title: Hospital remoteness and thirty-day mortality from three serious conditions.
abstract: Rural U.S. communities face major challenges in ensuring the availability of high-quality health care. We examined whether hospital-specific, all-cause, thirty-day risk-standardized mortality rates (RSMRs) following acute myocardial infarction, heart failure, and pneumonia varied by hospitals' geographic remoteness. We analyzed 2001-2003 Medicare administrative data, comparing RSMRs among hospitals located in urban, large rural, small rural, or remote small rural regions. We found only small mortality differences across remoteness regions for hospitalizations for the three conditions. We examine the implications of these findings for the millions of Americans who rely upon rural hospitals for their care.
authors.affiliation: Mt. Sinai School of Medicine, New York City, USA. joseph.ross@mssm.edu
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Ross
authors.forename: Sharon-Lise T
authors.initials: SL
authors.lastname: Normand
authors.forename: Yun
authors.initials: Y
authors.lastname: Wang
authors.forename: Brahmajee K
authors.initials: BK
authors.lastname: Nallamothu
authors.forename: Judith H
authors.initials: JH
authors.lastname: Lichtman
authors.forename: Harlan M
authors.initials: HM
authors.lastname: Krumholz
mesh_terms: D000368:Aged; D018588:Fee-for-Service Plans; D005843:Geography; D006276:Health Facility Size; D006297:Health Services Accessibility; D017052:Hospital Mortality / Q000639:trends*; D006780:Hospitals, Rural; D006801:Humans; D011787:Quality of Health Care; D012720:Severity of Illness Index; D014481:United States