Access implications of rural hospital closures and conversions

The present research examines the effects of rural hospital closures and conversions on various structural dimensions of access. Based on a data set of rural hospitals in Texas during the period from 1985 to 1990, the results indicate that closure or conversion typically had relatively little detrim...

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Bibliographic Details
Published in:Journal of healthcare management 1995-07, Vol.40 (2), p.227
Main Authors: McKay, Niccie L, Coventry, John A
Format: Article
Language:English
Subjects:
Ambulatory care
Availability
Datasets
Emergency medical care
Health care access
Health care policy
Health facilities
Health services
Hospitals
Medicaid
Medicare
Nursing
Prospective payment systems
Rural areas
Rural health care
Statistical analysis
Studies
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Summary:The present research examines the effects of rural hospital closures and conversions on various structural dimensions of access. Based on a data set of rural hospitals in Texas during the period from 1985 to 1990, the results indicate that closure or conversion typically had relatively little detrimental effect on hospital services and distance to alternative sources of care, but hospital bed and physician availability may have been adversely affected in certain cases. Rural hospital conversions to alternative types of health care facilities, such as ambulatory care clinics, do appear to have maintained the availability of a restricted set of medical services in some rural areas.
ISSN:1096-9012
1944-7396