Hall Margaret Jean, Owings Maria F
NCHS Data Brief. 2014 Jul(159):1-8.
In 2010, 17% of the U.S. population lived in rural (nonmetropolitan) areas. Many rural areas are medically underserved due to physician (especially specialist) shortages. Rural hospitals often are small, with a low volume of services, and have difficulty remaining financially viable under the regular hospital prospective payment system. Special Medicare hospital payment categories have been established so that rural residents have access to hospital care without traveling to urban areas. The share of rural residents' hospitalizations that take place in urban (metropolitan) compared with rural hospitals has been of interest for a number of years. Those who go to urban hospitals have been described as "bypassing" rural hospitals. This data brief compares characteristics of rural residents who stay in rural areas with those who travel to urban areas for their inpatient care.
2010年,17%的美国人口居住在农村(非大都市)地区。由于医生(尤其是专科医生)短缺,许多农村地区的医疗服务不足。农村医院通常规模较小,服务量低,在常规医院预期支付系统下难以维持财务 viability。已设立特殊的医疗保险医院支付类别,以便农村居民无需前往城市地区就能获得医院护理。多年来,农村居民在城市(大都市)医院而非农村医院住院的比例一直备受关注。那些前往城市医院的人被描述为“绕过”农村医院。本数据简报比较了在农村地区接受住院治疗的农村居民与前往城市地区接受住院治疗的农村居民的特征。