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

Legislative Action Bridging Public Health and Clinical Healthcare
Discusses legislation that relates to equitable access to healthcare, with a focus on telehealth, infrastructure, safety net services, management of healthcare costs, and the expansion of the healthcare workforce. Includes information on access to emergency departments in rural areas and the Rural Emergency Hospital (REH) designation.
Author(s): Ashley Cram, Brianna Gorman
Date: 01/2024
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Community-Acquired Staphylococcus Aureus Skin and Soft Tissue Infection Risk Assessment Using Hotspot Analysis and Risk Maps: The Case of California Emergency Departments
Using California emergency department data between 2016 and 2019, evaluates the association between risk for Staphylococcus aureus skin and soft tissue infections with various neighborhood characteristics such as population, poverty, and healthcare access shortage measures. Discusses rural disparities.
Author(s): Brittany L. Morgan Bustamante, Laura Fejerman, Larissa May, Beatriz Martínez-Lopéz
Citation: BMC Public Health, 24, 123
Date: 01/2024
Type: Document
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Policy Solutions Addressing Psychiatric Boarding of Rural Youth
Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Use of Primary Care and Emergency Departments for Substance Use Treatment: The Rural and Urban Divide
Explores the use of primary care and emergency departments for substance use treatment in rural and urban areas. Draws from the National Survey on Drug Use and Health from 2015-2019 and breaks down data by age, race, and rurality, among other measures.
Author(s): Nathaniel Albright, Christina Dyar, Ethan Morgan
Citation: Substance Use & Misuse, 59(2), 300-305
Date: 12/2023
Type: Document
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Emergency Department Care for Children During the 2022 Viral Respiratory Illness Surge
Analyzed over 2.7 million pediatric viral and respiratory emergency department visits in Michigan in 2021 and 2022 to describe wait times, length of stay, and revisits in both surge and non-surge periods. Includes rural and urban comparisons.
Author(s): Alexander T. Janke, Courtney W. Mangus, Christopher M. Fung, et al.
Citation: JAMA Network Open, 6(12)
Date: 12/2023
Type: Document
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Emergency Department Visits Related to Mental Health Disorders Among Children and Adolescents: United States, 2018–2021
Reports on emergency department (ED) visits related to mental health disorders among children and adolescents, with a comparison to ED visits by children and adolescents without mental health disorders. Table 4 includes data by hospital characteristics, including location in a metropolitan or nonmetro area.
Author(s): Loredana Santo, Zachary J. Peters, Danielle Davis, Carol J. DeFrances
Date: 10/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Emergency Department Visit Rates for Assault: United States, 2019–2021
Examines emergency department visit rates due to assault, with data broken down by age, sex, race/ethnicity, insurance type, region, and metro versus nonmetro location.
Author(s): Danielle Davis, Loredana Santo
Date: 10/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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National Hospital Ambulatory Medical Care Survey: 2021 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.
Date: 10/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Oregon Areas of Unmet Health Care Need Report, 2023
Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2023
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Improving Hospital Transfers: A Step Toward Equitable, Patient-Centered Acute Care
Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
Date: 09/2023
Type: Document
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