Measuring Geographic Access to Health Care in Rural Areas

Adams, E. K. , and G. E. Wright. "Hospital Choice of Medicare Beneficiaries in a Rural Market: Why Not the Closest?" Journal of Rural Health 7, no. 2 (Spring 1991): 134-52.

Agency for Health Care Policy and Research. Delivering Essential Health Care Services in Rural Areas: An Analysis of Alternative Models. AHCPR Pub. No. 91-0017. Washington, DC: DHHS, 1991.

Andersen, R. M. , A. McCutcheon , L. A. Aday , G. Y. Chiu , and R. Bell. "Exploring Dimensions of Access to Medical Care." Health Services Research 18, no. 1 (April 1983): 50-74.

Barnett, P. G. , and J. E. Midtling. "Public Policy and the Supply of Primary Care Physicians." Journal of the American Medical Association 262(1989): 2864-68.

Berk, M. L. , A. B. Bernstein , and A. K. Taylor. "The Use and Availability of Medical Care in Health Manpower Shortage Areas." Inquiry 20, no. 4 (1983): 369-80.

Bronstein, J. M. , and M. A. Morrisey. "Determinants of Rural Travel Distance for Obstetrics Care." Medical Care 28, no. 9 (September 1990): 853-65.

-. "Bypassing Rural Hospitals for Obstetrics Care." Journal of Health Politics, Policy and Law 16, no. 1 (Spring 1991): 87-120.

Brown, E. E. , H. M. Miller , M. J. Duttera , and G. R. Hummel. "New Physicians Setting Up a Rural Practice: It Isn't Easy." Rural Development Perspectives 2 (February 1986): 20-23.

Budetti, P. P. , P. R. Kletke , and J. P. Connelly. "Current Distribution and Trends in the Location Pattern of Pediatricians, Family Physicians, and General Practitioners between 1976 and 1979." Pediatrics 70, no. 5 (November 1982): 780-89.

Carpenter, E. , and D. Plessas. "Estimating Hospital Service Areas Using Mortality Statistics." Health Services Research 20, no. 1 (April 1985): 19-26.

Coffey, R. M. "The Effect of Time Price on Demand for Medical Care Services." Journal of Human Resources 18(1983): 407.

Cohen, M. A. , and H. L. Lee. "The Determinants of Spatial Distribution of Hospital Utilization in a Region." Medical Care 23, no. 1 (January 1985 ): 27-38.

Connor, R. A. , J. E. Kralewski , and S. D. Hillson. "Recruiting and Retaining Physicians/Specialists in Small Rural Hospitals: Literature Review and Quantitative Analysis." Report I for HCFA Cooperative Agreement No. HCFA/99-C-99169/5. Unpublished Government Report, 1992 .

Conte, S. J. , A. W. Imershein , and M. K. Magill. "Rural Community and Physician Perspectives on Resource Factors Affecting Physician Retention." Journal of Rural Health 8, no. 3 (Summer 1992 ): 185-96.

Cotterill, P. G. , and B. S. Eisenberg. "Improving Access to Medical Care in Underserved Areas: The Role of Group Practice." Inquiry 16(1979): 141-53.

Cowper, P. A. , and J. E. Kushman. "A Spatial Analysis of Primary Health Care Markets in Rural Areas." American Journal of Agricultural Economics 69 (1987): 613-25.

Davis, K. "Implications of an Expanding Supply of Physicians: Evidence from a Cross-Sectional Analysis." Johns Hopkins Medical Journal 150, no. 2 (February 1982): 55-64.

DeFriese, G. H. , and T. C. Ricketts. "Primary Health Care in Rural Areas: An Agenda for Research." Health Services Research 23, no. 6 (February 1989): 931-74.

Dennis, T. "Changes in the Distribution of Physicians in Rural Areas of Minnesota, 1965-85." American Journal of Public Health 78, no. 12 (December 1988): 1577-79.

Dionne, G. , A. Langlois , and N. Lemire. "More on the Geographic Distribution of Physicians." Journal of Health Economics 6, no. 4 (December 1987): 365-74.

Doeksen, G. A. , D. A. Miller , and E. Howe, Jr. "A Model to Evaluate Whether a Community Can Support a Physician." Journal of Medical Education 63, no. 7 (July 1988): 515-21.

Dranove, D. , and M. Shanley. "A Note on the Relational Aspects of Hospital Market Definitions." Journal of Health Economics 8, no. 4 (1989): 473-78.

Folland, S. T. "Predicting Hospital Market Shares." Inquiry 20 (1983): 34-44.

