Evidence map›Paper›PMID 27357394›Full record

SynthesisMedical care research and review : MCRR2017

Patient Mobility for Elective Secondary Health Care Services in Response to Patient Choice Policies: A Systematic Review.

Ajay Aggarwal, Daniel Lewis, Malcolm Mason, Richard Sullivan, Jan van der Meulen

Abstract readSystematic Review
In one paragraph

Synthesis in Medical care research and review : MCRR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Article
  6. Study on edge villages based on cross-region healthcare-seeking behavior.International journal of health geographics · 2025
    Article
  7. Article
  8. Review
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  10. Article
  11. Article
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  14. Article
  15. Driving time drives the hospital choice: choice models for pelvic organ prolapse surgery in Italy.The European journal of health economics : HEPAC : health economics in prevention and care · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ajay Aggarwal1 London School of Hygiene and Tropical Medicine, London, UK.
Daniel Lewis1 London School of Hygiene and Tropical Medicine, London, UK.
Malcolm Mason2 Cardiff University, Cardiff, UK.
Richard Sullivan3 King's College London, London, UK.
Jan van der Meulen1 London School of Hygiene and Tropical Medicine, London, UK.

Funding

Department of Health DRF-2014-07-064
6 · The paper itself

Abstract

Our review establishes the empirical evidence for patient mobility for elective secondary care services in countries that allow patients to choose their health care provider. PubMed and Embase were searched for relevant articles between 1990 and 2015. Of 5,994 titles/abstracts reviewed, 26 studies were included. The studies used three main methodological models to establish mobility. Variation in the extent of patient mobility was observed across the studies. Mobility was positively associated with lower waiting times, indicators of better service quality, and access to advanced technology. It was negatively associated with advanced age or lower socioeconomic backgrounds. From a policy perspective we demonstrate that a significant proportion of patients are prepared to travel beyond their nearest provider for elective services. As a consequence, some providers are likely to be "winners" and others "losers," which could result in overall decreased provider capacity or inefficient utilization of existing services. Equity also remains a key concern.

Indexed as

Choice BehaviorHealth PolicyMobility LimitationDelivery of Health CareHealth PersonnelHealth ServicesHumansQuality of Health CareWaiting Listshospital bypassingpatient choicepatient mobilityprovider competition

Identifiers

PMID27357394
PMCPMC5502904

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.