2021
DOI: 10.1111/1475-6773.13694
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Access to outpatient services in rural communities changes after hospital closure

Abstract: Objective Between January 2005 and July 2020, 171 rural hospitals closed across the United States. Little is known about the extent that other providers step in to fill the potential reduction in access from a rural hospital closure. The objective of this analysis is to evaluate the trends of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in rural areas prior to and following hospital closure. Data Sources/Study Setting We used publicly available data from Centers for Medicare and M… Show more

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Cited by 19 publications
(24 citation statements)
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“…Our primary endpoints were the change in probability of being within 10 miles to either provider (FQHC or RHC) following the closure, which were identical endpoints used by Miller et al in their hospital closure investigation. 17 We controlled for whether the rural ZIP-code ever experienced the closure of its nearest hospital during the study period, time, the year of closure, area poverty rates, area non-white percentage rates, as well as the number of years prior to and following the closure over time, with negative values assigned to…”
Section: Discussionmentioning
confidence: 99%
See 3 more Smart Citations
“…Our primary endpoints were the change in probability of being within 10 miles to either provider (FQHC or RHC) following the closure, which were identical endpoints used by Miller et al in their hospital closure investigation. 17 We controlled for whether the rural ZIP-code ever experienced the closure of its nearest hospital during the study period, time, the year of closure, area poverty rates, area non-white percentage rates, as well as the number of years prior to and following the closure over time, with negative values assigned to…”
Section: Discussionmentioning
confidence: 99%
“…Recent federal and independent studies have drawn attention to geographic changes in proximity to FQHCs and RHCs in relation to hospital closures. 17,18 These studies have shown that geography remains a strong predictor of health care service access in the wake of hospital closures.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“… 3 , 4 Rural hospitals are closing, and rural communities are losing access to health care services locally, including obstetrics. 5 , 6 In 2014, more than half of rural counties lacked hospital-based obstetric care. 7 Since 2014, the trend of rural obstetric unit closures has continued, disproportionately affecting remote (not adjacent to urban counties) and less populated rural counties.…”
Section: Introductionmentioning
confidence: 99%