Frenzen, P. D. "The Increasing Supply of Physicians in U.S. Urban and Rural Areas, 1975 to 1988." American Journal of Public Health 81, no. 9 (September 1991): 1141-47.

Fruen, M. A. , and J. R. Cantwell. "Geographic Distribution of Physicians: Past Trends and Future Influences." Inquiry 19, no. 1 (Spring 1982): 44-50.

Garnick, D. W. , H. S. Luft , J. C. Robinson , and J. Tetrault. "Appropriate Measures of Hospital Market Areas." Health Services Research 22, no. 1 (1987): 69-89.

Girt, J. L. "Distance to General Medical Practice and Its Effects on Revealed Ill-Health in a Rural Environment." Canadian Geography 17 (1973 ): 154.

Glenn, J. K. , L. L. Hicks , A. J. Daugird , and L. W. Lawhorne. "Necessary Conditions for Supporting a General Surgeon in Rural Areas." Journal of Rural Health 4, no. 2 (July 1988): 85-100.

GMENAC (Graduate Medical Education National Advisory Committee) , Summary Report. DHHS Pub. No. (HRA)81-651 Washington, DC: DHHS, 1980.

Hart, L. G. , M. J. Pirani , and R. A. Rosenblatt. "Rural Hospital Closure and Local Physician Supply: A National Study." Rural Health Working Paper Series No. 16 Seattle, WA: WAMI Rural Health Research Center, University of Washington, 1991.

Hicks, L. L. "Availability and Accessibility of Rural Health Care." Journal of Rural Health 6, no. 4 (October 1990 ): 485-505.

Hicks, L. L. , and J. K. Glenn. "Rural Populations and Rural Physicians: Estimates of Critical Mass Ratios, by Specialty." Journal of Rural Health 7, no. 4 (1991): 357-72.

Hogan, C. "Patterns of Travel for Rural Individuals Hospitalized in New York State: Relationships between Distance, Destination, and Case Mix." Journal of Rural Health 4, no. 2 (July 1988): 29-41.

Hughes, R. , S. Hunt , and H. Luft. "Effects of Surgeon Volume and Hospital Volume on Quality of Care in Hospitals." Medical Care 25, no. 6 (1987): 489-503.

Hurley, J. "Simulated Effects of Incomes-Based Policies on the Distribution of Physicians." Medical Care 28, no. 3 (March 1990): 221-38.

Hynes, K. , and N. Givner. "Physician Distribution in a Predominantly Rural State: Predictors and Trends." Inquiry 20, no. 2 (Summer 1983): 185-90.

-. "The Effects of Area Health Education Centers on Primary Care Physician-to-Population Ratios from 1975 to 1985." Journal of Rural Health 6, no. 1 (January 1990 ): 9-17.

Johnson, T. P. , and J. K. Cooper. "Physician Shortage in Kentucky, 1930-1980." American Journal of Public Health 72, no. 3 (March 1982): 257-60.

Joseph, A. E. , and P. R. Bantock. "Measuring Potential Physical Accessibility to General Practitioners in Rural Areas." Social Science and Medicine 16(1982): 85.

Kindig, D. A. , and H. Movassaghi. "The Adequacy of Physician Supply in Small Rural Counties." Health Affairs 8, no. 2 (Summer 1989): 63-76.

Kleinman, J. C. , and D. Makuc. "Travel for Ambulatory Medical Care." Medical Care 21, no. 5 (May 1983): 543-57.

Langwell, K. , S. Nelson , D. Calvin , and J. Drabek. "Characteristics of Rural Communities and the Changing Geographic Distribution of Physicians." Journal of Rural Health 1, no. 2 (July 1985): 42-55.

Langwell, K. M. , J. Drabek , S. L. Nelson , and E. Lenk. "Effects of Community Characteristics on Young Physicians' Decisions Regarding Rural Practice." Public Health Reports 102, no. 3 (May-June 1987): 317-28.

Lawlor, A. D. , and J. T. Reid. "Hierarchial Patterns in the Location of Physician Specialists among Counties." Inquiry 18(1981): 79-90.

Lee, R. C. "Current Approaches to Shortage Area Designation." Journal of Rural Health 7, no. 4 (1991): 437-50.

Lee, R. I. , and L. W. Jones. The Fundamentals of Good Medical Care. Chicago: University of Chicago Press, 1933.

Luft, H. S. , and S. C. Maerki. "Competitive Potential of Hospitals and Their Neighbors." Contemporary Policy Issues 3, no. 1 (1984-85): 89-102.

