Rural hospital networks: implications for rural health reform.
Moscovice, Ira S
Date of Pub
Christianson, Jon B; Johnson, Judy; Kralewski, John E; Manning Jr, Willard G
This article summarizes the perspectives gained in the course of evaluating a 4-year demonstration program that supported
rural hospital networks as mechanisms for improving rural health care delivery. Findings include: (1) joining a network is
a popular, low-cost strategic response for rural hospitals in an uncertain environment; (2) rural hospital network survival
is enhanced by the mutual resource dependence of members and the presence of a formalized management structure; (3) rural
hospitals join networks primarily to improve cost efficiency but, on average, hospitals do not appear to realize short-term
economic benefit from network membership; and (4) some of the benefits of these networks may be realized outside of the communities
in which rural hospitals are located.
Community Networks/economics/organization & administration/statistics & numerical data : Cost-Benefit Analysis : Health Care
Reform/trends : Hospital Shared Services/economics/organization & administration/statistics & numerical data : Hospitals,
Rural/economics/organization & administration/statistics & numerical data : Program Evaluation : Regression Analysis : Rural
Health Services : Support, Non-U.S. Gov't : United States