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To what extent is a rural community's social capital related to the likelihood of a hospital closing?

Adaniya, Naomi M
http://orcid.org/0000-0002-1764-5193
http://rave.ohiolink.edu/etdc/view?acc_num=osu1460899121

Abstract Details

2016, Doctor of Philosophy, Ohio State University, Public Health.
BACKGROUND: Social capital is associated with positive community economic and health outcomes, including overall health and mortality. Building on these findings, this study will be the first to analyze whether social capital can be applied to a health system outcome – rural hospital closure. Rural hospitals provide vital health care services to nearly 54 million Americans. When compared to urban hospitals, rural hospitals play an even greater role in their community. As one of the largest employers the area, rural hospitals sustain the local economy. The closure of a rural hospital, therefore, can have a negative impact on the community in multiple dimensions. OBJECTIVE: This study aims to develop a comprehensive model of social capital, and then apply it nationwide to examine how a rural community’s social capital is associated with rural hospital closure between 2000 and 2008. In addition, this study will analyze how social capital changes over time (1980 to 2000) are associated with rural hospital closure. Finally, social capital measurement is commonly performed at the county level; however, the use of the county scale can introduce geographic statistical errors in the analysis. This study will use buffers to more accurately represent a rural hospital’s service area and estimate social capital at this scale. The association between social capital at the new hospital service area and hospital closure will be evaluated. METHODS: A comprehensive literature review process, factor analysis, and logistic regression will be used to identify social capital components and categories (or factors) most strongly associated with the likelihood of rural hospital closure. Hospital closure results will be stratified by a county’s rurality status and corresponding U.S. Census region. Common social capital variables collected in 1980, 1990 and 2000 surveys will be analyzed for trends related to rural hospital closure between 2000 and 2008. Finally, spatial analysis will be used to create an alternate hospital catchment definition to test for the reliability of the defined geographic areas. POLICY IMPLICATIONS: Government support of rural hospital programs have been identified for funding cuts. If social capital is found to be associated with preventing rural hospital closure, then rural communities, leaders, and healthcare administrators can adopt policies aimed at building social capital. Increasingly, social capital building policies or programs are being used by governments, international organizations, and financial institutions due to the positive link between building social capital and multiple community outcomes. In this context, social capital is viewed as a desirable outcome that if facilitated, can positively impact rural communities not just healthcare but in many other social and economic aspects.
Allard Dembe (Advisor)
Thomas Wickizer (Committee Member)
Sharon Schweikhart (Committee Member)
Linda Lobao (Committee Member)
242 p.
Health Care; Health Care Management; Public Health; Sociology
rural hospitals; hospital closure; social capital; rural health

Recommended Citations

Citations

  • Adaniya, N. M. (2016). To what extent is a rural community's social capital related to the likelihood of a hospital closing? [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1460899121

    APA Style (7th edition)

  • Adaniya, Naomi. To what extent is a rural community's social capital related to the likelihood of a hospital closing? 2016. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1460899121.

    MLA Style (8th edition)

  • Adaniya, Naomi. "To what extent is a rural community's social capital related to the likelihood of a hospital closing?" Doctoral dissertation, Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1460899121

    Chicago Manual of Style (17th edition)

osu1460899121
1,205
© 2016, some rights reserved.Creative Commons License To what extent is a rural community's social capital related to the likelihood of a hospital closing? by Naomi M Adaniya is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by The Ohio State University and OhioLINK.