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关键访问医院计划对肯塔基州社区的经济影响。

Economic impact of the critical access hospital program on Kentucky's communities.

机构信息

Department of Agricultural Economics, University of Kentucky, Lexington, Kentucky 40546, USA.

出版信息

J Rural Health. 2011 Winter;27(1):21-8. doi: 10.1111/j.1748-0361.2010.00312.x.

Abstract

CONTEXT

In 1997, the Medicare Rural Hospital Flexibility Grant Program created the Critical Access Hospital (CAH) Program as a response to the financial distress of rural hospitals. It was believed that this program would reduce the rate of rural hospital closures and improve access to health care services in rural communities.

OBJECTIVE

The objective of this paper is to analyze the economic impact of the CAH Program on Kentucky's communities.

METHODS

Both an economic input-output model and a quasi-experimental control group method are used in this research paper. While the analysis using the input-output model uses data from the year 2006, the analysis using the quasi-experimental control group method uses data from 1989 to 2006.

CONCLUSION

The results indicate that the rural counties where a CAH was adopted did appear to benefit in economic terms relative to those that did not have a CAH.

摘要

背景

1997 年,医疗保险农村医院弹性拨款计划设立了关键通道医院(CAH)计划,以应对农村医院的财务困境。人们认为,该计划将降低农村医院关闭的速度,并改善农村社区的医疗服务的获取。

目的

本文旨在分析 CAH 计划对肯塔基州社区的经济影响。

方法

本研究论文同时使用了经济投入产出模型和准实验对照组方法。虽然使用投入产出模型的分析使用了 2006 年的数据,但使用准实验对照组方法的分析使用了 1989 年至 2006 年的数据。

结论

结果表明,采用 CAH 的农村县在经济方面似乎确实比没有 CAH 的农村县受益。

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