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The Design Utility of Rural Hospital Community Health Needs Assessments.

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Community health needs assessments reveal that insurance coverage is critical for rural residents accessing primary, specialty, and hospital care. Perceptions of health and employment status also influence care access in frontier areas.

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Area of Science:

  • Rural Health
  • Healthcare Access
  • Health Services Research

Background:

  • Critical Access Hospitals (CAHs) face closure risks due to inadequate infrastructure and technology.
  • Aging populations and increased care acuity necessitate responsive healthcare facilities.

Purpose of the Study:

  • Analyze community health needs assessment data for a rural Montana CAH.
  • Determine access and barriers to primary, specialty, and hospital-based care.
  • Align healthcare facility design with community service needs.

Main Methods:

  • Secondary analysis of community health needs assessment data.
  • Cross-sectional survey with inferential and predictive analyses.
  • Examined demographics, health perceptions, and insurance coverage.

Main Results:

  • Positive health perceptions and good insurance coverage (70%+) predicted care use.
  • Employment status impacted specialty care access.
  • Insurance cost was a significant barrier, especially for specialty care.

Conclusions:

  • Community health needs assessments offer valuable stakeholder perspectives.
  • These assessments can inform strategic planning and facility design for CAHs.
  • Aligning infrastructure with community needs is crucial for CAH sustainability.