期刊论文详细信息
Health Services Research & Managerial Epidemiology
Variations in Colorectal Cancer Screening of Medicare Beneficiaries Served by Rural Health Clinics:
Thomas T. H.Wan1 
关键词: access to care;    community health;    managerial epidemiology;    prevention;    rural health;   
DOI  :  10.1177/2333392815597221
学科分类:医学(综合)
来源: Sage Journals
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【 摘 要 】

This study aims (1) to examine the trends and patterns of colorectal cancer screening (CCS) of Medicare beneficiaries in rural areas by state and year (before and after Affordable Care Act [ACA] enactment) and (2) to investigate the contextual, organizational, and aggregated patient characteristics influencing variations in care received by patients of rural health clinics (RHCs). The following 2 hypotheses were formulated: (1) CCS rates are higher in the post-ACA period than in the pre-ACA period, irrespective of the factors rurality, poverty, dually eligible status, and the organizational characteristics of RHCs and (2) the contextual and organizational factors of RHCs exert more influence on the variation in CCS rates of RHC patients than do aggregated personal factors. We used administrative data on CCS rates (2007 through 2012) for rural Medicare beneficiaries. Autoregressive growth curve modeling of the CCS rates was performed. A generalized estimating equation of selected predictors was analyzed. O...

【 授权许可】

CC BY   

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