Patient bypass behavior and critical access hospitals: implications for patient retention.

Patient bypass behavior and critical access hospitals: implications for patient retention. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Patient bypass behavior and critical access hospitals: implications for patient retention. Abstract Text:

Jiexin Jason Liu,Gail R Bellamy,Melissa McCormick,

PURPOSE: To assess the extent of bypass for inpatient care among patients living in Critical Access Hospital (CAH) service areas, and to determine factors associated with bypass, the reasons for bypass, and what CAHs can do to retain patients locally. METHODS: Six hundred and forty-seven subjects, aged 18 years and older, who had been admitted to a hospital for inpatient care in the past 12 months and lived within 15-20 miles of 25 randomly selected CAHs were surveyed by phone during the period from early February through late July 2005. Survey questions included demographic characteristics, general health status, travel time/distance to health care, questions on satisfaction with local health services, bypass behavior, and solicited suggestions on how local hospitals could retain patients locally. FINDINGS: About 60% of surveyed patients bypassed their local CAHs for inpatient care including 16% who were referred to another facility by the local CAH/health care providers and would use the local hospital if needed services were available. Bypass rates ranged from 16% to 70% across the sampled CAHs. Factors associated with bypass included age, income, satisfaction with the local hospital, and traveling distance/time. Lack of specialty care, limited services, and the quality/reputation of local services/doctors were most frequently mentioned as reasons why patients bypass local CAHs. CONCLUSIONS: The bypass rate for sampled CAHs is considerably higher than the 20%-50% bypass rates documented in the literature for all hospitals in general using discharge/administrative data. The sizeable variation in bypass rates across CAHs suggests that the appropriate response/fix should come from the facility/community levels.

Patient bypass behavior and critical access hospitals: implications for patient retention. Publishing Authors By Initials

JJ Liu,GR Bellamy,M McCormick,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

PUBMED ID PMID:

MEDLINE DATE:

Patient bypass behavior and critical access hospitals: implications for patient retention. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: The Journal of rural health : official journal of

VOLUME: 23

Page Numbers: 17-24

Journal Abbreviation:

ISSN: 0890-765X

DAY: 3

MONTH: 12

YEAR: 2007

Patient bypass behavior and critical access hospitals: implications for patient retention. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8508122

Patient bypass behavior and critical access hospitals: implications for patient retention. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: statistics & numerical data

Chemical & Substance for Abstract: Patient bypass behavior and critical access hospitals: implications for patient retention. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Patient bypass behavior and critical access hospitals: implications for patient retention.

AFFILIATION: West Virginia University Institute for Health Policy Research, Charleston, WVA, USA. jiliu@som.umaryland.edu

Country: United States

AGENCY: United States PHS

GRANT: 1 R04RH04183-01-00

ACRONYM:

MEDLINETA: J Rural Health

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Patient bypass behavior and critical access hospitals: implications for patient retention Related Publications

• A cumulative risk factor model for early identification of academic difficulties in premature and low birth weight infants.
• A distinct mechanism regulating a pollen-specific guanine nucleotide exchange factor for the small GTPase Rop in Arabidopsis thaliana.
• Acrylonitrile; its physiology and toxicology.
• Activation of p53 by Dishevelled independent of Wnt or planar polarity pathways.
• Allergens retained in clothing.
• Bacterial-induced hepoxilin A3 secretion as a pro-inflammatory mediator.
• Characterization of interactions between ras family GTPases and their effectors.
• Colonic device. No. 2,458,719.
• Crystal structure of the streptococcal superantigen SpeI and functional role of a novel loop domain in T cell activation by group V superantigens.
• Decision-making for postpartum discharge of 4300 mothers and their healthy infants: the Life Around Newborn Discharge study.
• Diagnosing cholangiocarcinoma in primary sclerosing cholangitis: an "evidence based radiology" review.
• Efficacy of Experience Sampling and Day Reconstruction Methods as Measures of Physical Activity Intensity: 1330: Board #93 May 30 11:00 AM - 12:30 PM.
• Female and male rats in late adolescence differ from adults in amphetamine-induced locomotor activity, but not in conditioned place preference for amphetamine.
• Fibrous histiocytoma.
• Identification of the Salmonella enterica serotype Typhimurium SipA domain responsible for inducing neutrophil recruitment across the intestinal epithelium.
• Inpatient Hospital Utilization among the Uninsured Near Elderly: Data and Policy Implications for West Virginia.
• Is the Indiana 1935 Sterilization of the Insane Act functioning?
• Ischaemic complications of Glypressin in liver disease: a case series.
• Lessons in applying health impact assessment to regeneration schemes: the Victorian experience.
• Mastectomy With Immediate Expander-Implant Reconstruction, Adjuvant Chemotherapy, and Radiation for Stage II-III Breast Cancer: Treatment Intervals and Clinical Outcomes.
• Molecular basis of TCR selectivity, cross-reactivity, and allelic discrimination by a bacterial superantigen: integrative functional and energetic mapping of the SpeC-Vbeta2.1 molecular interface.
• Patient bypass behavior and critical access hospitals: implications for patient retention.
• Salmonella enterica serovar Typhimurium regulates intercellular junction proteins and facilitates transepithelial neutrophil and bacterial passage.
• Streptomyces coelicolor genes ftsL and divIC play a role in cell division but are dispensable for colony formation.
• Subchronic toxicity and toxicogenomic evaluation of tamoxifen citrate + bexarotene in female rats.
• Subretinal hemorrhage masquerading as a hemorrhagic choroidal detachment in a case of nonaccidental trauma.
• Temperature as a determinant factor for increased and reproducible in vitro pollen germination in Arabidopsis thaliana.
• The Arf GEF GBF1 is required for GGA recruitment to Golgi membranes.
• Things that go 'bump' in the house.
• Type 2 diabetes and tuberculosis in a dynamic bi-national border population.