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Hospital Closure and Hospital Choice: How Hospital Quality and Availability will Affect Rural Residents

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Abstract
The population shift from rural to urban regions has decreased the population density around hospitals in small towns and rural areas. At the same time, the availability of improved road systems that lower travel times, an improved ability to deliver health services via the Internet, and larger urban-rural gaps in access to the latest medical technologies may make urban hospitals more attractive for rural patients. Following a pattern of decline that started in the 1970s, these factors have led to a steady decrease in the number of rural hospitals over the last two decades¢since 1990, the number of rural hospitals has decreased 20 percent while the number of urban hospitals has only decreased 3.5 percent.

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  • Deepak Premkumar & Dave Jones & Peter F. Orazem, 2017. "Hospital Closure and Hospital Choice: How Hospital Quality and Availability will Affect Rural Residents," Center for Agricultural and Rural Development (CARD) Publications apr-winter-2017-4, Center for Agricultural and Rural Development (CARD) at Iowa State University.
    • Handle: RePEc:ias:cpaper:apr-winter-2017-4
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    File URL: https://www.card.iastate.edu/ag_policy_review/article/?a=61
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    1. Capalbo, Susan M. & Heggem, Christine N., 1999. "Innovations in the Delivery of Health Care Services to Rural Communities Telemedicine and Limited-Service Hospitals," Rural America/ Rural Development Perspectives, United States Department of Agriculture, Economic Research Service, vol. 14(3), October.
    2. Amitabh Chandra & Amy Finkelstein & Adam Sacarny & Chad Syverson, 2016. "Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector," American Economic Review, American Economic Association, vol. 106(8), pages 2110-2144, August.
    3. Amy Finkelstein & Matthew Gentzkow & Heidi Williams, 2016. "Sources of Geographic Variation in Health Care: Evidence From PatientMigration," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1681-1726.
    4. Kate Ho & Ariel Pakes, 2014. "Hospital Choices, Hospital Prices, and Financial Incentives to Physicians," American Economic Review, American Economic Association, vol. 104(12), pages 3841-3884, December.
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    Cited by:

    1. Kritee Gujral & Anirban Basu, 2019. "Impact of Rural and Urban Hospital Closures on Inpatient Mortality," NBER Working Papers 26182, National Bureau of Economic Research, Inc.

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