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Neighborhood characteristics and hospital closures : A comparison of the public, private and voluntary hospital systems

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  • McLafferty, Sara

Abstract

This paper analyzes the neighborhood distribution of hospital closures in New York City between 1970 and 1981. Discriminant analysis procedures are used to compare the social, economic and health status characteristics of neighborhoods in which hospitals have closed with those of neighborhoods in which facilities have remained open. The results show that overall hospital closures have had a substantial distributional impact, with facilities in low-income, high infant mortality neighborhoods having the highest rates of failure. Closure of voluntary hospitals occured most frequently in disadvantaged neighborhoods; whereas municipal and proprietary hospital closures showed no differential neighborhood impact. Implications for the geographical accessibility to various groups to health care and for the efficiency and cost of hospital services are discussed.

Suggested Citation

  • McLafferty, Sara, 1982. "Neighborhood characteristics and hospital closures : A comparison of the public, private and voluntary hospital systems," Social Science & Medicine, Elsevier, vol. 16(19), pages 1667-1674, January.
    • Handle: RePEc:eee:socmed:v:16:y:1982:i:19:p:1667-1674
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    Cited by:

    1. Chinyere O. Agbai, 2023. "The Structure of Pandemic Vulnerability: Housing Wealth, Residential Segregation, and COVID-19 Mortality," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(5), pages 1-30, October.
    2. Avery Guest & Gunnar Almgren & Jon Hussey, 1998. "The ecology of race and socioeconomic distress: infant and working-age mortality in Chicago," Demography, Springer;Population Association of America (PAA), vol. 35(1), pages 23-34, February.
    3. Miller, Cristina & Nikaj, Silda & Pender, John, 2015. "Impacts of Hospital Closures on Rural Housing Values in Illinois," 2015 AAEA & WAEA Joint Annual Meeting, July 26-28, San Francisco, California 205546, Agricultural and Applied Economics Association.
    4. Litaker, David & Love, Thomas Ezra, 2005. "Health care resource allocation and individuals' health care needs: examining the degree of fit," Health Policy, Elsevier, vol. 73(2), pages 183-193, August.

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