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Conclusion and Implication
- Critical access hospital (CAH) conversion in rural hospitals resulted in enhanced performance of patient safety.
- After conversion, CAHs have better perform in patient safety in the long run.
- We speculate that the likely mechanism involved an increase in financial resources following CAH conversion to cost-based reimbursement for Medicare patients
- Limitations of the study
- Administrative databases (missing codes, coding errors)
- We are not able to rule out the possibility of coding behavior change
- The five indicators may not reflect the whole picture of patient safety in rural hospitals
- CAH conversion variable is endogeneous.
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