National Clinician Scholars Program at the Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Road, North Campus Research Complex, Building 14 Suite G-100, Ann Arbor, MI 48109, USA; Center for Healthcare Outcomes and Policy, University of Michigan, 2800 Plymouth Road, North Campus Research Complex, Building 16, Ann Arbor, MI 48109, USA; Division of Surgical Oncology, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, 395 West 12th Avenue, Suite 670, Columbus, OH 43210, USA.
Division of Surgical Oncology, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, 395 West 12th Avenue, Suite 670, Columbus, OH 43210, USA.
Surg Clin North Am. 2020 Oct;100(5):835-847. doi: 10.1016/j.suc.2020.05.009. Epub 2020 Jul 16.
Nearly 60 million people live in a rural area across the United States. Since 2005, 162 rural hospitals have closed, and the rate of rural hospital closures seems to be accelerating. Major drivers of rural hospital closures are poor financial health, aging facilities, and low occupancy rates. Rural hospitals are particularly vulnerable to policy and market changes, and even small changes can have a disproportionate effect on rural hospital financial viability. Surgery can be safely performed in rural hospitals; however, hospital closures may be putting the rural population at increased risk of morbidity and mortality from surgical disease.
美国大约有 6000 万人居住在农村地区。自 2005 年以来，已有 162 家农村医院关闭，农村医院关闭的速度似乎在加快。农村医院关闭的主要原因是财务状况不佳、设施老化和入住率低。农村医院特别容易受到政策和市场变化的影响，即使是微小的变化也可能对农村医院的财务生存能力产生不成比例的影响。手术可以在农村医院安全进行；然而，医院关闭可能会使农村人口面临更高的手术疾病发病率和死亡率风险。
