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Geographical information systems and the analysis of health for rural populations.(Editorial)(Editorial)

Publication: Online Journal of Rural Nursing & Health Care
Publication Date: 22-MAR-08
Format: Online
Delivery: Immediate Online Access

Article Excerpt
A myriad of economic, political and demographic factors continue to propel the "social transformation" of health in America. The healthcare industry has undergone drastic restructuring in the United States (Folland et al, 2001; McLafferty, 2003). During the 1980's and 1990's hospital mergers,...

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...closures, and reorganizations greatly impacted spatial organization and availability of healthcare services. Geographical restructuring to date has followed a pattern of hospital closures in rural and lower socio-economic (SES) areas and expansions of larger hospitals located in higher SES areas (Folland et al, 2001; Ginter et al, 1998; McLafferty, 2003). Subsequently, rural-to-urban restructuring has resulted in overall greater concentration of healthcare services in large tertiary hospitals thereby decreasing access by increasing the...

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