Rural Health
Resources by Topic: Emergency department and urgent care services
Obstetric Readiness in Rural Communities Lacking Hospital Labor and Delivery Units
Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Evaluation of Post-Discharge Engagement for Emergency Department Patients with Opioid Use History Who Received Telehealth Recovery Coaching Services
Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
Type: Document
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Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
Type: Document
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Factors Contributing to Reductions in Patient Wait Times at Indian Health Service Emergency Department Facilities: A Mixed-Methods Assessment
Presents findings of a mixed-methods assessment of the change in emergency department wait times at Indian Health Service (IHS) facilities before and after the announcement of wait time standards in 2019. Describes challenges to providing timely access to emergency and primary care, strategies to overcome these challenges, and the impact of the COVID-19 pandemic on wait times.
Date: 02/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents findings of a mixed-methods assessment of the change in emergency department wait times at Indian Health Service (IHS) facilities before and after the announcement of wait time standards in 2019. Describes challenges to providing timely access to emergency and primary care, strategies to overcome these challenges, and the impact of the COVID-19 pandemic on wait times.
Date: 02/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analysis of Substance Use and Suicidal Ideation in Midwestern Frontier and Non-Frontier Locations
Evaluated emergency department data in South Dakota from 2017 to 2018 to identify ED usage by frontier and non-frontier residents for substance use disorder and suicidal ideation. Discusses usage by substance and the connection between substance use and suicidal ideation.
Author(s): Alexandra Dolezal, Marie Severson, Rusul Ali, Phil Dohn, Lisa McFadden
Citation: South Dakota Medicine, 76(1), 24-27
Date: 01/2023
Type: Document
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Evaluated emergency department data in South Dakota from 2017 to 2018 to identify ED usage by frontier and non-frontier residents for substance use disorder and suicidal ideation. Discusses usage by substance and the connection between substance use and suicidal ideation.
Author(s): Alexandra Dolezal, Marie Severson, Rusul Ali, Phil Dohn, Lisa McFadden
Citation: South Dakota Medicine, 76(1), 24-27
Date: 01/2023
Type: Document
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Higher Hospitalization and Mortality Rates Among SARS-CoV-2-Infected Persons in Rural America
Presents a study on hospitalizations for COVID-19 based on rurality. Breaks down data for rural, urban-adjacent rural, and urban by age, gender, comorbidities, and outcome, among other measures.
Author(s): Alfred Jerrod Anzalone MS, Ronald Horswell, Brian M. Hendricks, et al.
Citation: Journal of Rural Health, 39(1), 39-54
Date: 2023
Type: Document
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Presents a study on hospitalizations for COVID-19 based on rurality. Breaks down data for rural, urban-adjacent rural, and urban by age, gender, comorbidities, and outcome, among other measures.
Author(s): Alfred Jerrod Anzalone MS, Ronald Horswell, Brian M. Hendricks, et al.
Citation: Journal of Rural Health, 39(1), 39-54
Date: 2023
Type: Document
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Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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National Hospital Ambulatory Medical Care Survey: 2020 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: 12/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location.
Date: 12/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Racial and Ethnic Differences in Emergency Department Visits Related to Substance Use Disorders, 2019
Explores emergency department (ED) visits related to substance use disorders (SUD) using data from the 2019 Nationwide Emergency Department Sample (NEDS). Presents the number and percentage of SUD-related ED visits by race and ethnicity for selected patient characteristics, including sex, age group, rural/urban location, and the social vulnerability of the county in which the individual resides.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Explores emergency department (ED) visits related to substance use disorders (SUD) using data from the 2019 Nationwide Emergency Department Sample (NEDS). Presents the number and percentage of SUD-related ED visits by race and ethnicity for selected patient characteristics, including sex, age group, rural/urban location, and the social vulnerability of the county in which the individual resides.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Emergency Department Visits for Diagnoses Directly Indicating Heat Exposure: Variation Across Counties in the United States, 2016–2020
Provides statistics on emergency department (ED) visits from 2016 to 2020 due to heat exposure. Provides data by rural, micropolitan, small and medium metro, and large metro county and includes U.S. maps showing concentration areas of ED visits as well as state-by-state data of ED visits.
Author(s): PL Owens, ML Barrett, KW McDermott
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides statistics on emergency department (ED) visits from 2016 to 2020 due to heat exposure. Provides data by rural, micropolitan, small and medium metro, and large metro county and includes U.S. maps showing concentration areas of ED visits as well as state-by-state data of ED visits.
Author(s): PL Owens, ML Barrett, KW McDermott
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Patterns of Health Care Use among Rural-Urban Medicare Beneficiaries Age 85 and Older, 2010-2017
Policy brief examining how rural and urban Medicare beneficiaries age 85+ differ in terms of their socioeconomic and health characteristics that may inform healthcare use. Features statistics on trends in healthcare use, including inpatient and emergency department care, outpatient and prescription services, specialists and dentists, and home health and durable medical equipment, with breakdowns by urban and rural location.
Author(s): Yvonne Jonk, Heidi O'Connor, Amanda Burgess, Carly Milkowski
Date: 11/2022
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Policy brief examining how rural and urban Medicare beneficiaries age 85+ differ in terms of their socioeconomic and health characteristics that may inform healthcare use. Features statistics on trends in healthcare use, including inpatient and emergency department care, outpatient and prescription services, specialists and dentists, and home health and durable medical equipment, with breakdowns by urban and rural location.
Author(s): Yvonne Jonk, Heidi O'Connor, Amanda Burgess, Carly Milkowski
Date: 11/2022
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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