Healthcare Use in the Heartland
How Health Care Selection Varies Between Rural, Retirement-Age Migrants and Long-Term Residents
Bibliographic Data
| ID | 2291124 |
|---|---|
| Authors | Scott R Sanders (0000-0002-4708-4518, Department of Sociology Brigham Young University), Lance D Erickson (0000-0001-8996-3249, Department of Sociology Brigham Young University), Vaughn R A Call (Department of Sociology Brigham Young University), Jacob S Rugh (Department of Sociology Brigham Young University), Mathew L Mcknight (Maxwell School of Public Administration Syracuse University) |
| Year | 2016 |
| Volume | 81 |
| Issue | 1 |
| Pages | 66-98 |
| Publication date | 2016-03-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Rural Sociology (JOURNAL) |
| Journal identifiers | ISSN: 0036-0112 • E-ISSN: 1549-0831 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/ruso.12088 |
| OpenAlex | W2285592569 |
| Language | EN |
| Citations received | 5 |
| References cited | 51 |
One increasingly important problem affecting rural health care selection is the tendency of older residents to bypass local health care providers. This research investigates how the effects of community characteristics and attachment on health care bypass behavior vary between rural retirement-age migrants and retirement-age long-term residents. Non-health-related behaviors, such as purchasing goods and services outside one's community during a health care trip, that is, 'outshopping,' could influence bypass if individuals combine trips for their medical care with other consumer needs. Basing our work on the outshopping theory, we argue that bypass behavior is one facet of consumer consumption patterns for both rural retirement-age migrants and long-term residents. In addition, dissatisfaction with local health care and services like shopping can 'push' rural residents to bypass local health care and travel greater distances for primary health care. We further contend that strong community attachment has an opposite 'pull' effect that can help to negate the push of outshopping and reduce the likelihood of bypass. Our results reveal retirement-age migrants are significantly more likely to bypass local primary health care providers than retirement-age long-term residents. Furthermore, our analysis bridges the rural health care and retirement community development literature to suggest that outshopping theory can now be applied to rural primary health care bypass behavior
Business · Consumption (sociology · Demographic economics · Economic growth · Economics · Health care · Long-term care · Purchasing · Retirement age · Retirement community · Rural area · Sociology · TRIPS architecture · Finance · Health disparities and outcomes · Marketing · Medicine · Migration, Aging, and Tourism Studies · Nursing · Psychology · Urban Transport and Accessibility · Gerontology
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| Unique citing works | 5 |
|---|---|
| Citations per year | 0,56 |
| Citation span | 2017 - 2026 (10) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |