Buczko W
Health Care Financing Administration, Baltimore, MD, USA.
J Health Hum Serv Adm. 1997 Winter;19(3):319-40.
Previous studies of hospital utilization by rural residents suggest that local hospitals were often bypassed for treatment in larger, urban hospitals. This study examines hospital utilization by aged rural Medicare beneficiaries in Minnesota and Kentucky residing in zip codes that have local hospitals using FY 1987 Medicare discharge data. Most of these beneficiaries were hospitalized locally. Beneficiaries not using hospitals likely did so because cardiovascular surgical procedures were required and were often only performed in large urban teaching hospitals. Bypassing appears to be due to regionalization of care rather than dissatisfaction with local hospitals.
先前关于农村居民医院利用情况的研究表明，农村居民在寻求治疗时常常绕过当地医院，选择规模更大的城市医院。本研究利用1987财年医疗保险出院数据，调查了明尼苏达州和肯塔基州居住在设有当地医院的邮政编码区域内的老年农村医疗保险受益人的医院利用情况。这些受益人中的大多数在当地住院。未使用医院的受益人可能是因为需要进行心血管外科手术，而这类手术通常仅在大型城市教学医院开展。绕过当地医院似乎是由于医疗服务的区域化，而非对当地医院不满。
