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Trends in Hospital System Affiliation, 2007-2016.

Rural Policy Brief 2018 October 2
Purpose: This policy brief updates a RUPRI Center brief published in 20141 and documents the continued growth in system affiliation by both metropolitan and non-metropolitan hospitals.

Key Findings: (1) From 2007 to 2016, hospital system affiliation continued to increase across all categories of hospital size, metropolitan/non-metropolitan location, and Critical Access Hospital (CAH)status. (2) From 2007 to 2016, hospital system affiliation increased in all census regions except in the West census region among non-metropolitan hospitals.

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