title: Small rural ambulatory care facilities in Middle America--Titusville Area Hospital, Titusville, Pennsylvania.
abstract: This case study is focused on Titusville Area Hospital because of current/recent activities at the hospital, but it also reflects previous experience with other facilities. The rural midwestern hospital no longer needs to be a single facility located in the largest community in the area. In fact, it can no longer be that single facility; it must service its population(s) at locations convenient to patients with the services appropriate to them. It is important that the hospital not only recognize its outreach areas through a satellite facility but also build a strong outpatient and support base at the hospital.
authors.affiliation: Titusville Area Hospital, PA, USA.
authors.forename: A J
authors.initials: AJ
authors.lastname: Nasralla
authors.forename: R A
authors.initials: RA
authors.lastname: Cochran
mesh_terms: D000554:Ambulatory Care Facilities / Q000191:economics / Q000458:organization & administration*; D002391:Catchment Area, Health; D003362:Cost-Benefit Analysis; D004465:Economic Competition; D005160:Facility Design and Construction; D006301:Health Services Needs and Demand; D006752:Hospital Planning; D006780:Hospitals, Rural / Q000458:organization & administration*; D006781:Hospitals, Satellite / Q000458:organization & administration; D017146:Models, Organizational; D019982:Organizational Case Studies; D010414:Pennsylvania; D010561:Personnel Staffing and Scheduling