Variations in rural hospital costs: effects of market concentration and location.
Vogel, W Bruce
Date of Pub
Miller, Michael K
This article explores two neglected questions: (1) Does the relationship between hospital concentration and costs vary between
urban and rural markets? and (2) Do hospital costs in non-metropolitan areas vary with rurality? Covariance model results
using 1992 data reveal that: (1) Although metropolitan and urban markets exhibit a negative relationship between hospital
average costs and market concentration, non-metropolitan and rural markets fail to exhibit any relationship between costs
and concentration; and (2) among non-metropolitan hospitals, only hospitals located in single-hospital communities have lower
costs than their counterparts in multiple-hospital communities, once other factors are held constant.
Catchment Area (Health)/economics : Comparative Study : Geography : Hospital Costs/statistics & numerical data/standards :
Hospitals, Rural/economics/statistics & numerical data : Hospitals, Urban/economics/statistics & numerical data : Models,
Economic : Models, Statistical : Multivariate Analysis : Regression Analysis : United States