Where and what separates rural from urban hospital closures?

Author:

Turbow Sara D.12ORCID,Lom Jennifer1,Ali Mohammed K.23

Affiliation:

1. Department of Medicine, Division of General Internal Medicine Emory University School of Medicine Atlanta Georgia USA

2. Department of Family and Preventive Medicine Emory University School of Medicine Atlanta Georgia USA

3. Hubert Department of Global Health, Rollins School of Public Health Emory University Atlanta Georgia USA

Abstract

AbstractDespite the recent closure of several high‐profile metropolitan hospitals, investigations into risk factors for metropolitan hospital closures have been limited. The goal of this study was to describe metropolitan hospitals that closed and compare them to metropolitan hospitals that remain open and micropolitan and rural hospitals that closed using American Hospital Association Annual Survey Data from 2010 to 2021. We independently verified hospitals reported as closed in the Annual Survey and examined the hospital characteristics associated with closure using bivariate statistics and logistic regression. We found that metropolitan hospitals that closed (n = 142) were more likely to be for‐profit (66.9% vs. 29.7%, p < .0001; adjusted odds ratio [AOR]: 3.05, 95% confidence interval [CI]: 1.93, 4.81) and to come from a state that did not expand Medicaid (45.1% vs. 29.4%, p < .0001; AOR: 1.66, 95% CI: 1.16, 2.38). Policies tailored to metropolitan hospitals should be developed to identify at‐risk hospitals and mitigate the effect of closures on patients, clinicians, and other stakeholders.

Publisher

Wiley

Reference14 articles.

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