Out-of-Area Travel From Rural and Urban Counties: A Study of Ambulatory Care Sensitive Hospitalizations for New York State Residents

摘要: Rural patients who are admitted to hospitals outside their residence county or travel great distances for hospitalization deprive local rural of revenue. To provide more information about such residents, we studied characteristics compared those in the same county. Characteristics included illness severity, demographics and resources. validate findings a different analytic approach, residents long admission were also studied. We admissions ambulatory care sensitive conditions, as they might be most responsive policy changes increasing recruitment primary-care physicians. Hospital discharges during 1994 248,656 New York State constructed multivariate models using logistic regression ordinary least squares methods. The applied three types geographic location along an urban-rural continuum. Outside associated with younger age, higher severity fewer hospital Same nonwhite race, lack insurance. Surprisingly, counties, directly increased providers. Results from distance model generally supported model.