Rural Hospitals: Federal Efforts Should Target Areas Where Closures Would Threaten Access to Care

Abstract

Between 1980 and 1988, there were 200 rural hospital closures-about half of the total community hospital closures in the United States. Because of widespread congressional concern that rural hospital closures may jeopardize access to medical care, 33 Senators requested that GAO investigate why such hospitals are closing and what impact the closures have on rural communities. They also asked that GAO assess Medicare's role in closures and the impact of closures on Medicare costs. This report identifies hospital and environmental characteristics associated with financial distress and a high risk of closure; assesses the impact of rural hospital closures on access to care, health care costs, and local economies; and reviews public policy initiatives that assist rural hospitals.

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Document Details

Document Type
Technical Report
Publication Date
Feb 01, 1991
Accession Number
ADA270544

Entities

Organizations

  • United States Government Accountability Office

Tags

DTIC Thesaurus Topics

  • Business Administration
  • Economic Impact
  • Employment
  • Geography
  • Governments
  • Health Care
  • Health Services
  • Hospitals
  • Investments
  • Management Personnel
  • Medical Personnel
  • Money
  • Patient Care
  • Personnel Management
  • Statistical Analysis
  • United States
  • Urban Areas

Fields of Study

  • Medicine
  • Political science

Readers

  • Medical or Health Care Field.
  • Public Financial Management and Budgeting