Determinants of Hospital Choice of Rural Hospital Patients: The Impact of Networks, Service Scopes, and Market Competition

  • Authors:

  • Chul-Young Roh;Keon-Hyung Lee;Myron D. Fottler

  • Affiliations:

  • Department of Public Health, College of Public and Allied Health, East Tennessee State University, Johnson City, USA 37614-1709;Askew School of Public Administration and Policy, Florida State University, Tallahassee, USA 32306-2205;Department of Health Professions, 210A HPA 2, College of Health and Public Affairs, University of Central Florida, Orlando, USA 32816-2205

  • Venue:
  • Journal of Medical Systems
  • Year:
  • 2008

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Abstract

Among 10,384 rural Colorado female patients who received MDC 14 (obstetric services) from 2000 to 2003, 6,615 (63.7%) were admitted to their local rural hospitals; 1,654 (15.9%) were admitted to other rural hospitals; and 2,115 (20.4%) traveled to urban hospitals for inpatient services. This study is to examine how network participation, service scopes, and market competition influences rural women's choice of hospital for their obstetric care. A conditional logistic regression analysis was used. The network participation (p驴p驴