The effect of rural hospital closures on community economic health

Health Services Research

Volumn 41, Issue 2, 2006, Pages 467-485

  Holmes, George M ^a   Slifkin, Rebecca T ^a   Randolph, Randy K ^a   Poley, Stephanie ^a  

^a UNIVERSITY OF NORTH CAROLINA   (United States)

Author keywords

Community economy; Economic development; Hospital closure

Indexed keywords

ARTICLE; COMMUNITY HOSPITAL; ECONOMIC DEVELOPMENT; HEALTH CARE QUALITY; INCOME; LONGITUDINAL STUDY; POLICY; REGRESSION ANALYSIS; RURAL HEALTH CARE; UNEMPLOYMENT;

HEALTH FACILITY CLOSURE; HOSPITALS, RURAL; HUMANS; INCOME; MODELS, ECONOMETRIC; UNEMPLOYMENT;

EID: 33644871115     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2005.00497.x     Document Type: Article

References (25)

1. Ashenfelter O. 1978 Estimating the Effect of Training Programs on Earnings Review of Economics and Statistics 60 47 57
2. Bindman AB. D. Keane N. Lurie 1990 A Public Hospital Closes Impact on Patients' Access to Care and Health Status Journal of the American Medical Association 264 22 2899 904
3. Casey MM. I. Moscovice 2004 Quality Improvement Strategies and Best Practices in Critical Access Hospitals Journal of Rural Health 20 4 327 34
4. Christianson JB. L. Faulkner 1981 The Contribution of Rural Hospitals to Local Economies Inquiry 18 46 60
5. Cordes S. E. Van der Sluis C. Lamphear J. Hoffman 1999 Rural Hospitals and the Local Economy A Needed Extension and Refinement of Existing Empirical Research Journal of Rural Health 15 2 189 201
6. Dalton KD. GM. Holmes RT. Slifkin 2003a "Unstable Demand and Cost per Case in Low-Volume Hospitals." NC Rural Health Research and Policy Analysis Center Findings Brief.
7. Dalton KD. 2003b "Unpredictable Demand and Low-Volume Hospitals." NC Rural Health Research and Policy Analysis Center Findings Brief.
8. Doekson GA. J. Altobelli 1990 "The Economic Impact of Rural Hospital Closure: A Community Simulation." The University of North Dakota Rural Health Research Center.
9. Doeksen GA. T. Johnson C. Willoughby 1997 Measuring the Economic Importance of the Health Sector on a Local Economy: A Brief Literature Review and Procedures to Measure Local Impacts Southern Rural Development Center, SRDC 202, Mississippi State University
10. Doeksen GA. RA. Loewen DA. Strawn 1990 A Rural Hospital's Impact on a Community's Economic Health Journal of Rural Health 6 1 53 64
11. Doelker RE. BC. Bedics 2001 Impact of Rural Hospital Closings on the Community Social Work November 1989 541 3
12. Fleming ST. HA Williamson Jr. LL. Hicks I. Rife 1995 Rural Hospital Closures and Access to Services Hospitals and Health Services Administration 40 2 247 62
13. Flex Monitoring Team "Implementation Status by State" [accessed February 23, 2005]. Available at
14. Hart GL. MJ. Pirani RA. Rosenblatt 1991a Rural Hospital Closure and Local Physician Supply Journal of Rural Health 7 3 222 45
15. Hart GL. 1991b Causes and Consequences of Rural Small Hospital Closures from the Perspective of Mayors Journal of Rural Health 7 3 222 45
16. Institute of Medicine of the National Academies 2005 Quality through Collaboration: The Future of Rural Health Washington, DC The National Academy Press
17. McDermott RE. GC. Cornia RJ. Parsons 1991 The Economic Impact of Hospitals in Rural Communities Journal of Rural Health 7 2 117 132
18. McKay NL. JA. Coventry 1995 Access Implications of Rural Hospitals Closures and Conversions Hospitals and Health Services Administration 40 2 227 46
19. Medicare Payment Advisory Committee "Public Meeting." 12/04/2003, Washington, DC, 2003, page 231. Available at accessed on March 4, 2005
20. Pirani MJ. LG. Hart RA. Rosenblatt 1993 Physician Perspectives on the Causes of Rural Hospital Closure Journal of the American Board of Family Practice 6 6 556 562
21. Pearson DR. H. Tajalli 2003 The Impact of Hospital Closure on the Economic Health of the Local Communities Texas Journal of Rural Health 21 3 46 51
22. Probst JC. ME. Samuels JR. Hussey DE. Berry TC. Ricketts 1999 Economic Impact of Hospital Closure on Small Rural Counties, 1984 to 1988 Demonstration of a Comparative Approach Journal of Rural Health 15 4 375 88
23. Reif SS. S. Des Harnais S. Bernard 1999 Spring Community Perceptions of the Effects of Rural Hospital Closure on Access to Care Journal of Rural Health 15 2 202 9
24. Rosenbach ML. DA. Dayhoff 1995 Access to Care in Rural America Impact of Hospital Closures Health Care Financing Review 17 1 15 37
25. Stensland J. C. Mueller J. Sutton 2002 An Analysis of the Financial Conditions of Health Care Institutions in the Appalachian Region and Their Economic Impacts Final Report to the Appalachian Regional Commission, Washington, DC.