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Chan, Leighton; Hart, L. Gary; Goodman, David C. – Journal of Rural Health, 2006
Context: Patients in rural areas may use less medical care than those living in urban areas. This could be due to differences in travel distance and time and a utilization of a different mix of generalists and specialists for their care. Purpose: To compare the travel times, distances, and physician specialty mix of all Medicare patients living in…
Descriptors: Medical Services, Patients, Rural Urban Differences, Access to Health Care
Baldwin, Laura-Mae; Chan, Leighton; Andrilla, C. Holly A.; Huff, Edwin D.; Hart, L. Gary – Journal of Rural Health, 2010
Background: In the mid-1990s, significant gaps existed in the quality of acute myocardial infarction (AMI) care between rural and urban hospitals. Since then, overall AMI care quality has improved. This study uses more recent data to determine whether rural-urban AMI quality gaps have persisted. Methods: Using inpatient records data for 34,776…
Descriptors: Hospitals, Rural Urban Differences, Geographic Location, Health Personnel
Chan, Leighton; Hart, L. Gary; Ricketts III, Thomas C.; Beaver, Shelli K. – Journal of Rural Health, 2004
Medicare's Incentive Payment (MIP) program provides a 10% bonus payment to providers who treat Medicare patients in rural and urban areas where there is a shortage of generalist physicians. Purpose: To examine the experience of Alaska, Idaho, North Carolina, South Carolina, and Washington with the MIP program. We determined the program's…
Descriptors: Urban Areas, Professional Associations, Patients, Physicians
Baldwin, Laura-Mae; MacLehose, Richard F.; Hart, L. Gary; Beaver, Shelli K.; Every,Nathan; Chan,Leighton – Journal of Rural Health, 2004
Context: Acute myocardial infarction (AMI) is a common and important cause of admission to US rural hospitals, as transport of patients with AMI to urban settings can result in unacceptable delays in care. Purpose: To examine the quality of care for patients with AMI in rural hospitals with differing degrees of remoteness from urban centers.…
Descriptors: Urban Areas, Patients, Hospitals, Medical Services
Baldwin, Laura-Mae; Cai, Yong; Larson, Eric H.; Dobie, Sharon A.; Wright, George E.; Goodman, David C.; Matthews, Barbara; Hart, L. Gary – Journal of Rural Health, 2008
Context: Cancer care requires specialty surgical and medical resources that are less likely to be found in rural areas. Purpose: To examine the travel patterns and distances of rural and urban colorectal cancer (CRC) patients to 3 types of specialty cancer care services--surgery, medical oncology consultation, and radiation oncology consultation.…
Descriptors: Travel, Cancer, Surgery, Oncology
Hagopian, Amy; Thompson, Matthew J.; Kaltenbach, Emily; Hart, L. Gary – Journal of Rural Health, 2004
Critical access hospitals (CAHs) are a federal Medicare category for isolated rural facilities with 15 or fewer acute care beds that receive cost-based reimbursement from Medicare. Purpose: This study examines the role of foreign-born international medical graduates (IMGs) in the staffing of CAHs. Methods: Chief executive officers (CEOs) of CAH…
Descriptors: Foreign Countries, Physicians, Graduates, Telephone Surveys