Data for 540 rural hospitals from 1982 to 1997 were analyzed to determine whether adoption of long-term-care (LTC) strategies improved hospital financial performance. Adoption of external and internal LTC strategies (other than swing-beds) was generally, but not unambiguously, associated with higher profits, increased occupancy, and/or lower costs.
Bruce Stuart, PhD, is Professor and Director, Peter Lamy Center at the University of Maryland School of Pharmacy, Baltimore.
Mary Fennell, PhD, is Professor and Chair, Department of Sociology, and Senior Investigator, Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island.
Rongjun Sun, PhD, is Assistant Professor, Department of Sociology, Cleveland State University, Ohio.
Susan E. Campbell, MA, is Project Coordinator, Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island. E-mail: Susan_Campbell@brown.edu.
This project is supported by a grant from the National Institute on Aging (AG13987).
An earlier version of this article was presented in part at the annual meetings of the Association for Health Services Research, Chicago, June 1999.