Abstract:
:Previous research has confirmed that desirable hospital attributes as well as increased distance, or travel time, have an impact on hospital choice. These studies have become increasingly sophisticated in modeling choice. This study adds to the existing literature by estimating the effect of both hospital and individual characteristics on hospital choice, using McFadden's conditional logit model. Some patient characteristics have not previously been accounted for in this type of analysis. In particular, the effect of a patient's complexity of illness (as measured by Disease Staging) on the choice of hospital is taken into account. The data consist of over 12,000 Medicare discharges in three overlapping rural market areas during 1986. The hospital choice set was aggregated into seven groups of urban and rural hospitals. Results indicate that rural Medicare beneficiaries tend to choose hospitals with a large scope of service and with teaching activity over those with a lower scope of service and no teaching activity, holding other factors constant. Distance is a deterrent to hospital choice, especially for older Medicare beneficiaries. The more complex cases tend to choose larger urban and rural hospitals over small rural hospitals more often than less complex cases do.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Adams EK,Houchens R,Wright GE,Robbins Jsubject
Has Abstractpub_date
1991-12-01 00:00:00pages
583-612issue
5eissn
0017-9124issn
1475-6773journal_volume
26pub_type
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journal_title:Health services research
pub_type: 杂志文章
doi:
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journal_title:Health services research
pub_type: 杂志文章
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
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journal_title:Health services research
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journal_title:Health services research
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doi:
更新日期:2000-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1976-01-01 00:00:00
abstract:OBJECTIVE:To investigate whether a performance-based contracting (PBC) system provides incentives for nonprofit providers of substance abuse treatment to select less severe clients into treatment. DATA SOURCES:The Maine Addiction Treatment System (MATS) standardized admission and discharge data provided by the Maine O...
journal_title:Health services research
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVE:To quantify the effects of informal caregiver availability and public funding on formal long-term care (LTC) expenditures in developed countries. DATA SOURCE/STUDY SETTING:Secondary data were acquired for 15 Organization for Economic Cooperation and Development (OECD) countries from 1970 to 2000. STUDY DESI...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2004.00328.x
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journal_title:Health services research
pub_type: 杂志文章
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2009.00994.x
更新日期:2009-10-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.12135
更新日期:2014-02-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2004.00270.x
更新日期:2004-08-01 00:00:00
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更新日期:2001-04-01 00:00:00
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更新日期:2014-04-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
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更新日期:2018-12-01 00:00:00
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journal_title:Health services research
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00
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更新日期:2019-08-01 00:00:00
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更新日期:2015-08-01 00:00:00
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更新日期:2007-06-01 00:00:00
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更新日期:2013-02-01 00:00:00
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