Rural Hospital Closures: A Scoping Review of Studies Published Between 1990 and 2020

Between 1990 and 2020, 334 rural hospitals closed in the United States, and since 2011 hospital closures have outnumbered new hospital openings. This scoping review evaluates peer-reviewed studies published since 1990 with a focus on rural hospital closures, synthesizing studies across six themes: 1...

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Vydáno v:	Journal of health care for the poor and underserved Ročník 35; číslo 2; s. 439 - 464
Hlavní autoři:	Planey, Arrianna Marie, Thomas, Sharita R, Friedman, Hannah, Hecht, Hillary K, Kent, Erin, Holmes, G. Mark
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Johns Hopkins University Press 01.05.2024
Témata:	American Recovery & Reinvestment Act 2009-US Beds Budgets Closure Community Community hospitals Economic impact Fiscal Responsibility Act 2023-US Grey literature Health care access Health care policy Health facilities Health Facility Closure Health Policy Health services Health Services Accessibility Hospitals Hospitals, Rural Humans Low income areas Low income groups Medicaid Medical Subject Headings-MeSH Medicare Patient Protection & Affordable Care Act 2010-US Precursors Prospective payment systems Qualitative research Regulatory reform Rural areas Rural communities Rural health care Systematic review Underserved populations United States United States United States > US
ISSN:	1049-2089, 1548-6869, 1548-6869
On-line přístup:	Získat plný text
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Popis
Shrnutí:	Between 1990 and 2020, 334 rural hospitals closed in the United States, and since 2011 hospital closures have outnumbered new hospital openings. This scoping review evaluates peer-reviewed studies published since 1990 with a focus on rural hospital closures, synthesizing studies across six themes: 1) health care policy environment, 2) precursors to rural hospital closures, 3) economic impacts, 4) effects of rural hospital closures on access to care, 5) health and community impacts, and 6) definitions of rural hospitals and communities. In the 1990s, rural hospitals that closed were smaller, while rural hospitals that closed in the 2010s tended to have more beds. Many studies of the health impacts of rural hospital closures yielded null findings. However, these studies differed in their definitions of "rural hospital closure." Given the accelerated rate of hospital closures, more attention should be paid to hospitals that serve rural communities of color and low-income communities.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23
ISSN:	1049-2089 1548-6869 1548-6869
DOI:	10.1353/hpu.2024.a928626