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Rural Health
Resources by Topic: Closures of healthcare facilities and services

Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Type: Document
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Rural Hospital Closures Reduce Access to Emergency Care
Recognizes the importance of hospital and emergency care services in providing healthcare in rural communities, and discusses the current hospital closure rate. Uses federal data to compare the financial viability of rural and urban hospitals, and the availability of emergency care in rural communities. Suggests policy recommendations for improving access to healthcare and emergency care for rural populations.
Author(s): Tarun Ramesh, Emily Gee
Date: 09/2019
Type: Document
Sponsoring organization: Center for American Progress
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Impact of Rural and Urban Hospital Closures on Inpatient Mortality
Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Type: Document
Sponsoring organization: National Bureau of Economic Research
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Addressing Rural Hospital Closures Through Infrastructure Reform
Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Date: 08/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Declining Endoscopic Care by Family Physicians in Both Rural and Urban Areas
Results of a study using data from 2014-2016 to determine whether the percentage of family physicians providing endoscopic services has declined in rural as well as urban areas. Features statistics with breakdowns by 3 types of procedures and urban or rural location.
Author(s): Lars E. Peterson, Urooj Nasim, Vashisht Madabhushi
Citation: Journal of the American Board of Family Medicine, 32(4), 460-461
Date: 07/2019
Type: Document
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2019
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural to urban throughout. Chart 6-1 addresses rural hospital closures.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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How Rural Communities Adapt to Hospital Closure
Poster from the 2019 AcademyHealth Annual Research Meeting examining how rural communities have responded to hospital closures since 2010 based on a review of the literature. Focuses on short and long-term results related to access to emergency services, care delivery models, and community response.
Author(s): Redwan Bin Abdul Baten, Erin M. Mobley, Mina Shrestha, Fred Ullrich, Keith J. Mueller
Date: 06/2019
Type: Document
Sponsoring organization: Rural Policy Research Institute
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The Rural Hospital Problem
Provides a perspective on rural hospital closures, summarizing literature on contributing factors and impacts on healthcare access and rural economies. Also discusses hospital quality and hospital competition.
Author(s): Austin B. Frankt
Citation: JAMA, 321(23), 2271-2272
Date: 06/2019
Type: Document
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How the Federal Government Supports State and Local Efforts to Improve Rural Health: A Q&A with Tom Morris
Provides a Q&A with Tom Morris, associate administrator of rural health policy at the Health Resources and Services Administration (HRSA). Focuses on how government agencies are addressing rural hospital closures, population health, rural workforce development, and the opioid epidemic.
Date: 06/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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The Rural COPD Podcast: Episode 4
Fourth podcast in a 6-part series about rural chronic obstructive pulmonary disease (COPD). Features Michelle Collins, respiratory therapist at a rural, Critical Access, and tertiary hospital in Maine. Addresses gaps in COPD care, the role of respiratory therapists in patient medication education, the history of respiratory therapy, reimbursement challenges, pulmonary rehab program closures, the importance of asking the right questions, and barriers to care.
Date: 06/2019
Type: Audio
Sponsoring organization: National Rural Health Resource Center
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