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Health care professional workforce composition before and after rural hospital closure
Health care professional workforce composition before and after rural hospital closure
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Rural policy brief
- Author(s):
- Mobley, Erin, author
Ullrich, Fred, author
Baten, Redwan Bin Abdul, author
Shrestha, Mina, author
Mueller, Keith, author - Contributor(s):
- RUPRI Center for Rural Health Policy Analysis, issuing body.
Rural Health Research & Policy Centers, issuing body.
Rural Policy Research Institute (U.S.), issuing body. - Publication:
- Iowa City, IA : Rural Policy Research Institute, April 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Facility Closure
Health Workforce -- statistics & numerical data
Hospitals, Rural
United States - Genre(s):
- Technical Report
- Abstract:
- Purpose. The closure of rural hospitals (i.e. cessation of delivery of inpatient services) is an increasing source of concern to health policymakers. In addition to the loss of inpatient services, hospital closure may trigger changes in other community health care resources. This policy brief examines the composition of the local health care workforce before and after rural hospital closure to reveal any associations with discontinuation of inpatient services in rural communities. Key Findings. (1) Following hospital closure, many rural communities (38.8 percent) saw a decrease in the number of primary care physicians (PCPs). But the majority of communities with a hospital closure (61.2percent) saw an increase in the number of advanced practice providers (APPs, includes physician assistants and advanced nurse practitioners). In over half (54.5 percent) of the communities where the number of PCPs declined, the number of APPs increased. (2) Over one-third (37.8 percent) of the communities where the closed hospital was converted to some other type of health care facility saw an increase in the number of PCPs, whereas only 14.6 percent of communities where the hospital building was completely closed saw an increase in the number of PCPs. (3) In the majority of communities where the number of post-closure PCPs either stayed the same or increased, the number of APPs also increased (58.1 percent and 76.2 percent, respectively).
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (7 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101771087 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101771087