Journal of Community Health

, Volume 37, Issue 5, pp 995–1005 | Cite as

Impact of the Closure of a Large Urban Medical Center: A Quantitative Assessment (Part II)

Original Paper


This community health needs assessment—the second part of a mixed-methods project—sought to quantitatively determine the impact of the closure of St. Vincent’s Medical Center, a large not-for-profit hospital in NYC on individuals who used its services. Findings from a community survey disseminated to the broader community affected by the closure of this hospital are described. The questions covered topics including demographics, health status, experiences accessing health care pre- and post-hospital closure, access to medical records, prescriptions, etc. The majority of respondents are from the community immediately surrounding the hospital. Almost 50% report having a physical or mental health condition requiring regular care; roughly 64% had a doctor affiliated with St. Vincent’s and 68% currently see the same doctor as before the hospital closed. With regard to service utilization, 74% reported having sought services at St. Vincent’s in the past 5 years. Of these, the emergency department was the most commonly used service (75%), followed by specialty tests (32%), inpatient care (30%), and outpatient services (22%). The majority of ratings of services at St. Vincent’s were “excellent” or “very good.” Conversely, 65% of former St. Vincent’s users reported more difficulty obtaining health care post closure. Of the 11% who have tried to access their medical records, 30% have not been able to obtain their records and 42% report their attempt as being “somewhat difficult” or “very difficult.” Over 50% report spending more time traveling or traveling further to get to their healthcare provider; and over one third report waiting longer to get an appointment, or to be seen when at an appointment. Bivariate analyses revealed that certain subgroups of respondents had significantly worse negative experiences associated with the closure of the hospital. Specifically, individuals with a health condition were more likely to have visited an ER since St. Vincent’s closed, and now travel further and spend more time traveling to their health care provider, compared to those without a physical and/or mental health condition. Similarly, a greater proportion of respondents who had a doctor affiliated with St. Vincent’s reported greater challenges accessing care since the closing, compared to those who did not have a doctor affiliated with St. Vincent’s (e.g., waiting longer to get an appointment). Finally, the same health care challenges were being experienced by those who are not seeing the same doctor as prior to the closing.


Hospital closure Community health Access to care Vulnerable groups Web-based survey 


  1. 1.
    Otterman, S. (2010, April 7). St. Vincent’s votes to shut hospital in Manhattan. New York Times, Section A, A23.Google Scholar
  2. 2.
    Hartocollis, A. (2010, February 3). The decline of St. Vincent’s Hospital. New York Times, Section A, A1.Google Scholar
  3. 3.
    Romero, D., Kwan, A., Swearingen, J., Nestler, S., & Cohen, N. (2012). Impact of the closure of a large urban medical center: A qualitative assessment (Part I). Journal of Community Health. doi:10.1007/s10900-012-9550-3.
  4. 4.
    North Shore-Long Island Jewish Health System. Community Health Assessment Study Discussion Paper #3: Sociodemographic Description of the Service Area & Overview of Health Status Indicators. Available at:
  5. 5.
    Sun, B. C., Mohanty, S. A., Weiss, R., et al. (2006). Effects of hospital closures and hospital characteristics on emergency department ambulance diversion, Los Angeles county, 1998 to 2004. Annals of Emergency Medicine, 47, 309–316.PubMedCrossRefGoogle Scholar
  6. 6.
    Capps, C., Dranove, D., & Lindrooth, R. (2010). Hospital closure and economic efficiency. Journal of Health Economics, 29, 87–109.PubMedCrossRefGoogle Scholar
  7. 7.
    Olson, E. C., Van Wye, G., Kerker, B., Thorpe, L., & Frieden, T. R. (2006). Take care Chelsea and Clinton. NYC Community Health Profiles, Second Edition, 24(42), 1–16.Google Scholar
  8. 8.
    Olson, E. C., Van Wye, G., Kerker, B., Thorpe, L., & Frieden, T. R. (2006). Take care Greenwich Village and Soho. NYC Community Health Profiles, Second Edition, 26(42), 1–16.Google Scholar
  9. 9.
    US Department of Health and Human Services. (2011). HHS action plan to reduce racial and ethnic health disparities: A nation free of disparities in health and health care. Washington, DC: US Department of Health and Human Services.Google Scholar
  10. 10.
    Benson, B. (2011, July 25). St. Vincent’s mountain of biz, medical records. Crain’s New York Business. Retrieved January 20, 2012, from
  11. 11.
    Adalja, A. A., Watson, M., Wollner, S., Rambhia, K. J., & Toner, E. S. (2011). Response to the sudden closure of St. Vincent’s Hospital: Learning from a real, no-notice, prolonged surge event. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 9(2), 153–161.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Diana Romero
    • 1
  • Amy Kwan
    • 1
  • Sue Nestler
    • 1
  • Neal Cohen
    • 1
  1. 1.CUNY School of Public Health at Hunter CollegeNew YorkUSA

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