Critical Access Hospitals and Retail Activity: An Empirical Analysis in Oklahoma

Autor/inn/en	Brooks, Lara; Whitacre, Brian E.
Titel	Critical Access Hospitals and Retail Activity: An Empirical Analysis in Oklahoma
Quelle	In: Journal of Rural Health, 27 (2011) 1, S.29-38 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2010.00336.x
Schlagwörter	Economic Development; Access to Health Care; Rural Areas; Hospitals; Least Squares Statistics; Grants; Financial Support; Federal Aid; State Aid; Health Services; Oklahoma + Suchen Sie Ihr Suchwort? Wirtschaftsentwicklung; Rural area; Ländlicher Raum; Krankengymnast; Krankenhaus; Grant; Finanzielle Beihilfe; Finanzielle Förderung; Health service; Gesundheitsdienst; Gesundheitswesen
Abstract	Purpose: This paper takes an empirical approach to determining the effect that a critical access hospital (CAH) has on local retail activity. Previous research on the relationship between hospitals and economic development has primarily focused on single-case, multiplier-oriented analysis. However, as the efficacy of federal and state-level rural health subsidies come under increasing scrutiny, more comprehensive investigations can provide support for continued funding. Methods: Data from 105 rural Oklahoma communities are used to explore whether the presence of a CAH impacts several measures of retail activity. The measures are: total retail sales, total number of retail establishments, and number of micro and small retail establishments. Ordinary least squares regression is used to evaluate the impact of a CAH after controlling for a host of other factors influencing retail activity such as local demographics, unemployment rates, and the presence of a Wal-Mart. Findings: The presence of a CAH has a positive and significant influence on each measure of retail activity. The parameter estimates suggest that a CAH has a similar influence on rural retail sales as a Wal-Mart, increasing total retail sales by approximately 28% over towns without a CAH. Other model results indicate that a CAH presence significantly increases the number of total retail establishments and the number of micro and small business establishments. Conclusions: The positive results provide additional evidence on the far-reaching economic development impacts of CAHs. The results also emphasize the importance of continued support for these rural institutions, including federal and state subsidies. (Contains 1 figure and 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10