Cross-district utilization of general hospital care in Nova Scotia: Policy and service delivery implications for rural districts

Social Science and Medicine

Volumn 62, Issue 1, 2006, Pages 145-156

  Hanlon, Neil ^a   Skedgel, Chris ^b  

^a UNIVERSITY OF NORTHERN BRITISH COLUMBIA   (Canada)

^b DALHOUSIE UNIVERSITY   (Canada)

Author keywords

Canada; Cross district utilization; General hospital services; Nova Scotia; Regionalization; Rural services

Indexed keywords

HEALTH AND DISEASE; HOSPITAL SECTOR; SERVICE PROVISION;

ARTICLE; DATA BASE; DEMOGRAPHY; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HOSPITAL CARE; MEDICAL SERVICE; RURAL AREA; URBAN AREA;

ADOLESCENT; ADULT; AGED; CATCHMENT AREA (HEALTH); CHILD; CHILD, PRESCHOOL; EFFICIENCY, ORGANIZATIONAL; FEMALE; HEALTH SERVICES ACCESSIBILITY; HOSPITALS, DISTRICT; HOSPITALS, GENERAL; HUMANS; MALE; MIDDLE AGED; NOVA SCOTIA; OFFICE VISITS; PATIENT ACCEPTANCE OF HEALTH CARE; QUALITY INDICATORS, HEALTH CARE; REGIONAL HEALTH PLANNING; TRANSPORTATION; UTILIZATION REVIEW;

CANADA; NORTH AMERICA;

EID: 28444448042     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.socscimed.2005.05.018     Document Type: Article

References (35)

1. I. Aaraas, K. Fylkesnes, and O.H. Forde GPs' motives for referrals to general hospitals: Does access to GP hospital beds make any difference? Family Practice 15 3 1998 252 258
2. P.B. Bach, L.D. Cramer, D. Schrag, R.J. Downey, S.E. Gelfano, and C.B. Begg The influence of hospital volume on survival after resection for lung cancer New England Journal of Medicine 345 3 2001 181 188
3. T.F. Borders, and J.E. Rohrer Rural residence and migration for specialty physician care Health Care Management Review 26 3 2001 40 49
4. J. Brazier Reviewing RAWP: Accounting for cross-boundary flows British Medical Journal 295 1987 898 900
5. W. Buczko Bypassing of local hospitals by rural medicare beneficiaries Journal of Rural Health 10 4 1994 237 246
6. Clinical Services Steering Committee Making better health care decisions for Nova Scotia 2001 The Author Halifax
7. S.C. Earwhicker, and D.K. Whynes General practitioners' referral thresholds and choices of referral destination: An experimental study Health Economics 7 1998 711 722
8. J.M. Eisenberg Physician utilization: The state of research about physicians' practice patterns Medical Care 23 5 1985 461 483
9. J.J. Escarce Would eliminating differences in physician practice style reduce geographic differences in cataract surgery rates? Medical Care 31 12 1993 1106 1118
10. M.M. Finkelstein Do factors other than need determine utilization of physicians' services in Ontario? Canadian Medical Association Journal 165 5 2001 565 570
11. D.W. Garnick, H.S. Luft, J.C. Robinson, and J. Tetrault Appropriate measures of hospital market areas Health Services Research 22 1 1987 69 89
12. H. Gravelle, and M. Sutton Inequality in the geographical distribution of general practitioners in England and Wales, 1974-1995 International Journal of Health Services Research and Policy 6 1 2001 6 13
13. N.T. Hanlon Hospital restructuring in smaller urban Ontario settings: Unwritten rules and uncertain relations The Canadian Geographer 45 2 2001 252 267
14. N.T. Hanlon Measuring aspects of devolved health authority performance: Nova Scotia patients who travel further than necessary to obtain hospital care Healthcare Management Forum 16 2 2003 8 13
15. E. Kirby Colonoscopy procedures at a small rural hospital Canadian Journal of Rural Medicine 9 2 2004 89 93
16. M.C. Klein, A. Spence, J. Kaczorowski, A. Kelly, and S. Grzybowski Does delivery volume of family physicians predict maternal and newborn outcome? Canadian Medical Association Journal 166 10 2002 1257 1263
17. C.R. Langley, S. Minkin, and J.E. Till Regional variation in nonmedical factors affecting family physicians' decisions about referral for consultation Canadian Medical Association Journal 157 3 1997 265 272
18. M.N. Marshall, and D.R. Phillips A qualitative study of the professional relationship between family physicians and hospital services The Professional Geographer 51 2 1999 274 282
19. P.J. Martens, D.K. Stewart, L. Mitchell, and C. Black Assessing the performance of rural hospitals Healthcare Management Forum Winter Supplement 2002 27 34
20. J.D. Mayer The distance behaviour of hospital patients: A disaggregated analysis Social Science and Medicine 17 1983 819 827
21. J. Newton, and M. Goldacre How many patients are admitted in districts other than their own, and why? Journal of Public Health Medicine 16 2 1994 159 164
22. Nova Scotia Department of Health Future direction of the health care system... establishing district health authorities 1999 The Author Halifax
23. N. Pagliccia, S. Rahim-Jamal, R.J. Reid, and A. Kazanjian Issues in physician resources planning in B.C.: Key determinants of supply and distribution: Update of selected tables using 1998-1999 and 1999-2000 data 2002 Centre for Health Services and Policy Research Vancouver, BC
24. T.A. Radcliff, M. Brasure, I.S. Moscovice, and J.T. Stensland Understanding rural hospital bypass behavior Journal of Rural Health 19 3 2003 252 259
25. J.E. Rohrer Defining service populations for hospitals Journal of Health and Human Resources 11 Fall 1987 156 173
26. J.E. Rohrer, M.S. Vaughan, and R.P. Wenzel Regionalization of tertiary care: Impact of safe cardiovascular volumes in Iowa Health Services Management Research 10 1997 1 6
27. M.W. Rosenberg, and N.T. Hanlon Access and utilization: A continuum of health service environments Social Science and Medicine 43 6 1996 975 983
28. L.D. Saunders, K.S. Bay, and A.A. Alibhai Regionalization and hospital utilization: Alberta 1991/1992-1996/1997 Healthcare Management Forum 12 1999 38 43
29. L. Shi Analyzing hospital market share along product lines Health Services Management Research 10 1997 137 145
30. D.R. Thiemann, J. Coresh, W.J. Oetgen, and N.R. Powe The association between hospital volume and survival after acute myocardial infarction in elderly patients New England Journal of Medicine 340 21 1999 1640 1648
31. H.V. Thommassen, and A.T. Thommassen General practitioner-to-population ratios and long-term family physician retention in British Columbia's health regions Canadian Journal of Rural Medicine 6 2 2001 115 122
32. D.R. Urbach, and N.N. Baxter Does it matter what a hospital is "high volume" for? Specificity of hospital volume-outcome associations for surgical procedures: Analysis of administrative data British Medical Journal 328 2004 737 740
33. D.R. Urbach, C.M. Bell, and P.C. Austin Differences in operative mortality between high- and low-volume hospitals in Ontario for 5 major surgical procedures: Estimating the number of lives potentially saved through regionalization Canadian Medical Association Journal 168 11 2003 1409 1414
34. J.E. Wennberg On patient need, equity, supplier-induced demand, and the need to access the outcome of common medical practices Medical Care 23 5 1985 512 520
35. M.J. Wexler More procedures, better quality of care?: Is there a case for regionalization of pancreatic resection for neoplasm? Canadian Medical Association Journal 160 5 1999 671 673