Title

Rural Health Clinic Efficiency And Effectiveness: Insight From A Nationwide Survey

Keywords

Cost efficiency; Diabetes care; Rural health; Rural Health Clinics (RHCs)

Abstract

This study reports the results of a nationwide survey of Rural Health Clinics (RHCs). The purpose was to identify factors that contribute to efficiency and effectiveness in RHCs. Factors related to cost efficiency were analyzed using multiple regression; factors related to the likelihood of providing preventive diabetic care, an effectiveness indicator, were analyzed using logistic regression. The study found: (1) technical efficiency to be positively related to cost efficiency; (2) non-profit control to be inversely related to cost efficiency in independent RHCs; and (3) provider-based RHCs and technology use to be related to the likelihood of providing preventive diabetic care. Implications for RHCs are: (1) improvement in technical efficiency could enhance cost efficiency; (2) visits to PAs and NPs, an indicator of process efficiency, may not guarantee the provision of preventive diabetic care; and (3) strategies for improving RHC efficiency and effectiveness may be different for provider-based and independent clinics. © 2009 Springer Science+Business Media, LLC.

Publication Date

8-1-2011

Publication Title

Journal of Medical Systems

Volume

35

Issue

4

Number of Pages

671-681

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1007/s10916-009-9404-4

Socpus ID

79961168820 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/79961168820

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