global reports · 2024Article
- Patient and Hospital Characteristics Associated With the Interhospital Transfer of Adult Patients With Sepsis.Critical care explorations · 2023Article
- Role of neighborhood context in ovarian cancer survival disparities: current research and future directions.American journal of obstetrics and gynecology · 2023Review
- Structural Factors and Racial/Ethnic Inequities in Travel Times to Acute Care Hospitals in the Rural US South, 2007-2018.The Milbank quarterly · 2023Article
- Policy Recommendations for Improving Rural Cancer Services in the United States.JCO oncology practice · 2023Article
- American Indians travel great distances for obstetrical care: Examining rural and racial disparities.Social science & medicine (1982) · 2023Article
- Capturing What Matters with Patients' Bypass Behavior? Evidence from a Cross-Sectional Study in China.Patient preference and adherence · 2023Article
- The Impact of Commission on Cancer Accreditation Status, Hospital Rurality and Hospital Size on Quality Measure Performance Rates.Annals of surgical oncology · 2022Observational
- Potential bypassing of nearest emergency department by EMS transports.Health services research · 2022Article
- Status and associated factors of cross-regional healthcare-seeking among patients with advanced colorectal cancer in China: a multicenter cross-sectional study.Annals of translational medicine · 2022Article
- Inter-Regional Hospital Patients' Mobility in Italy.Healthcare (Basel, Switzerland) · 2021Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo examine how patient and hospital attributes and the patient-physician relationship influence hospital choice of rural Medicare beneficiaries. DATA SOURCES: Medicare Current Beneficiary Survey (MCBS), Health Care Financing Administration (HCFA) Provider of Services (POS) file, American Hospital Association (AHA) Annual Survey, and Medicare Hospital Service Area (HSA) files for 1994 and 1995. STUDY
designThe study sample consisted of 1,702 hospitalizations of rural Medicare beneficiaries. McFadden's conditional logit model was used to analyze hospital choices of rural Medicare beneficiaries. The model included independent variables to control for patients' and hospitals' attributes and the distance to hospital alternatives. PRINCIPAL
findingsThe empirical results show strong preferences of aged patients for closer hospitals and those of greater scale and service capacity. Patients with complex acute medical conditions and those with more resources were more likely to bypass their closest rural hospitals. Beneficiaries were more likely to bypass their closest rural hospital if they had no regular physician, had a shorter patient-physician tie, were dissatisfied with the availability of health care, and had a longer travel time to their physician's office.
conclusionsThe significant influences of patients' socioeconomic, health, and functional status, their satisfaction with and access to primary care, and their strong preferences for certain hospital attributes should inform federal program initiatives about the likely impacts of policy changes on hospital bypassing behavior.
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