Causes and Consequences of Urban Hospital Closings and Reconfiguration, 1936-2010

4:00 pm on Wednesday, March 27, 2013
5:30 pm on Wednesday, March 27, 2013
Contact Name:
Jeremy Meltzer
The health care we get depends heavily on the caregivers we’ve got. This seminar explores the main changes in urban hospitals and their possible causes and consequences. Tracking 1,200 acute care hospitals in 52 U.S. cities over 75 years, it finds substantial evolution in hospital types and locations. Potential predictors of hospital closings and relocations include hospital size, teaching status, operating margin and financial endowment, efficiency, payer mix, medical staff, degree of competition, and characteristics of people residing nearby. Consequences for access, cost, and quality are mixed but appear troubling in important respects.