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Patient mobility for elective surgical interventions.

G Tessier, A P Contandriopoulos, G Dionne

    Social Science & Medicine (1982)
    |January 1, 1985
    PubMed
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    Patient mobility, driven by resource shortages (forced mobility) and physician referrals (induced mobility), significantly impacts access to specialized surgical care. Patient-chosen mobility requires further study.

    Area of Science:

    • Health Services Research
    • Medical Sociology
    • Healthcare Economics

    Background:

    • Patient mobility is a critical factor in healthcare access and delivery.
    • Understanding the drivers of patient movement is essential for effective healthcare planning.
    • Previous research has not fully differentiated the types of patient mobility.

    Purpose of the Study:

    • To define and analyze three distinct types of patient mobility: forced, physician-induced, and patient-chosen.
    • To identify key explanatory variables influencing patient mobility for specific surgical interventions.
    • To assess the statistical significance of different mobility types in explaining patient movement patterns.

    Main Methods:

    • Utilized a Probit model to analyze patient mobility data.

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  • Examined patient movement data from Quebec, Canada, for the 1977-1978 period.
  • Focused on two specific surgical interventions to evaluate mobility factors.

    • Main Results:

    • Forced mobility, stemming from resource scarcity, was found to be a statistically significant predictor of patient movement.
    • Physician-induced mobility, related to hospital affiliations, also significantly explained patient travel for medical services.
    • The factors influencing patient-chosen mobility were not conclusively identified and warrant additional research.

    Conclusions:

    • Forced and physician-induced mobility are significant determinants of patient choices when seeking specialized surgical care.
    • Healthcare systems must consider these mobility factors when planning service distribution and accessibility.
    • Further research is needed to fully understand the nuances of patient-chosen mobility and its implications.