The financial viability of rural primary health care centers
Bibliographic Data
| ID | 11036035 |
|---|---|
| Authors | Rayah Feldman, D M Deitz, Deborah Deitz, E F Brooks |
| Year | 1978 |
| Volume | 68 |
| Issue | 10 |
| Pages | 981-988 |
| Publication date | 1978-10-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.68.10.981 |
| PMID | 717609 |
| OpenAlex | W2131103116 |
| Language | EN |
| Citations received | 4 |
| References cited | 3 |
Primary health care centers have been proposed to meet the health care needs of rural America. Some centers become financially "self-sufficient", receiving their entire budgets from direct patient or third-party payments; others shut down when external funding is withdrawn. An explanation for this difference is important, because funding agencies may not wish to subsidize centers whose financial futures appear bleak. This study identifies the correlates of financial self-sufficiency. A survey conducted in late 1976 or 164 rural clinics provided 101 usable responses. Multiple regression analysis of the data shows that the longer a center has been in operation, the more self-sufficient it will become. Hospital control of the center and provision of laboratory tests increase self-sufficiency; outreach services and nonprofit status reduce it. Two variables related to financial self-sufficiency are separately examined. Clinics with a faster growth rate of patient visits are more self-sufficient, and smaller clinics tend to grow faster. More self-sufficient clinics experience less difficulty in keeping professional staff. The presence of a state Area Health Education Center (AHEC) program also eases the problem of staff retention
Business · Economic growth · Economics · Family medicine · Outreach · Payment · Rural area · Subsidy · Finance · Global Health Workforce Issues · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes
Rural Primary Care Program Survival
The Ability of Aggregate Data to Predict Self‐Sufficiency Levels in Subsidized Rural Primary Care Practices
An evaluation of subsidized rural primary care programs
Consumer Governance and the Provision of Enabling Services That Facilitate Access to Care at Community Health Centers
| Citations per year | 0.1 |
|---|---|
| Citation span | 1985 - 2012 (28) |
| Highly cited | No |