A clinically based service limitation option for alternative model rural hospitals

Ira S Moscovice, A. Wellever, A. Sales, M. M. Chen, Jon B Christianson

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Alternative model rural hospitals are designed to address problems faced by small, isolated rural hospitals. Typically, hospital regulations are reduced in exchange for a limit on the services that alternative models may offer. The most common service limitation is a limit on length of stay (LOS), a method with little empirical or conceptual support. The purpose of this article is to present a clinically based service limitation for alternative model rural hospitals, such as the rural primary care hospital. The proposal is based on an analysis of Medicare discharges from rural hospitals most likely to convert and the judgments of a technical advisory panel of rural clinicians.

Original languageEnglish (US)
Pages (from-to)103-119
Number of pages17
JournalHealth Care Financing Review
Volume15
Issue number2
StatePublished - 1993

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