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Rural Health
Resources by Topic: Emergency department and urgent care services

Factors Determining Patients' Choice Between Mobile Health and Telemedicine: Predictive Analytics Assessment
Results of a study to examine factors influencing the choice of communication medium for receiving healthcare, through analysis of mobile health versus telemedicine visits with a virtual urgent clinic. Features statistics including demographics of virtual urgent clinic users, with breakdowns by urban and rural settings.
Author(s): Saif Khairat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro
Citation: JMIR Mhealth Uhealth, 7(6)
Date: 06/2019
Type: Document
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2019
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on access to primary care for Medicare beneficiaries that addresses rural access to care and programs supporting it, such as the National Health Service Corps. Other sections of the report addressing rural concerns focus on Medicare enrollment, changes in hospice and post-acute care after implementing the long-term care hospital dual payment-rate structure, and Medicare fee-for-service spending for emergency department services.
Additional links: Executive Summary
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Population-Based Trauma Outcomes
Final report of a committee funded by the Department of Health and Human Services to identify and measure concepts, and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprising access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Type: Document
Sponsoring organization: National Quality Forum
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Family Physicians' Contributions to Rural Emergency Care and Urban Urgent Care
Presents a study on the role of family physicians play in rural versus urban emergency departments. Compares rates in urban, large rural, small rural, and frontier facilities.
Author(s): Lars E. Peterson, James C. Puffer, Urooj Nasim, Stephen Petterson, Warren P. Newton
Citation: Journal of the American Board of Family Medicine, 32(3), 295-296
Date: 05/2019
Type: Document
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Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Overview of HCUP
Documents all aspects of the Healthcare Cost and Utilization Project (HCUP), a national resource of hospital inpatient, ambulatory surgery and services, and emergency department data. Describes HCUP online resources for accessing data and related reports. Includes a list of data elements, with information on which are available by urban/rural location.
Date: 04/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Trends in Emergency Department Use by Rural and Urban Populations in the United States
Describes urban and rural differences in emergency department (ED) use from January 2005 to December 2016. Features statistics including demographics, payers, and characteristics of care, such as trends in ambulatory care–sensitive conditions and ED safety-net status.
Author(s): Margaret B. Greenwood-Ericksen, Keith Kocher
Citation: JAMA Network Open 2(4)
Date: 04/2019
Type: Document
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Controlled Substance Use Among Psychiatric Patients in a Rural North Carolina Emergency Department
Features a study on common substances used by patients entering rural emergency departments (EDs) seeking mental health treatment. Focuses on a single ED in North Carolina and presents data by race, gender, and substance used.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Gregory Capece, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 20(2), 419-425
Date: 03/2019
Type: Document
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End-tidal CO2 Monitoring is Available in Most Community Hospitals in a Rural State: A Health System Survey
Examines the use of capnography with procedural sedation and analgesia (PSA) in emergency departments (ED) across Iowa. Data is broken down by hospital staffing level, ED volume, and hospital type, including Critical Access Hospitals, Rural Referral Hospitals, rural hospitals, and urban hospitals.
Author(s): Steven A. Ilko, J. Priyanka Vakkalanka, Azeemuddin Ahmed, et al.
Citation: The Western Journal of Emergency Medicine, 20(2), 232-236
Date: 03/2019
Type: Document
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National Hospital Ambulatory Medical Care Survey: 2016 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 03/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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