The strategic behaviors rural hospitals have under taken to maintain their viability the catholic health association in conjunction with the university of iowa center for health services dr ludke is associate professor at the graduate program in hospital and health administra tion and center for health semices research. This article first presents an overview of recent trends affecting rural hospitals then synthesizes the literature on rural hospitals and finally proposes a health services research agenda for . The viability of the rural hospital a synthesis of findings from health services research ira s moscovice on amazoncom free shipping on qualifying offers. Hospitals are generally considered to be the locus of rural health care systems not only are important health services based at hospitals but many of a communitys health care personnel are either directly employed by or supported by the local hospital. Changes on rural hospitals overall financial viability in this article we assume non medicare margins do not change since medicare patients represent approximate ly one half of rural hospital admissions and one third of rural hospital revenue a change in medicare policy that has a health care financing review summer 2002 volume 23
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