Luft, H. S. , J. C. Robinson , D. W. Garnick , S. C. Maerki , and S. J. McPhee. "The Role of Specialized Clinical Services in Competition among Hospitals." Inquiry 23 ( 1986): 83.

Luft, H. S. , D. W. Garnick , D. S. Mark , D. J. Peltzman , C. S. Phibbs , E. Lictenberg , and S. J. McPhee. "Does Quality Influence Choice of Hospital?" Journal of the American Medical Association 263, no. 21 (6 June 1990): 2899-2906.

Madison, D. L. , and C. D. Combs. "Location Patterns of Recent Physician Settlers in Rural America." Journal of Community Health 6, no. 4 (Summer 1981 ): 267-74.

Makuc, D. M. , B. Haglund , D. D. Ingram , and J. C. Kleinman. Vital and Health Statistics: Health Service Areas for the United States. DHHS Publication No. (PHS) 92-1386

National Center for Health Statistics, Series 2, No. 112. Centers for Disease Control Washinton, DC: DHHS, 1991a.

Makuc, D. M. , B. Haglund , D. D. Ingram , J. C. Kleinman , and J. J. Feldman. "The Use of Health Service Areas for Measuring Provider Availability." Journal of Rural Health 7, no. 4 (1991b): 347-56.

Makuc, D. , J. C. Kleinman , and B. Pierre. "Service Areas for Ambulatory Medical Care." Health Services Research 20, no. 1 (April 1985): 1-18.

Mayer, J. D. "The Distance Behavior of Hospital Patients: A Disaggregated Analysis." Social Science and Medicine 17, no. 12 (1983): 819-27.

McGuirk, M. A. , and F. W. Porell. "Spatial Patterns of Hospital Utilization: The Impact of Distance and Time." Inquiry 21, no. 1 (Spring 1984 ): 84-95.

Miller, K. A. , D. A. Miller , G. A. Doeksen , and P. Jacobs. "A Model to Determine the Feasibility of a Pediatric Practice." American Journal of Diseases of Children 143, no. 8 (August 1989): 919-23.

Miller, K. A. , D. A. Miller , G. A. Doeksen , P. S. Shelton. "Establishing a Family Practice: A Model to Determine Economic Feasibility." Southern Medical Tournal 84, no. 7 (July 1991): 871-75.

Morrill, R. L. , R. J. Earikson , and P. Rees. "Factors Influencing Distances Travelled to Hospitals." Economic Geography 46 (1970): 161.

Morrisey, M. A. , P. R. Kletke , and W. D. Marder. "The Role of Local Hospitals in Physician Rural Location Decisions." Inquiry 28, no. 1 (Spring 1991): 7-18.

Morrisey, M. A. , F. A. Sloan , and J. Valvona. "Geographic Markets for Hospital Care." Law and Contemporary Problems 51, no. 2 (1989): 165-94.

Movassaghi, H. , and D. Kindig. "Medical Practice and Satisfaction of Physicians in Sparsely Populated Rural Counties of the United States: Results of a 1988 Survey." Journal of Rural Health 5, no. 2 (April 1989): 125-36.

Newhouse, J. P. "Geographic Access to Physician Services." Annual Review of Public Health 11 (1990): 207-30.

Newhouse, J. P. , A. P. Williams , B. W. Bennett , and W. B. Schwartz. "Does the Geographic Distribution of Physicians Reflect Market Failure?" Bell Journal of Economics 13 (1982a): 493-506.

-. "Where Have All the Doctors Gone?" Journal of the American Medical Association 247, no. 17 (7 May 1982b): 2392-96.

NRHA (National Rural Health Association). "Study of Models to Meet Rural Health Care Needs through Mobilization of Health Professions, Education and Services Resources." Health Resources and Services Administration, Contract No. 240-89-0037 Rockville, MD: DHHS, 1991, pp. 98-99; 117-26; 128-129.

Pathman, D. E. "Estimating Rural Health Professional Requirements: An Assessment of Current Methodologies." Journal of Rural Health 7, no. 4 (1991): 327-46.

Phelps, C. E. , and J. P. Newhouse. "Coinsurance, the Price of Time, and the Demand for Medical Services." Review of Economics and Statistics 56(1974): 334-42.

Phibbs, C. S. , and J. C. Robinson. James C. "A Variable-Radius Measure of Local Hospital Market Structure." Health Services Research 28, no. 3 (August 1993): 313-24.

