Economic consequences of hospital closures

• 成果类型: Article
• 署名作者: Alexander, Diane; Richards, Michael R.
• 署名单位: University of Pennsylvania; Baylor University; Federal Reserve System - USA; Federal Reserve Bank - Chicago
• 刊物名称: JOURNAL OF PUBLIC ECONOMICS
• ISSN/ISSBN: 0047-2727
• DOI: 10.1016/j.jpubeco.2023.104821
• 发表日期: 2023
• 关键词: Hospital closures; EMPLOYMENT; Housing market; Consumer finances; Critical access hospitals

摘要

Hospitals anchor much of US health care and receive a third of all medical spending, including various subsidies. Nevertheless, some become insolvent and exit the market. Research has documented subse-quent access problems; however, less is understood about broader implications. We examine over 100 rural hospital closures spanning 2005-2017 to quantify the effects on the local economy. We find sharp and persistent reductions in employment, but these localize to health care occupations and are more impactful in areas experiencing complete closures. Aggregate consumer financial health and housing markets appear unaffected by the shuttering of a rural hospital.(c) 2023 Elsevier B.V. All rights reserved.