Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Competition and rural primary care programs.

T C Ricketts1

  • 1North Carolina Rural Health Research Center, University of North Carolina, Chapel Hill 27599.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|April 1, 1990
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Demography and health care in eastern North Carolina.

North Carolina medical journal·2002
Same author

Hospitalization rates as indicators of access to primary care.

Health & place·2001
Same author

The role of physician recommendation in women's mammography use: is it a 2-stage process?

Medical care·2001
Same author

How many rural doctors do we have?

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2000
Same author

Hospitals in rural America.

The Western journal of medicine·2000
Same author

Health care in rural communities.

The Western journal of medicine·2000
Same journal

Early Evidence of Geographic Variation in Medicare Participation Among Newly Eligible Mental Health Providers Following the 2024 Coverage Expansion.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same journal

The Effect of Rural Versus Urban Residence on Risk of Unplanned Readmission and Death in Older Veterans Discharged From VA Hospitals.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same journal

Bridging the Rural Mental Health Gap: Telehealth Delivery of Specialized CBT and MBCT for Veterans With Parkinson's Disease.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same journal

Relationship Between Food Security and Walking for Transportation: Findings by Region and Rurality.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same journal

Rural-Urban Differences in Use of Mental Health Care for Serious Mental Illness at the Veterans Health Administration: A Retrospective Cohort Analysis.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same journal

Tailoring the Relational Playbook for Cardiology Teams to the Rural Hospital Medicine Setting: A Multi-Method Pre-Implementation Evaluation.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
See all related articles

Rural primary care programs, despite assumptions of no competition, actively compete on price, services, and accessibility. Their chosen strategies, driven by program goals rather than market factors, impact financial stability and may not meet community needs.

Area of Science:

  • Health Services Research
  • Rural Health
  • Healthcare Management

Background:

  • Rural primary care programs were often established with the assumption of minimal market competition.
  • However, observations and surveys indicate these programs engage in competitive behaviors.

Purpose of the Study:

  • To investigate the competitive strategies employed by rural primary care programs.
  • To understand the factors influencing these strategies and their impact on program outcomes.

Main Methods:

  • A national sample of 193 subsidized rural primary care programs was surveyed.
  • Data on organization, operation, finances, and utilization were collected via mail and telephone surveys.

Main Results:

Related Experiment Videos

  • Programs competed on price, service mix, staff availability, accessibility, outreach, and market segmentation.
  • Competitive strategies were linked to program mission, isolation, and service targeting, not solely market characteristics.
  • Chosen strategies did not always align with market demands, affecting productivity and financial stability.

    • Conclusions:

    • Rural primary care programs exhibit competitive behaviors influenced by internal goals and program characteristics.
    • Market characteristics alone do not predict competitive strategies.
    • The alignment of competitive strategies with market demands requires further investigation for program sustainability.