- Title
- Access to care in rural America: impact of hospital closures.
- First Author
- Rosenbach, Margo L
- Date of Pub
- 1995 Fall
- Pages
- 15-37
- Volume
- 17
- Issue
- 1
- Other Authors
- Dayhoff, Debra A
- Abstract
- 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.
- Abstract Continued
- N/A
- MeSH
- Comparative Study : Health Facility Closure/economics/statistics & numerical data : Health Services Accessibility/statistics & numerical data : Health Services Research : Hospitals, Rural/economics/supply & distribution : Medicare Part A/economics/trends : Medicare Part B/economics/trends : Outcome Assessment (Health Care) : Rural Population : Support, U.S. Gov't, Non-P.H.S. : United States : Utilization Review
- NTIS Number
- PB96-139548
