Hospital diversification into long-term care.
In the 1990s, acute care hospitals in the United States encountered an unstable operating environment created by a series of transformations in the health care delivery system and long-term-care market. Confronted with an array of economic pressures and demographic changes, hospitals were motivated to engage in long-term-care diversification, such as establishing a long-term-care unit or providing home health services, as a means of entering new markets and ensuring financial stability. This article examines the organizational, market, and community factors associated with this strategic activity among a national sample of urban and rural hospitals.
Shah
A
A
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA. Ann_Shah@brown.edu
Fennell
M
M
Mor
V
V
D002391:Catchment Area, Health; D004465:Economic Competition; D019981:Health Care Sector; D006302:Health Services Research; D006699:Home Care Services / Q000600:supply & distribution; D006752:Hospital Planning / Q000191:economics; D006754:Hospital Restructuring / Q000191:economics*; D006780:Hospitals, Rural / Q000191:economics / Q000458:organization & administration*; D006786:Hospitals, Urban / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D016015:Logistic Models; D008134:Long-Term Care / Q000458:organization & administration*; D009735:Nursing Homes / Q000600:supply & distribution; D012051:Reimbursement Mechanisms; D012494:Sampling Studies; D014481:United States