Access to care in rural America: impact of hospital closures.
Rosenbach, Margo L
Date of Pub
Dayhoff, Debra A
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.
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