Rural Health
Resources by Topic: Closures of healthcare facilities and services
Robustness of Estimated Access to Opioid Use Disorder Treatment Providers in Rural Vs. Urban Areas of the United States
Estimates level of access to opioid use disorder treatment at 31,053 locations in July 2020 for rural and urban opioid users by comparing drive time and availability of treatment. Discusses treatment disparities between rural and urban opioid users with particular focus on infrastructure such as transportation and broadband, hospital closures, and health insurance status.
Author(s): Matthew V. Kiang, Michael L. Barnett, Sarah E. Wakeman, Keith Humphreys, Alexander C. Tsai
Citation: Drug and Alcohol Dependence, 228, 109081
Date: 11/2021
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Estimates level of access to opioid use disorder treatment at 31,053 locations in July 2020 for rural and urban opioid users by comparing drive time and availability of treatment. Discusses treatment disparities between rural and urban opioid users with particular focus on infrastructure such as transportation and broadband, hospital closures, and health insurance status.
Author(s): Matthew V. Kiang, Michael L. Barnett, Sarah E. Wakeman, Keith Humphreys, Alexander C. Tsai
Citation: Drug and Alcohol Dependence, 228, 109081
Date: 11/2021
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Access to Outpatient Services in Rural Communities Changes after Hospital Closure
Examines trends of Federally Qualified Health Center (FQHC) and Rural Health Quality (RHC) availability in rural areas before and after hospital closures. Explores the associations between poverty rates and access to FQHCs and RHCs following hospital closure.
Author(s): Katherine E. M. Miller, Kyle L. Miller, Kathleen Knocke, et al.
Citation: Health Services Research, 56(5), 788-801
Date: 10/2021
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Examines trends of Federally Qualified Health Center (FQHC) and Rural Health Quality (RHC) availability in rural areas before and after hospital closures. Explores the associations between poverty rates and access to FQHCs and RHCs following hospital closure.
Author(s): Katherine E. M. Miller, Kyle L. Miller, Kathleen Knocke, et al.
Citation: Health Services Research, 56(5), 788-801
Date: 10/2021
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Rural Emergency Hospital: Policy Brief and Recommendations to the Secretary
Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Mapping the Location of Health Centers in Relation to "Maternity Care Deserts": Associations With Utilization of Women's Health Providers and Services
Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
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Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
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Following Labor and Delivery Unit Closures in Rural New Hampshire, Driving Time to the Nearest Unit Doubled
Examines the impact of the closure of 9 labor and delivery units in rural New Hampshire on the driving time to open units between 2000 and 2018. Explores the association between proximity to an open labor and delivery unit and women's health and socioeconomic characteristics.
Author(s): Stacey McMorrow, Sarah Benatar, Timothy J. Fisher
Date: 10/2021
Sponsoring organization: Urban Institute
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Examines the impact of the closure of 9 labor and delivery units in rural New Hampshire on the driving time to open units between 2000 and 2018. Explores the association between proximity to an open labor and delivery unit and women's health and socioeconomic characteristics.
Author(s): Stacey McMorrow, Sarah Benatar, Timothy J. Fisher
Date: 10/2021
Sponsoring organization: Urban Institute
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The Association Between System Affiliation and Financial Performance in Critical Access Hospitals
Examines the association between Critical Access Hospital (CAH) health system affiliation and financial performance as measured by the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Discusses trends in health system affiliation as an alternative to closures as well as potential downsides of affiliation.
Author(s): Laura Bozovich, Kathleen Knocke, George Pink, Ann Howard, Kristin L. Reiter
Date: 10/2021
Sponsoring organization: Flex Monitoring Team
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Examines the association between Critical Access Hospital (CAH) health system affiliation and financial performance as measured by the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Discusses trends in health system affiliation as an alternative to closures as well as potential downsides of affiliation.
Author(s): Laura Bozovich, Kathleen Knocke, George Pink, Ann Howard, Kristin L. Reiter
Date: 10/2021
Sponsoring organization: Flex Monitoring Team
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Partnerships, Mergers, and Acquisitions Can Provide Benefits to Certain Hospitals and Communities
Discusses challenges hospitals may face to increasing the scale of operations. Describes how partnerships, mergers, and acquisitions can help prevent hospital closure and preserve access, enhance patient care, and reduce costs. Includes examples of how four acquired hospitals in rural communities benefited from capital investments and improvements.
Date: 10/2021
Sponsoring organization: American Hospital Association
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Discusses challenges hospitals may face to increasing the scale of operations. Describes how partnerships, mergers, and acquisitions can help prevent hospital closure and preserve access, enhance patient care, and reduce costs. Includes examples of how four acquired hospitals in rural communities benefited from capital investments and improvements.
Date: 10/2021
Sponsoring organization: American Hospital Association
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Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance
Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Rural Hospital Closings in Southern States
Interactive map depicting 59 rural hospital closures from January 2012 - July 2021 in Arkansas, Tennessee, Mississippi, Louisiana, Missouri, Oklahoma, and Texas. Uses data from the North Carolina Health Research Program.
Date: 07/2021
Sponsoring organization: Arkansas Center for Health Improvement
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Interactive map depicting 59 rural hospital closures from January 2012 - July 2021 in Arkansas, Tennessee, Mississippi, Louisiana, Missouri, Oklahoma, and Texas. Uses data from the North Carolina Health Research Program.
Date: 07/2021
Sponsoring organization: Arkansas Center for Health Improvement
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Rural Communities at Risk: Widening Health Disparities Present New Challenges in Aftermath of Pandemic
Describes the health status, health disparities, and socioeconomic disparities of vulnerable rural communities. Analyzes the relationship between rural community vulnerability and the stability of the rural health safety net. Includes information on racial health disparities within rural communities.
Date: 07/2021
Sponsoring organization: The Chartis Group
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Describes the health status, health disparities, and socioeconomic disparities of vulnerable rural communities. Analyzes the relationship between rural community vulnerability and the stability of the rural health safety net. Includes information on racial health disparities within rural communities.
Date: 07/2021
Sponsoring organization: The Chartis Group
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