America's Rural Hospitals: A Selective Review of 1980s Research

We review 1980s research on American rural hospitals within the context of a decade of increasing restrictiveness in the reimbursement and operating environments. Areas addressed include rural hospital definitions, organizational and financial performance, and strategic management activities. The latter category consists of hospital closure, diversification and vertical integration, swing-bed conversion, sole community provider designation, horizontal integration and multihospital system affiliation, marketing, and patient retention. The review suggests several research needs, including: developing more meaningful definitions of rural hospitals, engaging in methodologically sound work on the effects of innovative programs and strategic management activities—including conversion of the facility itself—on rural hospital performance, and completing studies of the effects of rural hospital closure or conversion on the health of the communities served.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74857/1/j.1748-0361.1990.tb00682.x.pd

IMPACTS OF THE FARM FINANCIAL CRISIS OF THE 1980s ON RESOURCES AND POVERTY IN AGRICULTURALLY DEPENDENT COUNTIES IN THE UNITED STATES

The farm financial crisis of the 1980s has had a major effect on agriculturally dependent areas in the United States. The crisis has resulted in a large proportion of producers leaving agriculture, in a substantial decline in the number of rural businesses, and in the support for rural service bases. Although extensively analyzed, the crisis' impacts on resources and poverty have not been adequately evaluated. Copyright 1988 by The Policy Studies Organization.