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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.

Suggested Citation

  • 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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