Open AccessAn evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82.
Author(s) -
Thomas C. Ricketts,
Priscilla A. Guild,
C G Sheps,
Edward H. Wagner
Publication year - 1984
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.74.8.816
Subject(s) - subsidy , recession , staffing , primary care , subsidized housing , demographic economics , sample (material) , environmental health , business , medicine , economics , family medicine , nursing , chemistry , chromatography , keynesian economics , market economy
Surveys of a national sample of 193 subsidized rural primary care programs were conducted in 1981 and 1982 to determine what adaptations the programs might anticipate making given a reduction in their subsidy and what actual changes they made after the implementation of new federal policies and in the face of severe economic recession. During the period between the two surveys, nine of the 193 programs closed. The remaining programs changed elements of their operation, finances, and staffing, but these changes do not, in all cases, appear to be a direct response to subsidy reductions or increases. The programs exhibited adaptiveness and strength in the face of a potentially hostile environment.