Rural Health
Resources by Topic: Emergency department and urgent care services
Emergency Department Utilization for Mental Health in American Indian Children
Explores racial disparities in children aged 5-18 years who utilized emergency department (ED) services for mental health reasons between June 2011 and May 2012. Examines 1,545 pediatric ED visits for mental health concerns in American Indian and White populations. Includes patient demographic information, reason for ED mental health visit, as well as urban versus rural data related to predictors for repeat ED mental health visits.
Author(s): Wyatt J. Pickner, Susan E. Puumala, Kaushal R. Chaudhary
Citation: The Journal of Pediatrics, 174, 226-231.e3
Date: 07/2016
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Explores racial disparities in children aged 5-18 years who utilized emergency department (ED) services for mental health reasons between June 2011 and May 2012. Examines 1,545 pediatric ED visits for mental health concerns in American Indian and White populations. Includes patient demographic information, reason for ED mental health visit, as well as urban versus rural data related to predictors for repeat ED mental health visits.
Author(s): Wyatt J. Pickner, Susan E. Puumala, Kaushal R. Chaudhary
Citation: The Journal of Pediatrics, 174, 226-231.e3
Date: 07/2016
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Alternative Models to Preserving Access to Emergency Care
Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and free-standing emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and free-standing emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Role of Bias by Emergency Department Providers in Care for American Indian Children
Examines implicit and explicit bias by emergency department (ED) caregivers toward American Indian (AI) children and their parental units. Utilizes survey data from 154 providers across 5 Upper Midwest hospitals to determine bias against or preference for White or AI patients. Includes associations of the demographic variables of the caregivers with their Implicit Association Test (IAT) scores, including rural versus urban ED location.
Author(s): Susan E. Puumala, Katherine M. Burgess, Anupam B. Kharbanda, et al.
Citation: Medical Care, 54(6), 562–569
Date: 06/2016
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Examines implicit and explicit bias by emergency department (ED) caregivers toward American Indian (AI) children and their parental units. Utilizes survey data from 154 providers across 5 Upper Midwest hospitals to determine bias against or preference for White or AI patients. Includes associations of the demographic variables of the caregivers with their Implicit Association Test (IAT) scores, including rural versus urban ED location.
Author(s): Susan E. Puumala, Katherine M. Burgess, Anupam B. Kharbanda, et al.
Citation: Medical Care, 54(6), 562–569
Date: 06/2016
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2016
Includes chapters on pricing and payment systems, Medicare drug spending, Part B drug and oncology payment policy issues, improving Part D, improving efficiency and preserving access to emergency care in rural areas, telehealth services and Medicare, and issues affecting dual-eligible beneficiaries. Rural providers and rural patient populations are discussed throughout the report.
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on pricing and payment systems, Medicare drug spending, Part B drug and oncology payment policy issues, improving Part D, improving efficiency and preserving access to emergency care in rural areas, telehealth services and Medicare, and issues affecting dual-eligible beneficiaries. Rural providers and rural patient populations are discussed throughout the report.
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
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Community Characteristics Associated with Where Urgent Care Centers Are Located: A Cross-Sectional Analysis
Examines the qualities and characteristics of a community with a non-hospital-based urgent care center, regardless of location. Table 1 lists a comparison of communities with and without non-hospital-based urgent care centers.
Author(s): Sidney T Le, Renee Y Hsia
Citation: BMJ Open, 6(4)
Date: 04/2016
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Examines the qualities and characteristics of a community with a non-hospital-based urgent care center, regardless of location. Table 1 lists a comparison of communities with and without non-hospital-based urgent care centers.
Author(s): Sidney T Le, Renee Y Hsia
Citation: BMJ Open, 6(4)
Date: 04/2016
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National Advisory Committee on Rural Health and Human Services Meeting Minutes, Beaufort, South Carolina, April 18-20, 2016
Provides a summary of the 79th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Beaufort, South Carolina. The meeting focused on two main topics: alternative models to preserving access to emergency care in rural areas in the face of hospital closures and the abuse of prescription painkillers and opioids.
Date: 04/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides a summary of the 79th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Beaufort, South Carolina. The meeting focused on two main topics: alternative models to preserving access to emergency care in rural areas in the face of hospital closures and the abuse of prescription painkillers and opioids.
Date: 04/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Emergency Department Visits for Children and Young Adults With Diabetes, 2012
Reports on diabetes-related emergency department visits, which may be related to undetected or poorly controlled diabetes, among children and young adults aged 0-29 years. Includes data by location of patient residence, for urban and rural locations.
Author(s): Aitalohi Amaize, Kamila B. Mistry
Date: 04/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on diabetes-related emergency department visits, which may be related to undetected or poorly controlled diabetes, among children and young adults aged 0-29 years. Includes data by location of patient residence, for urban and rural locations.
Author(s): Aitalohi Amaize, Kamila B. Mistry
Date: 04/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Evaluation of Hospital-Setting HCIA Awards: Second Annual Report, Final
Second annual evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Includes findings across all projects, as well as profiles of each project. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Second annual evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Includes findings across all projects, as well as profiles of each project. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Reasons for Emergency Room Use Among U.S. Adults Aged 18-64: National Health Interview Survey, 2013 and 2014
Examines emergency room (ER) use among adults for 2013 and 2014. Includes data on the number of visits and reason for most recent ER visit, with information available by area of residence for metropolitan and nonmetropolitan areas. Reasons for ER visits included seriousness of the medical problem, doctor's office or clinic not open, and lack of access to other providers.
Author(s): Renee M. Gindi, Lindsey I. Black, Robin A. Cohen
Date: 02/2016
Sponsoring organization: National Center for Health Statistics
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Examines emergency room (ER) use among adults for 2013 and 2014. Includes data on the number of visits and reason for most recent ER visit, with information available by area of residence for metropolitan and nonmetropolitan areas. Reasons for ER visits included seriousness of the medical problem, doctor's office or clinic not open, and lack of access to other providers.
Author(s): Renee M. Gindi, Lindsey I. Black, Robin A. Cohen
Date: 02/2016
Sponsoring organization: National Center for Health Statistics
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Secondary Overtriage in a Statewide Rural Trauma System
Analyzes secondary overtriage in West Virginia hospitals to determine the efficiency of a statewide rural trauma system. Table 1 details non-transfer and transfer patient characteristics and table 5 details factors linked with secondary overtriage.
Author(s): Jorge Con, Dustin Long, Emily Sasala, et al.
Citation: Journal of Surgical Research, 198(2), 462-467
Date: 10/2015
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Analyzes secondary overtriage in West Virginia hospitals to determine the efficiency of a statewide rural trauma system. Table 1 details non-transfer and transfer patient characteristics and table 5 details factors linked with secondary overtriage.
Author(s): Jorge Con, Dustin Long, Emily Sasala, et al.
Citation: Journal of Surgical Research, 198(2), 462-467
Date: 10/2015
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