+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A rural cancer outreach program lowers patient care costs and benefits both the rural hospitals and sponsoring academic medical center



A rural cancer outreach program lowers patient care costs and benefits both the rural hospitals and sponsoring academic medical center



Journal of Rural Health 15(2): 157-167



The Rural Cancer Outreach Program (RCOP) between two rural hospitals and the Medical College of Virginia's Massey Cancer Center (MCC) was developed to bring state-of-the-art cancer care to medically underserved rural patients. The financial impact of the RCOP on both the rural hospitals and the MCC was analyzed. Pre- and post-RCOP financial data were collected on 1,745 cancer patients treated at the participating centers, two rural community hospitals and the MCC. The main outcome measures were costs (estimated reimbursement from all sources), revenues, contribution margins and profit (or loss) of the program. The RCOP may have enhanced access to cancer care for rural patients at less cost to society. The net annual cost per patient fell from $10,233 to $3,862 associated with more use of outpatient services, more efficient use of resources, and the shift to a less expensive locus of care. The cost for each rural patient admitted to the Medical College of Virginia fell by more than 40 percent compared with only on 8 percent decrease for all other cancer patients. The rural hospitals experienced rapid growth of their programs to more than 200 new patients yearly, and the RCOP generated significant profits for them. MCC benefited from increased referrals from RCOP service areas by 330 percent for cancer patients and by 9 percent for non-cancer patients during the same time period. While it did not generate a major profit for the MCC, the RCOP generated enough revenue to cover costs of the program. The RCOP had a positive financial impact on the rural and academic medical center hospitals, provided state-of-the-art care near home for rural patients and was associated with lower overall cancer treatment costs.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 013073767

Download citation: RISBibTeXText

PMID: 10511751

DOI: 10.1111/j.1748-0361.1999.tb00735.x


Related references

Inter-hospital transfers from rural hospitals to an academic medical center. West Virginia Medical Journal 109(4): 44-49, 2013

Teaching specialty cancer medicine in rural hospitals: the cancer outreach program as a model. Journal of Cancer Education 6(4): 235-240, 1991

Cervical cancer care in rural Virginia: The impact of distance from an academic medical center on outcomes & the role of non-specialized radiation centers. Gynecologic Oncology 150(2): 338-342, 2018

Cancer resource center of the desert patient navigator program: removing financial barriers to access to cancer care for rural Latinos. Springerplus 2(1): 15, 2013

Impact of institution of a stroke program upon referral bias at a rural academic medical center. Journal of Rural Health 21(3): 269-271, 2005

Follow-up study of the impact of a rural preventive care outreach program on children's health and use of medical services. American Journal of Public Health 70(2): 151-156, 1980

Outreach program serves rural hospitals, businesses. Hospital Progress 63(10): 28-29, 1982

Referral by outreach specialist reduces hospitalisation costs of rural patients with digestive tract cancer: a report from medical consortium in China. Rural and Remote Health 14(): 2317-2317, 2014

Pancreatic cancer in West Virginia: results from a rural academic medical center. West Virginia Medical Journal 98(4): 146-148, 2002

The Rural Cancer Outreach Program: clinical and financial analysis of palliative and curative care for an underserved population. Cancer Treatment Reviews 22 Suppl A: 97, 1996

Medical care in rural development. Remarks by Assistant Secretary before the Presbyterian Hospital Center Conference on Directions in Rural Health Care, Albuquerque, New Mexico. 1977

Change in Management of Status Epilepticus With the Addition of Neurointensivist-Led Neurocritical Care Team at a Rural Academic Medical Center. Hospital Pharmacy 53(5): 303-307, 2018

The Benefits of Physician Training Programs for Rural Communities: Lessons Learned from the Teaching Health Center Graduate Medical Education Program. Journal of Health Care for the Poor and Underserved 27(4a): 83-90, 2016

An outreach program for a rural medical school. Journal of Medical Education 50(1): 38-45, 1975

Utilisation, contents and costs of prenatal care under a rural health insurance (New Co-operative Medical System) in rural China: lessons from implementation. Bmc Health Services Research 10: 301, 2010