| Factors affecting interstate use of inpatient care by Medicare beneficiaries. | |
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MedLine Citation:
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PMID: 1500288 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article examines the extent to which interstate inflow and outflow of patients affects their observed use of Medicare Part A inpatient care. Interstate patient flow can bias utilization rates and may be due to seasonal migration, interstate inpatient care market areas, or purposive seeking of specialized/high-quality care. Examination of state level patient flow data drawn from 1987 Medicare discharge indicate that most interstate patient flow occurs between adjacent states probably as an outgrowth of interstate markets. Regression analyses of patient flow data suggest that while seasonal migration is an important determinant of patient flow, its importance is secondary to that of indicators of the availability of specialized services. These findings suggest research questions that may be best answered in detailed analyses of inpatient utilization in interstate market areas and seasonal migration. |
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Authors:
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W Buczko |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Health services research Volume: 27 ISSN: 0017-9124 ISO Abbreviation: Health Serv Res Publication Date: 1992 Aug |
Date Detail:
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Created Date: 1992-09-17 Completed Date: 1992-09-17 Revised Date: 2010-09-07 |
Medline Journal Info:
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Nlm Unique ID: 0053006 Medline TA: Health Serv Res Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 295-315 Citation Subset: IM |
Affiliation:
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Office of Research, Health Care Financing Administration, Baltimore, MD 21207. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Catchment Area (Health)* Health Services Research Hospitals / utilization* Humans Inpatients / statistics & numerical data Insurance Benefits / statistics & numerical data, trends* Medicare Part A / statistics & numerical data, utilization* Patient Admission / statistics & numerical data, trends Patient Discharge / statistics & numerical data, trends Prognosis Regression Analysis Seasons Transients and Migrants / statistics & numerical data Transportation United States |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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