Access to Care in Rural America: Impact of Hospital Closures

نویسندگان

  • Margo L. Rosenbach
  • Debra A. Dayhoff
چکیده

This article employs a quasi-experimental, pre/post comparison group design to determine whether rural hospital closures (n = 11) have had a detrimental impact on access to inpatient and outpatient care for the Medicare population. Closure areas experienced a significant decrease in medical admissions, although admission rates remained higher than in comparison areas. Physician services were not found to substitute for inpatient services following a closure. No adverse impacts on mortality were observed. Patients in closure areas were more likely to be admitted to urban teaching hospitals following the closure of their local hospital.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A Look at Rural Hospital Closures and Implications for Access to Care

The number of rural hospital closures has increased significantly in recent years. This trend is expected to continue, raising questions about the impact the closures will have on rural communities’ access to health care services. To investigate the factors that contribute to rural hospital closures and the impact those closures have on access to health care in rural communities, the Kaiser Com...

متن کامل

Why Are Obstetric Units in Rural Hospitals Closing Their Doors?

OBJECTIVES To understand hospital- and county-level factors for rural obstetric unit closures, using mixed methods. DATA SOURCES Hospital discharge data from Healthcare Cost and Utilization Project's Statewide Inpatient Databases, American Hospital Association Annual Survey, and Area Resource File for 2010, as well as 2013-2014 telephone interviews of all 306 rural hospitals in nine states wi...

متن کامل

Serving rural Medicare beneficiaries

required that the Commission report on: • rural Medicare beneficiaries' access to care, • rural providers' quality of care, • special rural Medicare payments, and • the adequacy of Medicare payments to rural providers. In addition to the findings presented on each of the four topics, this report presents a set of principles designed to guide expectations and policies with respect to rural acces...

متن کامل

Issues in Rural Health: Access, Hospitals, and Reform

This overview discusses articles published in this issue of the Health Care Financing Review, entitled "Access to Health Care Services in Rural Areas: Delivery and Financing Issues." These articles focus on the following topics: rural hospitals (including closures, the impact of Federal grants, network development, and costs), managed care in rural areas, telemedicine, and the delivery of menta...

متن کامل

The Role of Medicaid in Rural America

This brief describes Medicaid’s role for 52 million nonelderly children and adults living in the most rural areas in the United States and discusses how expansions or reductions in Medicaid could affect rural areas. It shows:  Rural populations face significant challenges to their health care coverage and access. People who live in the most rural counties of America are spread across almost 2,...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 17  شماره 

صفحات  -

تاریخ انتشار 1995