Phibbs, C. S. , D. S. Mark , H. S. Luft , D. J. Peltzman-Rennie , D. W. Garnick , E. Lictenberg , and S. J. McPhee. "Choice of Hospital for Delivery: A Comparison of High-Risk and Low-Risk Women." Health Services Research 28, no. 2 (June 1993): 201-22.

Rhodes, J. F. , and F. A. Day. "Locational Decisions of Physicians in Rural North Carolina." Journal of Rural Health 5, no. 2 (April 1989 ): 137-55.

Rohrer, J. E. , D. Wakefield , R. Ludke , and N. Foster. "Dilemmas Surrounding the Identification of Essential Rural Hospitals." Journal of Public Health Policy 12, no. 4 (Winter 1991): 525-37.

Rowley, B. D. , and D. C. Baldwin, Jr. "Assessing Rural Community Resources for Health Care: The Use of Health Services Catchment Area Economic Marketing Studies." Social Science and Medicine 18, no. 6 (1984): 525-59.

Schoenman, J. A. , and F. A. Sloan. "Why Have Surgeons Moved to the Country?" Quarterly Review of Economics & Business 26, no. 3 (Autumn 1986 ): 25-47.

Schonfeld, H. , J. Heston , and I. Falk. "Numbers of Physicians Required for Primary Medical Care." New England Journal of Medicine 286 (16 March 1972): 571-76.

Schwartz, W. B. , J. P. Newhouse , B. W. Bennett , and A. P. Williams. "The Changing Geographic Distribution of Board-Certified Physicians." New England Journal of Medicine 303, no. 18 (30 October 1980): 1032-38.

Shannon, G. , R. Bashshur , and C. Metzner. "The Concept of Distance as a Factor in Accessibility and Utilization of Health Care." Medical Care Review 26, no. 2 (1969): 143-61.

Shannon, G. , J. L. Skinner , and R. Bashshur. "Time and Distance: The Journey for Medical Care." International Journal of Health Services 3, no. 2 (1973): 237-43.

Singer, A. M. "Projections of Physician Supply and Demand: A Summary of HRSA and AMA Studies." Academic Medicine 64, no. 5 (May 1989): 235-40.

Sloan, F. A. "Access to Medical Care and the Local Supply of Physicians." Medical Care 15, no. 4 (1977): 338-46.

Steinwachs, D. M. , J. P. Weiner , S. Shapiro , P. Batalden , K. Coltin , and F. Wasserman. "A Comparison of the Requirements for Primary Care Physicians in HMOs with Projections Made by the GMENAC." New England Journal of Medicine 314, no. 4 (23 January 1986): 217-22.

Thouez, J. P. , P. Bodson , and A. E. Joseph. "Some Methods for Measuring the Geographic Accessibility of Medical Services in Rural Regions." Medical Care 26, no. 1 (January 1988): 34-44.

Van Hook, R. T. "The Challenge of Rural Health." Business & Health 6, no. 2 (December 1988): 4-6.

Weiner, J. P. "HMOs and Managed Care: Implications for Rural Physician Manpower Planning." Journal of Rural Health 7, no. 4 (1991): 373-87.

Weiner, J. P. , D. M. Steinwachs , S. Shapiro , K. L. Coltin , D. Ershoff , and J. P. O'Connor. "Assessing a Methodology for Physician Requirement Forecasting. Replication of GMENAC's Need-Based Model for the Pediatric Specialty." Medical Care 25, no. 5 (May 1987): 426-36.

Wennberg, J. , and A. Gittelsohn. "Variations in Medical Care in Small Areas." Scientific American 264, no. 4 (1982): 120-34.

Werden, G. J. "The Limited Relevance of Patient Migration Data in Market Delineation for Hospital Merger Cases." Journal of Health Economics 8, no. 4 (1989): 363-76.

Werner, J. L. , K. M. Langwell , and N. W. Budde. "Designation of Physician Shortage Areas: The Problem of Specialty Mix Variations." Inquiry 16 (Spring 1979): 31-37.

Williams, A. P. , W. B. Schwartz , J. P. Newhouse , and B. W. Bennett. "How Many Miles to the Doctor?" New England Journal of Medicine 309, no. 16 (20 October 1983): 958-63.

Wing, P. , and C. Reynolds. "The Availability of Physician Services: A Geographic Analysis." Health Services Research 23, no. 5 (December 1988): 649-67.

Wright, J. S. , and A. R. Jablonowski. "The Rural-Urban Distribution of Health Professionals in Georgia." Journal of Rural Health 3, no. 1 (January 1987 ): 53-70.