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What Really Matters? Organizational Versus Regional Determinants of Hospitals Providing Medical Service Centres

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  • Volkert, Anna
  • Pfaff, Holger
  • Scholten, Nadine

Abstract

By adding medical service centres (MSCs) to their range of services, hospitals can participate in the outpatient sector. The aim of the MSC guideline (2004) was to ensure high quality health care in rural areas. It is unknown if organizational or regional factors influence hospitals providing services via MSCs. Our analyses focus on the identification of factors that explain the operation of an MSC by hospitals. The data are based on the mandatory structured quality reports of German hospitals (n = 1,605). These organizational data (teaching status, size and ownership) are supplemented by settlement structure and contextual data (e.g., location, doctor density). We estimated a cross-sectional multilevel logistic regression model to identify determinants of hospitals operating MSCs.

Suggested Citation

  • Volkert, Anna & Pfaff, Holger & Scholten, Nadine, 2020. "What Really Matters? Organizational Versus Regional Determinants of Hospitals Providing Medical Service Centres," Health Policy, Elsevier, vol. 124(12), pages 1354-1362.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:12:p:1354-1362
    DOI: 10.1016/j.healthpol.2020.07.011
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    References listed on IDEAS

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    1. Ines Weinhold, 2015. "Medical Care Centers in Germany: An Adequate Model to Improve Health Care Delivery in Rural Areas?," Springer Books, in: Sebastian Gurtner & Katja Soyez (ed.), Challenges and Opportunities in Health Care Management, edition 127, pages 75-86, Springer.
    2. Kirsi Vitikainen & Miika Linna & Andrew Street, 2010. "Substituting inpatient for outpatient care: what is the impact on hospital costs and efficiency?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(4), pages 395-404, August.
    3. Kifmann, Mathias, 2017. "Competition policy for health care provision in Germany," Health Policy, Elsevier, vol. 121(2), pages 119-125.
    4. Juan Merlo & Philippe Wagner & Nermin Ghith & George Leckie, 2016. "An Original Stepwise Multilevel Logistic Regression Analysis of Discriminatory Accuracy: The Case of Neighbourhoods and Health," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-31, April.
    5. Ozegowski, Susanne & Sundmacher, Leonie, 2014. "Understanding the gap between need and utilization in outpatient care—The effect of supply-side determinants on regional inequities," Health Policy, Elsevier, vol. 114(1), pages 54-63.
    6. Bayindir, Esra Eren, 2012. "Hospital ownership type and treatment choices," Journal of Health Economics, Elsevier, vol. 31(2), pages 359-370.
    7. Helmig, Bernd & Hinz, Vera & Ingerfurth, Stefan, 2014. "Extending Miles & Snow's strategy choice typology to the German hospital sector," Health Policy, Elsevier, vol. 118(3), pages 363-376.
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