PMID: 8614165May 1, 1996Paper

Migration of obstetrician-gynecologists into and out of rural areas, 1985-1990

Medical Care
T RickettsT R Konrad

Abstract

This study sought to determine if county-level demographic, health care resource, policy, and competitive factors are associated with the movement of obstetrician-gynecologists (ob-gyns) into and out of rural areas. County-level descriptive data from the Area Resource File, the American Medical Association Physician Masterfile, and the American Hospital Association Guide were used for hospital descriptions. This was a correlational study that measured the association of ecologic indicators of nonmetropolitan counties with indicators of gain or loss of ob-gyns. Descriptive statistics characterize the supply and movement of ob-gyns by size and location of the counties. Multinomial logistic regression models describe the net effect of the ecologic indicators on physician movement. During the period 1985 to 1990, a total of 962 patient care ob-gyns moved out of 531 nonmetropolitan counties, and 979 ob-gyns moved into 528 counties. Counties in the southern Atlantic states experienced the greatest net inflow, whereas Illinois, Missouri, and Texas had the greatest net outflow. Counties that retained ob-gyns during this period were in the mid-range of population. Positive correlates of outward migration were adjacency to a metropolitan...Continue Reading

References

Jan 1, 1991·Journal of Health Politics, Policy and Law·J M Bronstein, M A Morrisey
Jan 1, 1990·Annual Review of Public Health·J P Newhouse
Sep 1, 1990·Medical Care·J M Bronstein, M A Morrisey
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Citations

Sep 12, 2000·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·T R KonradJ Miller
Jun 14, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Robert E HurleySandy Praeger
Aug 12, 2005·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Susan HughesH John Blossom

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