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Trends in Hospital System Affiliation, 2007-2016.

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    Hospital system affiliation grew from 2007 to 2016 for most hospitals, including metropolitan, non-metropolitan, and Critical Access Hospitals (CAHs). This trend was observed nationwide, with a notable exception in the West for non-metropolitan facilities.

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    Area of Science:

    • Health Services Research
    • Healthcare Management
    • Rural Health Policy

    Background:

    • Hospital system affiliation has been a growing trend in healthcare.
    • Understanding this trend is crucial for policy and strategic planning.

    Purpose of the Study:

    • To update previous findings on hospital system affiliation from 2014.
    • To document the continued growth in system affiliation for both metropolitan and non-metropolitan hospitals.

    Main Methods:

    • Analysis of national hospital data from 2007 to 2016.
    • Categorization of hospitals by size, location (metropolitan/non-metropolitan), and Critical Access Hospital (CAH) status.

    Main Results:

    • Hospital system affiliation increased across all hospital sizes and types between 2007 and 2016.
    • This growth was consistent across most U.S. census regions.
    • An exception was observed in the West census region, where non-metropolitan hospital affiliation did not increase.

    Conclusions:

    • The trend of hospital system affiliation has persisted and expanded.
    • Healthcare policy and strategy must account for ongoing consolidation and system growth.
    • Further research may explore the drivers and implications of this trend in different regions.