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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