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Spatial Model Specification for Contractual Arrangements between Rural Hospitals and Physicians


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  • Fannin, J. Matthew

    (LA State U Agricultural Center)

  • Barnes, James N.

    (LA State U Agricultural Center)

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    We 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 Info

    Article provided by Southern Regional Science Association in its journal Review of Regional Studies.

    Volume (Year): 39 (2009)
    Issue (Month): 2 ()
    Pages: 189-211

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    Handle: RePEc:rre:publsh:v:39:y:2009:i:2:p:189-211

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    Related research

    Keywords: Health; Health Care; Hospital; Hospitals; Physician; Regression; Rural; Rural Urban; Spatial; Spatial Models; Spatially; Urban;

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    Cited by:
    1. 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," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 41(2).


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