title: Rural hospitals: innovate or capitulate.
abstract: Delivering health care in today's marketplace is a challenging proposition for most hospitals. Costs go up, but reimbursement doesn't. Rural hospitals face even more serious challenges than their urban counterparts. Fixed costs for pharmaceuticals and employees are about the same as those for hospitals in densely populated areas, but there are fewer patients with which to spread these costs, and rural reimbursement rates tend to be lower.
authors.affiliation: lappel@lans.mha.org
authors.forename: L
authors.initials: L
authors.lastname: Appel
mesh_terms: D002201:Capital Expenditures; D003299:Cooperative Behavior; D017598:Efficiency, Organizational; D006780:Hospitals, Rural / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000706:statistics & numerical data; D008824:Michigan; D009936:Organizational Innovation; D009937:Organizational Objectives