Document Detail

Factors affecting interstate use of inpatient care by Medicare beneficiaries.
MedLine Citation:
PMID:  1500288     Owner:  NLM     Status:  MEDLINE    
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.
W Buczko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health services research     Volume:  27     ISSN:  0017-9124     ISO Abbreviation:  Health Serv Res     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-09-17     Completed Date:  1992-09-17     Revised Date:  2010-09-07    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  295-315     Citation Subset:  IM    
Office of Research, Health Care Financing Administration, Baltimore, MD 21207.
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MeSH Terms
Catchment Area (Health)*
Health Services Research
Hospitals / utilization*
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
Regression Analysis
Transients and Migrants / statistics & numerical data
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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