选择转换为临界接入医院状态。

Dalton Kathleen, Slifkin Rebecca, Poley Stephanie, Fruhbeis Melissa

University of North Carolina at Chapel Hill, USA.

Health Care Financ Rev. 2003 Fall;25(1):115-32.

The authors profile facilities converting to critical access hospitals (CAHs) from 1998-2000, comparing characteristics of their communities, operations, and finances to those of other small rural providers. Counties where CAHs are located are more sparsely populated, but do not have substantially different sociodemographic profiles than other rural counties. Converting hospitals' acute daily census averaged well below the statutory limit of 15, but over one-half reduced unused bed capacity to meet CAH size limitations. The average case-mix adjusted Medicare cost per case was 16-percent higher for CAH converters than for other small hospitals and their financial ratios were substantially worse, although many other operating characteristics were similar.

作者对1998 - 2000年转为急救医院（CAH）的医疗机构进行了剖析，将其社区、运营及财务特征与其他小型农村医疗机构进行比较。CAH所在的县人口更为稀少，但与其他农村县相比，其社会人口特征并无显著差异。转为CAH的医院每日急性病普查平均远低于法定的15例上限，但超过半数的医院减少了未使用的床位容量，以满足CAH规模限制。CAH转换者每例病例经病例组合调整后的医疗保险费用平均比其他小型医院高16%，且其财务比率也明显更差，尽管许多其他运营特征相似。