Date: August 18, 2022
Changes in the Provision of Health Care Services by Rural Critical Access Hospitals and Prospective Payment System Hospitals in 2009 compared to 2017
The purpose of this brief is to explore changes in the availability and provision of different health care services among rural Critical Access Hospitals (CAHs) and Prospective Payment System (PPS) hospitals in 2009 compared to 2017. We analyzed data regarding the availability of different health care services from the American Hospital Association (AHA) Annual Survey DatabaseTM.
- Of the 29 services considered, most increased by 2017. Twenty-three services increased among rural CAHs, and 21 increased among rural PPS hospitals.
- One service remained the same among rural CAHs (assisted living), and three services remained the same among rural PPS hospitals (assisted living, emergency department, and adult general medicine/surgery). These also changed very little among rural CAHs.
- The percentage of hospitals offering four service specialties—birthing/postpartum services, medical/surgical intensive care, obstetrics, and skilled nursing— declined in both rural CAHs and rural PPS hospitals when comparing 2009 to 2017.
- In addition to the aforementioned services, rural CAHs were less likely to offer adult general medicine/surgery and home health services in 2017 than they were in 2009.
- Rural PPS hospitals were less likely to offer pediatric general medicine/surgery in 2017 than in 2009.
George H. Pink, PhD
North Carolina Rural Health Research and Policy Analysis Center
Additional Resources of Interest:
- More information about the North Carolina Rural Health Research and Policy Analysis Center
- More information from the Rural Health Information Hub’s topic guides: Critical Access Hospitals (CAHs), Healthcare Access in Rural Communities, Rural Health Policy