The Patient Protection and Affordable Care Act of 2010 (PPACA) expanded rural Medicaid and Medicare coverage. However, factors that contribute to productivity growth in hospital-based rural health clinics are less known. This book makes a contribution by investigating the impact of organizational factors on productivity growth, while recognizing that contextual factors also affect productivity growth rates. For the years 2005 to 2008, hospital-based rural health clinics in the US showed significant growth in productivity. Prospective payment system was negatively related with...