Bypassing rural hospitals for obstetrics care. Academic Article

abstract

• We use data from 1983 and 1988 on hospital use in Alabama to examine the decisions of rural pregnant women to bypass the nearest rural hospital providing obstetric services and seek care elsewhere. The proportion of women who made the decision to bypass the nearest rural hospital increased from 40 percent to 45 percent between 1983 and 1988, while the proportion who traveled to metropolitan areas increased from 41 percent to 68 percent. Women with resources appear to choose longer travel distances in order to use hospitals with high birth volumes and high-risk infant services, but women from counties with large Medicaid populations also more frequently bypassed nearby hospitals.

authors

• Morrisey, Michael

published proceedings

• J Health Polit Policy Law

altmetric score

• 3.5

author list (cited authors)

• Bronstein, J. M., & Morrisey, M. A.

citation count

• 73

complete list of authors

• Bronstein, JM||Morrisey, MA

publication date

• February 1991

publisher

• Duke University Press  Publisher

published in

• Journal of Health Politics, Policy and Law  Journal

keywords

• Alabama
• Catchment Area, Health
• Decision Making
• Female
• Hospitals, Rural
• Humans
• Models, Statistical
• Obstetrics And Gynecology Department, Hospital
• Patient Acceptance Of Health Care
• Pregnancy
• Quality Of Health Care
• Socioeconomic Factors
• Travel

PubMed Central ID

• 2066540

Digital Object Identifier (DOI)

• 10.1215/03616878-16-1-87

start page

• 87

end page

• 118

volume

• 16

issue

• 1

URL

• http://dx.doi.org/10.1215/03616878-16-1-87