Navigation Links
Small, Rural Hospitals Provide a Lower Quality of Care: Study
Date:7/5/2011

TUESDAY, July 5 (HealthDay News) -- Small rural hospitals in the United States provide a lower quality of care and have worse patient outcomes than larger hospitals, a new study finds.

Researchers analyzed data from about 4,800 hospitals that serve Medicare beneficiaries in order to assess the care provided by critical access hospitals (CAHs), which have no more than 25 acute care beds and are located more than 35 miles from the nearest full-service hospital (non-CAHs).

"Critical access hospitals play an important and unique role in the U.S. health care system, caring for individuals who live in rural areas and who might otherwise have no accessible inpatient care," wrote Dr. Karen E. Joynt, of the Harvard School of Public Health, and colleagues.

"The CAH designation was created with the goal of ensuring 'proximate access' to basic inpatient and emergency care close to home for approximately 20 percent of the U.S. population that still lives in rural communities," the researchers explained.

For this study, they looked at 2008-09 data on patients with heart attack, congestive heart failure, and pneumonia. Care in accordance with Hospital Quality Alliance process measures was provided to: 91 percent of heart attack patients in CAHs and 97.8 percent of those in non-CAHs: 80.6 percent of congestive heart failure patients in CAHs and 93.5 percent of those in non-CAHs; 89.3 percent of pneumonia patients in CAHs and 93.7 percent of those in non-CAHs.

Patients in the small, rural critical care hospitals had higher 30-day death rates for all three conditions than the non-CAHs: 23.5 percent vs. 16. 2 percent for heart attack; 13.4 percent vs. 10.9 percent for congestive heart failure; and 14.1 percent vs. 12.1 percent for pneumonia.

The researchers also found that CAHs were less likely to have intensive care units, cardiac catheterization capabilities, and basic electronic health records.

The study appears in the July 6 issue of the Journal of the American Medical Association.

"Despite more than a decade of concerted policy efforts to improve rural health care, our findings suggest that substantial challenges remain. Although CAHs provide much-needed access to care for many of the nation's rural citizens, we found that these hospitals, with their fewer clinical and technological resources, less often provided care consistent with standard quality metrics and generally had worse outcomes than non-CAHs," the authors concluded.

Researchers said the findings should serve as to focus attention on improve quality of care at rural hospitals, "so that all individuals in the United States have access to high-quality inpatient care regardless of where they live."

More information

Check out the quality of your local hospital at the U.S. Department of Health and Human Services' Hospital Compare.

-- Robert Preidt

SOURCE: Journal of the American Medical Association, news release, July 5, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Urban children are healthier commuters than rural teens
2. Out of reach? Rural elders have highest rates of obesity, diabetes, heart disease
3. An appeal to the caregiving values of rural women for breast cancer prevention
4. ALBERT EINSTEIN COLLEGE OF MEDICINE HELPS ADDRESS NEED FOR IMPROVED CANCER CARE IN RURAL AMERICA
5. Virtual colonoscopy and teleradiology bring colorectal cancer screening to patients in rural areas
6. College of Nursing awarded grant for nursing leadership in rural and underserved areas
7. State of the Art Hospital for Rural Kenya Announced by California Foundation
8. Voss Foundation Helps CHF International Provide Clean Water in Rural Ethiopia
9. Strategic Management of Quality-Safety-Satisfaction Data in the Small and Rural Healthcare Arena
10. Child Obesity Soaring in Rural America
11. Despite much-higher poverty rates, rural Oregonians use less public assistance
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/8/2016)... ... December 08, 2016 , ... ... that serve communities in and around the greater Phoenix metropolitan region, is announcing ... Connection. , The mission of the Homeless Youth Connection is to promote community ...
(Date:12/8/2016)... Louis, MS (PRWEB) , ... December 08, 2016 , ... ... that serve commercial and residential clients in and around the Hancock County area, is ... for the Hancock County Food Pantry. , The Hancock County Food Pantry has worked ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... to families and business owners in and around central Kansas, is joining the ... at-risk youth in the region. , Headquartered in Wichita, Youth Horizons works to ...
(Date:12/7/2016)... ... 07, 2016 , ... Students attending Envision’s summer 2017 ... get hands-on experience in an emergency medical simulation, When Care is Hours Away. ... real-life medical skills that are critical success in a future career and beyond. ...
(Date:12/7/2016)... ... December 07, 2016 , ... Kenall Manufacturing, a leader in ... MPCNGX . The MPCNGX is a multi-function, sealed, LED luminaire that meets the needs ... where and when it’s needed. , A 2’ x 4’ model features ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... Research and Markets has announced the addition of the "Global Chromatography ... ... market to grow at a CAGR of 5.42% during the period 2016-2020. ... an in-depth market analysis with inputs from industry experts. The report covers ... report also includes a discussion of the key vendors operating in this ...
(Date:12/8/2016)... -- Economic growth in the United States will continue in ... in their December 2016 Semiannual Economic Forecast. Expectations are ... in mid-2009, as indicated in the monthly ISM ® ... manufacturing sector is optimistic about growth in 2017, with ... the non-manufacturing sector indicates that 14 of its industries ...
(Date:12/8/2016)... , Dec. 8, 2016 Noom, Inc., ... it will charge enterprise customers only when their members ... the health and wellness sector, which typically charges for ... - http://photos.prnewswire.com/prnh/20161207/446824LOGO ... the power of technology with the empathy of live ...
Breaking Medicine Technology: