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Health care disparities in rural areas remain significant in the U.S. health care industry. Uncompensated care makes health care disparities in rural areas worse, and rural hospitals are unfavorably positioned to compete with urban hospitals in the economic-downturn marketplace. How uncompensated care affects quality care among rural hospitals has been lightly investigated. Given that many rural residents experience difficulty accessing high quality care and given the importance of establishing quality care practice standards in a rural setting, we conducted a systematic literature review to identify some quality-care barriers and opportunities and suggested strategies to strengthen the position of rural hospitals in response to uncompensated care.


This is an Author's Accepted Manuscript of an article published in Lee, D., Dixon, C., Kruszynski, P., & Coustasse, A. (2010). Uncompensated care and quality assurance among rural hospitals. Journal of Hospital Marketing & Public Relations, 20(2), 116-130, as published in the JOURNAL OF HOSPITAL MARKETING & PUBLIC RELATIONS, 2010, copyright Taylor & Francis, available online at: