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

Pediatric Medicaid Patients' Utilization of Outpatient and Emergency Department Services in New York State
Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Sponsoring organization: Center for Health Workforce Studies
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Mental Health and Drivers of Need in Emergent and Non-Emergent Emergency Department (ED) Use: Do Living Location and Non-Emergent Care Sources Matter?
Highlights a study on mental health as cause of non-emergent emergency department (ED) use. Breaks down data by age, race, reason for admission, and whether the patient lives in an urban or rural location, among other factors.
Author(s): Moira C. McManus, Robert J. Cramer, Maureen Boshier, Muge Akpinar-Elci, Bonnie Van Lunen
Citation: International Journal of Environmental Research and Public Health, 15(1), 129
Date: 01/2018
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A Comparison of Point-of-Care Ultrasonography Use in Rural Versus Urban Emergency Departments Throughout Missouri
Examines point-of-care use of ultrasounds in emergency departments in rural and urban Missouri hospitals. Covers data describing the primary uses of ultrasounds in Missouri emergency departments by hospital size.
Author(s): Michael Mengarelli, Anthony Nepusz, Tatyana Kondrashova
Citation: Missouri Medicine, 115(1), 56-60
Date: 01/2018
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QuickStats: Percentage of Emergency Department Visits for Acute Viral Upper Respiratory Tract Infection That Had an Antimicrobial Ordered or Prescribed, by Metropolitan Statistical Area — United States, 2008–2015
Bar chart showing metropolitan and nonmetropolitan emergency department visits for acute viral upper respiratory tract infection that had an antimicrobial ordered or prescribed, with data for 2008–2011 compared to 2012–2015.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(3), 111
Date: 01/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Mass Shootings and Rural Areas
Interview with Mandi Sralla, director of the emergency department of Connally Memorial Medical Center in Floresville, Texas. Describes the facility's response in the wake of a mass shooting in nearby Sutherland Springs in November 2017.
Author(s): John Hick
Date: 2018
Sponsoring organization: Administration for Strategic Preparedness and Response
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Unintentional Firearm Injuries Remain Prevalent Over a 12 Year Experience at a Rural Midwestern Level 1 Trauma Center
Examines the variety of firearm injuries seen at a rural Iowa level 1 trauma center to provide an awareness of the prevalence, mechanism used in the injury, and variation in seasonal occurrence. Data identifying patients with a firearm injury was obtained from a trauma registry for the years 2002 to 2014. Goal was to distinguish the characteristics of preventable firearm injuries in rural environments to improve firearm education and influence public policy.
Author(s): Brian Guetschow, Michele Lilienthal, Michael Willey
Citation: Iowa Orthopaedic Journal, 38, 45-52
Date: 2018
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Emerging Strategies to Ensure Access to Health Care Services: Emergency Medical Center
Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Ensuring Access with a Hospital's Conversion to a Freestanding Emergency Department
Outlines Ellijay, Georgia-based North Georgia Medical Center's transition from a traditional community hospital to a freestanding emergency department (ED). Shares administrative, legal, and logistical challenges that, once overcome, resulted in Piedmont Mountainside Hospital Emergency Services - a successful, community-focused, freestanding ED.
Date: 11/2017
Sponsoring organization: American Hospital Association Rural Health Services
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Emerging Strategies to Ensure Access to Health Care Services: Urgent Care Centers
Outlines a strategy to improve access to and the delivery of healthcare services by creating urgent care centers. Offers federal policy solutions to promote the effective adoption of the urgent care center model.
Additional links: Is the Urgent Care Center the Right Strategy for your Community?
Date: 11/2017
Sponsoring organization: American Hospital Association
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Trends in Emergency Department Visits, 2006–2014
Presents information on emergency department (ED) visits and trends in the U.S. between 2006 and 2014 based on data from the Healthcare Cost and Utilization Project (HCUP). Covers ED visit frequency by age, sex, metro/nonmetro location, primary payer type, region, diagnosis, and several other indicators.
Author(s): Brian J. Moore, Carol Stocks, Pamela L. Owens
Date: 09/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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