Title

Conditions affecting rural hospital specialization, conversion, and closure: a case-based analysis of threat and change

Document Type

Article

Peer Reviewed

1

Publication Date

1-1-1997

NLM Title Abbreviation

J Rural Health

Journal/Book/Conference Title

The Journal of rural health

PubMed ID

10169322

Abstract

The purpose of this analysis is to increase understanding of how and why rural hospitals change, with an eye toward the relevance of these questions to overall access and quality in the rural community. This study reports the threats that precipitated three major classes of organizational change (specialization, conversion, and closure) in 16 rural hospital cases. The authors identify the types and levels of threat faced by the case hospitals and examine how different threat situations may lead toward different classes of change. Conversions and closures typically seem to result from moderate- or high-threat situations. Specializations seem to result from low- or moderate-threat situations.

Keywords

Decision Making, Organizational, Health Facility Closure/trends, Health Services Accessibility, Hospital Planning, Hospital Restructuring/trends, Hospitals, Rural/organization & administration, Humans, Organizational Innovation, United States

Published Article/Book Citation

The Journal of rural health, 13:2 (1997) pp.152-163.

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URL

https://ir.uiowa.edu/nursing_pubs/1769