title: Rural hospitals and the adoption of managed care strategies.
abstract: This research examined the performance of rural hospitals engaged in different levels of managed care activities and identified factors related to performance and competition that affected rural hospitals' likelihood of pursuing managed care as a strategy. The sample studied consisted of 139 rural hospitals in Iowa and Nebraska. Results showed that a relatively high percentage of hospitals were engaged in managed care activities, mainly through contractual arrangements. The study found that high competition in the marketplace increased the likelihood of hospitals pursuing managed care strategies, while high demand markets had a negative association with the likelihood of pursuing a managed care strategy. No significant relationship was detected between poor performance and pursuing a managed care strategy.
authors.affiliation: State University of New York at Albany, School of Public Health, Department of Health Policy, Management and Behavior, Rensselaer 12144, USA.
authors.forename: S S
authors.initials: SS
authors.lastname: Saleh
authors.forename: T
authors.initials: T
authors.lastname: Vaughn
authors.forename: J E
authors.initials: JE
authors.lastname: Rohrer
mesh_terms: D001509:Bed Occupancy; D004059:Diffusion of Innovation; D004465:Economic Competition; D006302:Health Services Research; D006742:Hospital Bed Capacity; D006780:Hospitals, Rural / Q000145:classification / Q000458:organization & administration* / Q000706:statistics & numerical data; D007484:Iowa; D016013:Likelihood Functions; D016015:Logistic Models; D008329:Managed Care Programs / Q000458:organization & administration* / Q000706:statistics & numerical data; D009329:Nebraska; D010067:Ownership; D014481:United States