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

Independently Owned Pharmacy Closures in Rural America (2008)
Provides information about the closure of rural independently owned pharmacies, including pharmacies that were the sole source of access to local pharmacy services, from 2003 to 2008.
Additional links: State Table
Author(s): Donald Klepser, Liyan Xu, Fred Ullrich, Keith Mueller
Date: 07/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Closures of Hospital-Based SNF Units: Insights from Interviews with Administrators, Discharge Planners and Referring Physicians
Reports on interviews with officials at fifteen acute care hospitals with Medicare skilled nursing facilities (SNFs) in 1998, some of which were still open and some of which had closed. Addresses the reasons, and consequences, of hospitals' decisions to close SNF units. The study included hospitals in urban and rural areas.
Author(s): Korbin Liu, Emily Jones, Urban Institute
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Trends in Rural Hospital Closure: 1990 - 2000
Focuses on the extent, characteristics, reasons for and impact of rural hospitals closures from 1990 through 2000. Includes rural hospital closure data by state.
Date: 05/2003
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Analysis of the Financial Conditions of Health Care Institutions in the Appalachian Region and their Economic Impacts
Describes the availability of healthcare services in Appalachia, the financial stability of Appalachian healthcare institutions, and the effect of hospital closures on Appalachian counties.
Author(s): Jeffrey Stensland, Curt Mueller, Janet Sutton
Date: 12/2002
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Hospital Closure: 2000
Describes the extent, characteristics of, reasons for, and impact of hospital closures in 2000. Includes information specific to rural hospital closures. Lists closed hospitals and opened/reopened hospitals by name, state, and rural/urban status.
Date: 06/2002
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Hospital Closures: 1990-1999
Reports on hospitals closures from 1990-1999, with information on rural and urban closures.
Date: 12/2001
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Fewer Hospitals Close in the 1990s: Rural Hospitals Mirror This Trend
Summarizes a study of the number and rate of hospital closures in rural areas during the 1990s. Includes a chart showing rural and urban short-term acute care hospital closures by year, as well as a map showing the location of these hospitals.
Author(s): Stephanie T. Poley, Thomas C. Ricketts
Date: 10/2001
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Hospital Closure: 1999
Describes the extent, characteristics of, reasons for, and impact of hospital closures in 1999. Includes information specific to rural hospital closures. Lists closed hospitals and opened/reopened hospitals by name, state, and rural/urban status.
Date: 03/2001
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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The Financial Viability of Rural Hospitals in a Post-BBA Environment
Evaluated the financial viability of rural hospitals under the Balanced Budget Act of 1997 (BBA) and the Balanced Budget Refinement Act of 1999 (BBRA) Medicare payment policies. Estimated the number of hospitals that would become Critical Access Hospitals (CAHs) and estimated the number of beds at each hospital.
Author(s): Jeffrey Stensland, Ira Moscovice, Jon Christianson
Date: 10/2000
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Hospital Closure: 1998
Describes the extent, characteristics of, reasons for, and impact of hospital closures in 1998. Includes information specific to rural hospital closures. Lists closed hospitals by name, state, and rural/urban status.
Date: 07/2000
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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