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Small Rural Hospitals with Long‐Term Care: 1983 to 1987

The Journal of Rural Health 1992年第2期8卷 121-127页

作者： Beaulieu, Joyce E. Health Administration and of Public Administration Sanders-Brown Center on Aging University of Kentucky Lexington Kentucky United States

Rural hospitals were under tremendous stress in the 1980s, as evidenced by decreasing use and closures. Rural populations increased in the two proportions of people older than 65 years relative to urban areas. Rural communities had more chronically ill residents than urban areas. Population aging and hospital stress have opened an option for small rural hospitals to develop long‐term care units. Analysis of a national cohort of 750 small rural hospitals was undertaken in 1983,1985, and 1987 to identify the characteristics of these hospitals, their communities, and the relative contribution of the small rural hospital to long‐term care bed supply. Hospitals more likely to have long‐term care during this period of time had lower occupancy rates and higher expenses per admission both prior to and after developing long‐term care. While only 14 percent of the 750 hospitals studied had long‐term care, they contributed nearly 30 percent of the total long‐term care bed supply in their counties. Population‐based need and bed supply measures were not significantly different in counties having a small rural hospital with long‐term care. Areas of further analysis of the small rural hospital as a resource for long‐term care are suggested. The implications for the health care system of small rural hospitals with long‐term care are discussed. Copyright © 1992, Wiley Blackwell. All rights reserved

关键词：病床调整/统计学和数值数据病床利用率/统计学和数值数据队列研究数据收集卫生服务需求/统计学和数值数据医院病床数 100张以下医院乡村/统计学和数值数据医院乡村/利用长期医疗/组织和管理美国人类

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