Analyzing hospital choices of colon cancer patients in four states in appalachia

Nina I. Verevkina, Pamela Farley Short, Tse Chuan Yang, Stephen Augustus Matthews, Fabian Camacho, Roger Anderson

Research output: Contribution to journalArticle

Abstract

While geographic disparities in cancer treatment are documented, little research has investigated patients’ willingness to travel longer distances for treatment at higherquality hospitals. Even fewer studies have compared metropolitan and non-metropolitan patients on this dimension. Using population-based data from the Appalachian counties of four states, we identified all hospitals within a plausible driving distance of each newly diagnosed colon cancer patient and estimated conditional logit models of hospital choices for cancer surgery. Two sets of important findings emerged. First, both metropolitan and non-metropolitan patients chose higher-quality over lower-quality hospitals, and were willing to travel farther to use high-quality facilities. Second, non-metropolitan patients were not willing to travel farther than their metropolitan counterparts to hospitals that were more desirable along most dimensions, but non-metropolitan patients were willing to travel farther to high-volume hospitals. These findings show how travel distances to high-quality hospitals contribute to geographic disparities in colon cancer treatment.

Original languageEnglish (US)
Pages (from-to)587-608
Number of pages22
JournalJournal of Health Care for the Poor and Underserved
Volume30
Issue number2
DOIs
StatePublished - May 1 2019

Fingerprint

Appalachian Region
Colonic Neoplasms
High-Volume Hospitals
Cancer Care Facilities
Therapeutics
Logistic Models
Research

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Verevkina, Nina I. ; Short, Pamela Farley ; Yang, Tse Chuan ; Matthews, Stephen Augustus ; Camacho, Fabian ; Anderson, Roger. / Analyzing hospital choices of colon cancer patients in four states in appalachia. In: Journal of Health Care for the Poor and Underserved. 2019 ; Vol. 30, No. 2. pp. 587-608.
@article{cb9827ae3d404771ba2a6044a0cba8de,
title = "Analyzing hospital choices of colon cancer patients in four states in appalachia",
abstract = "While geographic disparities in cancer treatment are documented, little research has investigated patients’ willingness to travel longer distances for treatment at higherquality hospitals. Even fewer studies have compared metropolitan and non-metropolitan patients on this dimension. Using population-based data from the Appalachian counties of four states, we identified all hospitals within a plausible driving distance of each newly diagnosed colon cancer patient and estimated conditional logit models of hospital choices for cancer surgery. Two sets of important findings emerged. First, both metropolitan and non-metropolitan patients chose higher-quality over lower-quality hospitals, and were willing to travel farther to use high-quality facilities. Second, non-metropolitan patients were not willing to travel farther than their metropolitan counterparts to hospitals that were more desirable along most dimensions, but non-metropolitan patients were willing to travel farther to high-volume hospitals. These findings show how travel distances to high-quality hospitals contribute to geographic disparities in colon cancer treatment.",
author = "Verevkina, {Nina I.} and Short, {Pamela Farley} and Yang, {Tse Chuan} and Matthews, {Stephen Augustus} and Fabian Camacho and Roger Anderson",
year = "2019",
month = "5",
day = "1",
doi = "10.1353/hpu.2019.0044",
language = "English (US)",
volume = "30",
pages = "587--608",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "2",

}

Analyzing hospital choices of colon cancer patients in four states in appalachia. / Verevkina, Nina I.; Short, Pamela Farley; Yang, Tse Chuan; Matthews, Stephen Augustus; Camacho, Fabian; Anderson, Roger.

In: Journal of Health Care for the Poor and Underserved, Vol. 30, No. 2, 01.05.2019, p. 587-608.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Analyzing hospital choices of colon cancer patients in four states in appalachia

AU - Verevkina, Nina I.

AU - Short, Pamela Farley

AU - Yang, Tse Chuan

AU - Matthews, Stephen Augustus

AU - Camacho, Fabian

AU - Anderson, Roger

PY - 2019/5/1

Y1 - 2019/5/1

N2 - While geographic disparities in cancer treatment are documented, little research has investigated patients’ willingness to travel longer distances for treatment at higherquality hospitals. Even fewer studies have compared metropolitan and non-metropolitan patients on this dimension. Using population-based data from the Appalachian counties of four states, we identified all hospitals within a plausible driving distance of each newly diagnosed colon cancer patient and estimated conditional logit models of hospital choices for cancer surgery. Two sets of important findings emerged. First, both metropolitan and non-metropolitan patients chose higher-quality over lower-quality hospitals, and were willing to travel farther to use high-quality facilities. Second, non-metropolitan patients were not willing to travel farther than their metropolitan counterparts to hospitals that were more desirable along most dimensions, but non-metropolitan patients were willing to travel farther to high-volume hospitals. These findings show how travel distances to high-quality hospitals contribute to geographic disparities in colon cancer treatment.

AB - While geographic disparities in cancer treatment are documented, little research has investigated patients’ willingness to travel longer distances for treatment at higherquality hospitals. Even fewer studies have compared metropolitan and non-metropolitan patients on this dimension. Using population-based data from the Appalachian counties of four states, we identified all hospitals within a plausible driving distance of each newly diagnosed colon cancer patient and estimated conditional logit models of hospital choices for cancer surgery. Two sets of important findings emerged. First, both metropolitan and non-metropolitan patients chose higher-quality over lower-quality hospitals, and were willing to travel farther to use high-quality facilities. Second, non-metropolitan patients were not willing to travel farther than their metropolitan counterparts to hospitals that were more desirable along most dimensions, but non-metropolitan patients were willing to travel farther to high-volume hospitals. These findings show how travel distances to high-quality hospitals contribute to geographic disparities in colon cancer treatment.

UR - http://www.scopus.com/inward/record.url?scp=85066950668&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85066950668&partnerID=8YFLogxK

U2 - 10.1353/hpu.2019.0044

DO - 10.1353/hpu.2019.0044

M3 - Article

C2 - 31130539

AN - SCOPUS:85066950668

VL - 30

SP - 587

EP - 608

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 2

ER -