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Health Care Utilization by Rural Patients: What Influences Hospital Choice?

机译：农村患者的医疗保健利用：什么影响医院的选择？

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摘要

The bypassing of rural hospitals increased in Colorado's rural communities during the 1990s. To understand this phenomenon, this study explores why rural Medicare patients in Colorado bypassed their local rural hospitals when they could have received health care services at their nearest local hospital. To identify both individual factors and institutional variables associated with hospital choice behavior, the conditional logistic regression model analyzes 4,099 rural Medicare patients who received heart failure and shock procedures. This study determines that both institutional variables (ownership type, number of beds, number of services, accreditation, and distance between the hospital and a patient's residence) and patient variables (age, length of stay, race, and total charge) are significant in patients' hospital choice. This study suggests that rural hospitals could build cooperative relationships with other large rural and urban hospitals.
机译：在1990年代，科罗拉多州农村社区绕开了农村医院。为了了解这种现象，本研究探讨了为什么科罗拉多州的农村医疗保险患者可以在就近的当地医院接受医疗服务的情况下绕过当地的农村医院。为了确定与医院选择行为相关的个人因素和机构变量，条件逻辑回归模型分析了4,099名接受心力衰竭和休克手术的农村Medicare患者。这项研究确定机构变量（所有权类型，床位数，服务数量，认证以及医院与患者居住地之间的距离）和患者变量（年龄，住院时间，种族和总费用）均在显着患者医院的选择。这项研究表明，乡村医院可以与其他大型乡村和城市医院建立合作关系。

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