NBER

Kritee Gujral

The CHOICE Institute
University of Washington
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Box 357630
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Institutional Affiliation: The CHOICE Institute, University of Washington

NBER Working Papers and Publications

August 2019Impact of Rural and Urban Hospital Closures on Inpatient Mortality
with Anirban Basu: w26182
This paper examines the impact of California's hospital closures occurring from 1995-2011 on adjusted inpatient mortality for time-sensitive conditions: sepsis, stroke, asthma/chronic obstructive pulmonary disease (COPD) and acute myocardial infarction (AMI). Using a difference- in-difference approach on California's Office of Statewide Health Planning and Development (OSHPD) data, the impact of hospital closures on inpatient mortality is estimated. Outcomes of admissions in hospital service areas (HSAs) with and without closure(s) are compared before and after the closure year. The paper aims to fill gaps in prior work by using a reconciled list of California's hospital closures and by studying differential impacts of rural and urban hospital closures. To our best knowledge, this is also ...

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