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:9/22/2017)... ... September 22, 2017 , ... "Success Files," a short- ... Alzheimer’s. Alzheimer’s is a disease estimated to affect the lives of more than ... the Alzheimer’s Association, a leading voice in the fight for cure and research ...
(Date:9/22/2017)... Diego, CA (PRWEB) , ... September 22, 2017 ... ... offer groceries, wearable, and more products at customers’ doorstep. According to Smart Mart, ... Smart Mart has stated to offer wearable, and customers can find clothing at ...
(Date:9/21/2017)... ... September 21, 2017 , ... 38-Year-Old Plastic Surgeon Gill at ... Naples, Florida is pleased to announce that Plastic Surgeon Kiranjeet Gill has been awarded ... 40 is an annual award that was started in 2003 to salute young ...
(Date:9/21/2017)... ... September 21, 2017 , ... Promotional Communication:, ... http://www.fdanews.com/products/54818-promotional-communication      , In the competitive world of drug and device marketing and ... compliance with FDA rules. , The FDA has issued two draft guidances that ...
(Date:9/21/2017)... (PRWEB) , ... September 21, 2017 , ... ... eat right or exercise more try taking a more holistic approach and use ... Aweganic’s new Amazon essential oil collection is certified USDA guaranteeing that, the new ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... , Sept. 22, 2017 AVACEN Medical ... device is now successfully helping those with the widespread ... Fibromyalgia diagnosed Amanda in Essex, England ... and washing my hair, experiencing no sleep at all, ... painful spasm… I cannot recommend [the AVACEN 100] enough, ...
(Date:9/18/2017)... , Sept. 18, 2017 ... fields of bioinformatics and immune engineering, today ... protective avian influenza A (H7N9) vaccine. ... related to seasonal influenza and presents a ... on prior exposure to be effective. Using ...
(Date:9/12/2017)... FRANCISCO , Sept. 12, 2017  ValGenesis ... Management Solutions (VLMS), is pleased to announce the ... a member of its Board of Directors and ... ValGenesis VLMS enables life science companies to manage ... the use of paper in this process. Furthermore, ...
Breaking Medicine Technology: