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Rural Hospital Closures, 1990-2000: Community Profiles and Economic Indicators Before and After the Event
This study investigated the economic impact of hospital closures in non- metropolitan counties, taking into account the economic characteristics and employment trends that may have preceded the event. Between 1990 and 2000 there were 460 community hospital closures in the U.S. that did not result from merger or acquisition. Over one third of these were in rural counties. Some hospital closures occur in economically "at-risk" communities, but others may fail even though they are located in economically healthy areas. In both instances, the loss of the facility is likely to have an impact on the economic health of the surrounding communities. The study included the counties of location for 129 non-metropolitan facilities identified as having stopped operations between 1990 and 1997. Using data from the Bureau of the Census, the Bureau of Economic Analysis, the Bureau of Labor Statistics, AHA surveys, Medicare public use files and the Area Resource Files, the populations and the commercial base of these communities will be studied for a period of up to five years before and three years following each closure.
Publications
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Effect of Rural Hospital Closures on Community Economic Health
Author(s): George M. Holmes, Rebecca T. Slifkin, Randy K. Randolph, Stephanie Poley
Citation: Health Services Research, 41(2), 467-485
Date: 2006
Describes the effect of hospital closure on the local economy, based on a study of county level economic data for 1990–2000 in rural counties experiencing a hospital closure.
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