Rural Medicare Beneficiaries are Increasingly likely to be Admitted to Urban Hospitals

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Citation

Friedman, Hannah R. & Holmes, George Mark (2022). Rural Medicare Beneficiaries are Increasingly likely to be Admitted to Urban Hospitals. Health Services Research, 57(5), 1029-1034.

Abstract

Objective: To determine whether rural Medicare FFS beneficiaries are more likely to be admitted to an urban hospital in 2018 than in 2010. Data Sources We combined data from the 2010 to 2018 Hospital Service Area File (HSAF) and the 2010–2017 American Hospital Association (AHA) survey.
Study Design: We conducted a fixed-effects negative-binomial regression to determine whether urban hospital admissions from rural ZIP codes were increasing over time. We also conducted an exploratory geographically weighted regression.
Data Collection: We transformed the HSAF data into a ZIP code-level file with all rural ZIP codes. We defined rural as having a Rural-Urban Commuting Area (RUCA) code

URL

https://doi.org/10.1111/1475-6773.14017

Reference Type

Journal Article

Year Published

2022

Journal Title

Health Services Research

Author(s)

Friedman, Hannah R.
Holmes, George Mark