{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:40:32Z","timestamp":1774917632266,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,10,11]],"date-time":"2004-10-11T00:00:00Z","timestamp":1097452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[2004,10,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify factors associated with utilization of low\u2010volume hospitals for total hip replacement (THR) and to estimate differences in the distances that Medicare beneficiaries had to travel to reach low\u2010 or high\u2010volume hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied a population\u2010based sample of 1,146 Medicare beneficiaries who underwent elective THR in 1995. Using multiple data sources including medical record review, Medicare claims data, 1990 Census data, and a patient survey, we examined factors independently associated with utilization of low\u2010volume hospitals for elective THR. We estimated the magnitude of difference in distances for patients undergoing THR in low\u2010 and high\u2010volume hospitals. We determined the distance between each patient's residence and the treating hospital using MapQuest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Rural residency, low income, and low educational attainment, as well as belief in the importance of convenient location in the choice of hospital, were associated with higher utilization of low\u2010volume hospitals. Rural and suburban patients who went to low\u2010volume hospitals traveled much less than patients operated upon in high\u2010volume centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Policies aimed at restricting THR to high\u2010volume centers would differentially affect poor, less educated, and rural patients. Voluntary efforts to shift THR to high\u2010volume centers should involve educating these patients and their referring physicians about differences in both short\u2010term and longer\u2010term outcomes between high\u2010 and low\u2010volume centers.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.20700","type":"journal-article","created":{"date-parts":[[2004,10,11]],"date-time":"2004-10-11T19:34:40Z","timestamp":1097523280000},"page":"836-842","source":"Crossref","is-referenced-by-count":31,"title":["Utilization of low\u2010volume hospitals for total hip replacement"],"prefix":"10.1002","volume":"51","author":[{"given":"Elena","family":"Losina","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Barrett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Baron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Levy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte B.","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey N.","family":"Katz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,10,11]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200107193450306"},{"key":"e_1_2_5_3_2","first-page":"68","article-title":"Higher volume, fewer deaths: for a risky operation, head for a hospital that does it regularly","volume":"129","author":"Comarow A","year":"2000","journal-title":"US News World Rep"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(99)70234-5"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.134.1.30"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199905273402106"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.9.1159"},{"key":"e_1_2_5_8_2","unstructured":"The Leapfrog Group Web site. Accessed August 2 2004. URL:www.leapfroggroup.org."},{"key":"e_1_2_5_9_2","first-page":"1","article-title":"HCFA invites 84 hospitals to apply for joint project","volume":"17","year":"1997","journal-title":"Orthopedics Today"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199902000-00010"},{"key":"e_1_2_5_11_2","first-page":"33","article-title":"Hospital outshopping: determinant attributes and hospital choice","volume":"21","author":"Taylor SL","year":"1996","journal-title":"Health Care Manage Rev"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.67.5.439"},{"key":"e_1_2_5_13_2","first-page":"583","article-title":"Predicting hospital choice for rural Medicare beneficiaries: the role of severity of illness","volume":"26","author":"Adams EK","year":"1991","journal-title":"Health Serv Res"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03440210049031"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2753.1998.t01-1-00006.x"},{"key":"e_1_2_5_16_2","doi-asserted-by":"crossref","first-page":"3192","DOI":"10.1200\/JCO.1997.15.10.3192","article-title":"Breast cancer patients' attitudes about rationing postlumpectomy radiation therapy: applicability of trade\u2010off methods to policy\u2010making","volume":"15","author":"Palda VA","year":"1997","journal-title":"J Clin Oncol"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199704000-00003"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(97)90018-8"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200111000-00002"},{"key":"e_1_2_5_20_2","unstructured":"American Hospital Association.American Hospitals Association 1995 Survey of Hospitals;1996."},{"key":"e_1_2_5_21_2","unstructured":"1990 United States Census. Accessed November 1 2003. Available at URL:http:\/\/www.census.gov\/geo\/www\/gazetteer\/places.html."},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.23716"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951040-00012"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)90129-5"},{"key":"e_1_2_5_25_2","unstructured":"Mapquest Web site. URL:www.mapquest.com."},{"key":"e_1_2_5_26_2","volume-title":"SAS system for regression","author":"Freud RJ","year":"2000"},{"key":"e_1_2_5_27_2","first-page":"272","article-title":"Factors that influence general practitioners' choice of hospital when referring patients for elective surgery","volume":"43","author":"Mahon A","year":"1993","journal-title":"Br J Gen Pract"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.10754"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.20700","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.20700","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T09:23:02Z","timestamp":1697448182000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.20700"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,10,11]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2004,10,15]]}},"alternative-id":["10.1002\/art.20700"],"URL":"https:\/\/doi.org\/10.1002\/art.20700","archive":["Portico"],"relation":{},"ISSN":["0893-7524","1529-0123"],"issn-type":[{"value":"0893-7524","type":"print"},{"value":"1529-0123","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,10,11]]}}}