Patient Mobility for Elective Secondary Health Care Services in Response to Patient Choice Policies: A Systematic Review.


Aggarwal, A; Lewis, D; Mason, M; Sullivan, R; van der Meulen, J; (2016) Patient Mobility for Elective Secondary Health Care Services in Response to Patient Choice Policies: A Systematic Review. Medical care research and review. ISSN 1077-5587 DOI: https://doi.org/10.1177/1077558716654631

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Abstract

Our review establishes the empirical evidence for patient mobility for elective secondary care services in countries that allow patients to choose their health care provider. PubMed and Embase were searched for relevant articles between 1990 and 2015. Of 5,994 titles/abstracts reviewed, 26 studies were included. The studies used three main methodological models to establish mobility. Variation in the extent of patient mobility was observed across the studies. Mobility was positively associated with lower waiting times, indicators of better service quality, and access to advanced technology. It was negatively associated with advanced age or lower socioeconomic backgrounds. From a policy perspective we demonstrate that a significant proportion of patients are prepared to travel beyond their nearest provider for elective services. As a consequence, some providers are likely to be "winners" and others "losers," which could result in overall decreased provider capacity or inefficient utilization of existing services. Equity also remains a key concern.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
PubMed ID: 27357394
Web of Science ID: 405082900001
URI: http://researchonline.lshtm.ac.uk/id/eprint/2572509

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