The Patient Protection and Affordable Care Act of 2010 (PPACA)
expanded rural Medicaid and Medicare coverage. However, factors
that contribute to productivity growth in hospital-based rural
health clinics are less known. This book makes a contribution by
investigating the impact of organizational factors on productivity
growth, while recognizing that contextual factors also affect
productivity growth rates. For the years 2005 to 2008,
hospital-based rural health clinics in the US showed significant
growth in productivity. Prospective payment system was negatively
related with productivity growth rates. Newer facilities had higher
productivity. Facilities in proximity to urban areas had higher
productivity. Physician availability was positively related to
productivity. Therefore, specific provisions of PPACA to attract
and retain physicians to rural areas and expand rural health
coverage need to be implemented. This book would benefit policy
makers, practitioners and researchers engaged in rural health
services.
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