Moscovice I, Wellever A, Sales A, Chen M M, Christianson J
Institute for Health Services Research, University of Minnesota, Minneapolis 55455.
Health Care Financ Rev. 1993 Winter;15(2):103-19.
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.
替代性模式的农村医院旨在解决小型、偏远农村医院所面临的问题。通常情况下，医院监管有所放宽，以换取对替代性模式可能提供的服务进行限制。最常见的服务限制是住院时长限制，这种方法几乎没有实证或概念支持。本文的目的是为替代性模式的农村医院，如农村初级保健医院，提出一种基于临床的服务限制。该提议基于对最有可能转型的农村医院的医疗保险出院数据的分析以及农村临床医生技术咨询小组的判断。
