• Login
    View Item 
    •   Home
    • The Christie Research Publications Repository
    • All Christie Publications
    • View Item
    •   Home
    • The Christie Research Publications Repository
    • All Christie Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of ChristieCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsProfilesView

    My Account

    LoginRegister

    Local Links

    The Christie WebsiteChristie Library and Knowledge Service

    Statistics

    Display statistics

    Determinants of patient mobility for prostate cancer surgery: a population-based study of choice and competition.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Aggarwal, A
    Lewis, D
    Charman, S
    Mason, M
    Clarke, Noel W
    Sullivan, R
    van der Meulen, J
    Affiliation
    Department of Health Services Research & Policy, London School of Hygiene and Tropical Medicine, London, England, UK.
    Issue Date
    2017-07-28
    
    Metadata
    Show full item record
    Abstract
    Many countries have introduced policies that enable patients to select a health care provider of their choice with the aim of improving the quality of care. However, there is little information about the drivers or the impact of patient mobility. Using administrative hospital data (n=19256) we analysed the mobility of prostate cancer patients who had radical surgery in England between 2010 and 2014. Our analysis, using geographic information systems and multivariable choice modelling, found that 33·5% (n=6465) of men bypassed their nearest prostate cancer surgical centre. Travel time had a strong impact on where patients moved to but was less of a factor for men who were younger, fitter, and more affluent (p always < 0.001). Men were more likely to move to hospitals that provided robotic prostate cancer surgery (odds ratio: 1.42, p<0.001) and to hospitals that employed surgeons with a strong media reputation (odds ratio: 2.18, p<0.001). Patient mobility occurred in the absence of validated measures of the quality of care, instead influenced by the adoption of robotic surgery and the reputation of individual clinicians. National policy based on patient choice and provider competition may have had a negative impact on equality of access, service capacity, and health system efficiency.
    Citation
    Determinants of patient mobility for prostate cancer surgery: a population-based study of choice and competition. 2017 Eur. Urol.
    Journal
    European Urology
    URI
    http://hdl.handle.net/10541/620562
    DOI
    10.1016/j.eururo.2017.07.013
    PubMed ID
    28760646
    Type
    Article
    Language
    en
    ISSN
    1873-7560
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.eururo.2017.07.013
    Scopus Count
    Collections
    All Christie Publications

    entitlement

     
    DSpace software (copyright © 2002 - 2025)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.