Health services research
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To understand hospital- and county-level factors for rural obstetric unit closures, using mixed methods. ⋯ Rural obstetric unit closures are more common in smaller hospitals and communities with a limited obstetric workforce. Concerns about continuity of rural maternity care arise for women with local prenatal care but distant intrapartum care.
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Health services research · Aug 2016
Effects of Expanded California Health Coverage on Hospitals: Implications for ACA Medicaid Expansions.
To assess the effects on hospitals of early California actions to expand insurance coverage for low-income uninsured adults after passage of the Affordable Care Act. ⋯ California hospitals that treated the most uninsured prior to insurance expansions did not as a group experience substantial benefit in terms of reduced uninsured burden or better financial performance after program expansions occurred.