Managed care in rural markets: availability and enrollment.
The objective of this research was to test the hypothesis that urban-rural differences in managed care availability and enrollment are primarily due to differences in population socioeconomic and health system characteristics rather than geographic location, population size, or density. These two groups of variables were entered into a regression equation to determine which group could best account for the variance in managed care availability and enrollment. In general, the results of these analyses indicated that socioeconomic and health system characteristics did a much better job of explaining differences in managed care availability and enrollment. Therefore, focusing on factors such as adjacency to metropolitan areas or population size or density in making managed care policy decisions may be less productive than focusing on the socioeconomic and health system characteristics of an area.
Wysong
J A
JA
State University of New York, Buffalo, USA.
Bliss
M K
MK
Osborne
J W
JW
Graham
R P
RP
Pikuzinski
D A
DA
D000704:Analysis of Variance; D019981:Health Care Sector; D006279:Health Maintenance Organizations / Q000458:organization & administration* / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D009518:New York; D011156:Population Density; D012044:Regression Analysis; D012111:Residence Characteristics; D012423:Rural Health; D012959:Socioeconomic Factors