This study examines the effect of 13 strategic management activities on the financial performance of a national sample of 797 U.S. rural hospitals during the period of 1983-1988. Controlled for environment-market, geographic-region, and hospital-related variables, the results show almost no measurable effect of strategic adoption on rural hospital profitability and liquidity. Where statisticall...

Perinatal mortality is high in rural hospitals in South Africa. In part this is due to less than optimal care. This study determined the perinatal mortality experienced by a rural hospital and its clinics. Avoidable causes of death are described and various intervention strategies that effectively and rapidly prevented such deaths, reducing perinatal mortality by one-third, are outlined.

in this paper, we develop a freight transportation model for railway network considering hazmat transportation issue. in the transportation system considered, different customers can request for carrying hazmat and non- hazmat boxes. it is assumed that the sequence of the trains in the network is known. the objective is assigning the non-hazmat boxes and hazmat boxes to wagons of the trains so ...

BACKGROUND Maine is a rural state with an aging population located in the northeastern United States. Pharmacists play an important role in serving the public's health as they are often the most available point-of-contact within a community. OBJECTIVE To assess the current pharmacy practice needs as viewed by licensed pharmacists across our rural state, and to distinguish issues that are uniq...

Frontage roads are most frequently used in rural and urban environments along freeway and full-controlled principal arterial corridors. Their primary function is to distribute and collect traffic between local streets and interchanges. They have been the primary design solution for providing access along Texas rural freeways and full-controlled principal arterials. With the growing public deman...

BACKGROUND CD4 cell count measurement remains an important diagnostic tool for HIV care in developing countries. Insufficient laboratory capacity in rural Sub-Saharan Africa is frequently mentioned but data on the impact at an individual patient level are lacking. Urban-rural discrepancies in CD4 testing have not been quantified to date. Such evidence is crucial for public health planning and t...

BACKGROUND Injury rates and injury mortality rates are generally higher in rural and remote communities compared with urban jurisdictions as has been shown to be the case in the rural-remote area of Northwest (NW) British Columbia (BC). The purpose of study was to identify: (1) the place and timing of death following injury in NW BC, (2) access to and quality of local trauma services, and (3) o...

T ravel demand model calibration is ~ usually a very cumbersome process that involves several iterative trial-anderror procedures. The degree of difficulty in calibrating a travel demand model depends on several elements, including the scope of the study, the availability of data, the software used, the desired level of modeling precision, the experience of the modeler, and the demographic and ...