Where and what separates rural from urban hospital closures?

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of hospital medicine Pub Date : 2024-06-19 DOI:10.1002/jhm.13438
Sara D. Turbow MD, MPH, Jennifer Lom MD, Mohammed K. Ali MD, MSc, MBA
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Abstract

Despite 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.

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农村与城市医院关闭的区别在哪里?
尽管最近有几家备受瞩目的大都市医院关闭,但对大都市医院关闭风险因素的调查却很有限。本研究的目的是利用美国医院协会 2010 年至 2021 年的年度调查数据,对关闭的大都市医院进行描述,并将其与仍在营业的大都市医院以及关闭的微型和乡村医院进行比较。我们对年度调查中报告为关闭的医院进行了独立核实,并使用二元统计和逻辑回归检验了与关闭相关的医院特征。我们发现,关闭的大都市医院(n = 142)更有可能是营利性医院(66.9% vs. 29.7%,p<0.05)。
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来源期刊
Journal of hospital medicine
Journal of hospital medicine 医学-医学:内科
CiteScore
4.40
自引率
11.50%
发文量
233
审稿时长
4-8 weeks
期刊介绍: JHM is a peer-reviewed publication of the Society of Hospital Medicine and is published 12 times per year. JHM publishes manuscripts that address the care of hospitalized adults or children. Broad areas of interest include (1) Treatments for common inpatient conditions; (2) Approaches to improving perioperative care; (3) Improving care for hospitalized patients with geriatric or pediatric vulnerabilities (such as mobility problems, or those with complex longitudinal care); (4) Evaluation of innovative healthcare delivery or educational models; (5) Approaches to improving the quality, safety, and value of healthcare across the acute- and postacute-continuum of care; and (6) Evaluation of policy and payment changes that affect hospital and postacute care.
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