Spatial Model Specification for Contractual Arrangements between Rural Hospitals and Physicians
AbstractWe test sensitivity of model specification on the choice of contractual physician arrangements by hospitals through use of spatially defined covariates, rural/urban subset models, and geographically weighted regression (GWR) models. Results show that hospitals are significantly influenced by neighboring hospitals' physician arrangement choices whether they are market-oriented or integrated arrangements. Further, some spatial covariates were shown to be nonstationary across space, including variables that were insignificant in the global parameter models. Results suggest health care scholars consider varying parameter models in order to avoid global statements concerning health care relationships and evaluating the performance of health policy.
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Bibliographic InfoArticle provided by Southern Regional Science Association in its journal Review of Regional Studies.
Volume (Year): 39 (2009)
Issue (Month): 2 ()
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Health; Health Care; Hospital; Hospitals; Physician; Regression; Rural; Rural Urban; Spatial; Spatial Models; Spatially; Urban;
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- 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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- 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,"
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- Alexander, Gigi & Cebula, Richard, 2010. "Non-Economic and Economic Factors in the Decision to Obtain a Pap Smear: The Case of Women Residents in the State of Florida," MPRA Paper 49221, University Library of Munich, Germany, revised 02 Jan 2011.
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