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Factors Affecting Hospital Choice for Rural Iowa Residents

Author

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  • Barr, Kanlaya Jintanakul
  • Otto, Daniel

Abstract

This study uses Iowa Hospital Association records related to inpatient and outpatient procedures performed at rural Iowa hospitals to examine how institutional, location, and individual characteristics affect choice of hospitals for rural residents. The rural residents most likely to bypass their local hospitals are younger people with private outpatient insurance already living a long distance from any hospital. Complex procedures and life-threatening illnesses can reduce the probability of choosing the nearest rural hospital. Rural residents also appear less likely to bypass the nearest rural hospital for outpatient services.

Suggested Citation

  • Barr, Kanlaya Jintanakul & Otto, Daniel, 2009. "Factors Affecting Hospital Choice for Rural Iowa Residents," Staff General Research Papers Archive 13089, Iowa State University, Department of Economics.
    • Handle: RePEc:isu:genres:13089
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    Cited by:

    1. Alexander, Gigi M. & Cebula, Richard J., 2011. "Non-Economic and Economic Factors in the Decision to Obtain a Pap Smear: The Case of Women Residents in the State of Florida," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 41(2), pages 1-7.

    More about this item

    Keywords

    rural hospitals; spatial; GIS; bypassing;
    All these keywords.

    JEL classification:

    • H44 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Goods: Mixed Markets
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • R12 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Size and Spatial Distributions of Regional Economic Activity; Interregional Trade (economic geography)

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