Foster says helping CAHs assess and improve their quality should be a national priority.
"In that sense the conclusion of the authors about more work needing to be done and more national focus being paid to this is exactly right," she says.
In addressing accusations of a "big-city bias," Jha says he believes that "people who live in rural areas shouldn't have to choose between getting high-quality care and getting care locally."
"I think most critical access hospitals are trying to deliver that high-quality care," he says. "The fault is not with the critical access hospitals. It's with the national policy efforts that have not been as effective as they need to help these hospitals improve."