Rural Health
Resources by Topic: Surgery
Association Between a Network-Based Physician Linchpin Score and Cancer Patient Mortality: A Seer-Medicare Analysis
Presents a study on patient-sharing networks among multidisciplinary teams treating cancer patients and, specifically, the oncologists hold these networks together as "linchpins". Discusses these linchpin oncologists and evaluates the effect they have on cancer outcomes. Explores the affect this has on patients with a number of variables, including living in a rural area.
Author(s): Erika L Moen, Rachel O Schmidt, Tracy Onega, et al.
Citation: Journal of the National Cancer Institute, 116(2), 230-238
Date: 02/2024
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Presents a study on patient-sharing networks among multidisciplinary teams treating cancer patients and, specifically, the oncologists hold these networks together as "linchpins". Discusses these linchpin oncologists and evaluates the effect they have on cancer outcomes. Explores the affect this has on patients with a number of variables, including living in a rural area.
Author(s): Erika L Moen, Rachel O Schmidt, Tracy Onega, et al.
Citation: Journal of the National Cancer Institute, 116(2), 230-238
Date: 02/2024
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Informing the Surgical Workforce Pathway: How Rural Community Characteristics Matter
Explores meanings associated with community characteristics by rural and urban surgeons, utilizing interview data from 22 rural and 15 urban general surgeons in the Midwest. Identifies rural-urban differences in approach to physical environment, health resources, and professional/personal community roles. Discusses implications for surgeons' practice location choices and surgical workforce education and recruitment.
Author(s): Dorothy Hughes, Joshua Mammen, Tomas L Griebling, Joanna Veazey Brooks
Citation: Remote and Rural Health, 24(1), 8363
Date: 01/2024
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Explores meanings associated with community characteristics by rural and urban surgeons, utilizing interview data from 22 rural and 15 urban general surgeons in the Midwest. Identifies rural-urban differences in approach to physical environment, health resources, and professional/personal community roles. Discusses implications for surgeons' practice location choices and surgical workforce education and recruitment.
Author(s): Dorothy Hughes, Joshua Mammen, Tomas L Griebling, Joanna Veazey Brooks
Citation: Remote and Rural Health, 24(1), 8363
Date: 01/2024
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September 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare Advantage benefits and coding, the Acute Care Hospital at Home program, and the shift of some surgical procedures from hospital outpatient departments to ambulatory surgical centers (ASCs). Includes rural references and considerations throughout.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare Advantage benefits and coding, the Acute Care Hospital at Home program, and the shift of some surgical procedures from hospital outpatient departments to ambulatory surgical centers (ASCs). Includes rural references and considerations throughout.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Texas Surgical Assistants, 2022: Trends, Distribution, and Demographics
Fact sheet describing growth trends and population-to-provider data by county and geographic designation of surgical assistants in Texas. Features statistics with breakdowns by metropolitan and nonmetropolitan areas.
Date: 05/2023
Sponsoring organization: Texas Health and Human Services
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Fact sheet describing growth trends and population-to-provider data by county and geographic designation of surgical assistants in Texas. Features statistics with breakdowns by metropolitan and nonmetropolitan areas.
Date: 05/2023
Sponsoring organization: Texas Health and Human Services
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Promoting Disposal of Left-Over Opioids After Surgery in Rural Communities: A Qualitative Description Study
Evaluates factors influencing opioid disposal after surgery among 30 patients in rural communities in Arizona, Idaho, Montana, Nevada, Oregon, Utah, and Wyoming. Identifies barriers and facilitators of opioid disposal, including awareness and engagement, perceived risks of keeping left-over opioids, convenience of disposal, and motivators of intentional nondisposal.
Author(s): Lyen C. Huang, Jordan E. Johnson, Josh Bleicher, et al.
Citation: Health Education & Behavior, 50(2), 281-289
Date: 04/2023
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Evaluates factors influencing opioid disposal after surgery among 30 patients in rural communities in Arizona, Idaho, Montana, Nevada, Oregon, Utah, and Wyoming. Identifies barriers and facilitators of opioid disposal, including awareness and engagement, perceived risks of keeping left-over opioids, convenience of disposal, and motivators of intentional nondisposal.
Author(s): Lyen C. Huang, Jordan E. Johnson, Josh Bleicher, et al.
Citation: Health Education & Behavior, 50(2), 281-289
Date: 04/2023
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Effect of Rurality and Travel Distance on Contralateral Prophylactic Mastectomy for Unilateral Breast Cancer
Analyzes the relationship between travel time and rurality for breast cancer patients seeking contralateral prophylactic mastectomy (CPM). Utilizes 2007-2017 National Cancer Database data to examine demographic factors, patient rurality, surgery characteristics, and more.
Author(s): Madison M. Wahlen, Ingrid M. Lizarraga, Amanda R. Kahl, et al.
Citation: Cancer Causes & Control, 34, 171-186
Date: 04/2023
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Analyzes the relationship between travel time and rurality for breast cancer patients seeking contralateral prophylactic mastectomy (CPM). Utilizes 2007-2017 National Cancer Database data to examine demographic factors, patient rurality, surgery characteristics, and more.
Author(s): Madison M. Wahlen, Ingrid M. Lizarraga, Amanda R. Kahl, et al.
Citation: Cancer Causes & Control, 34, 171-186
Date: 04/2023
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Rewards and Frustrations of Rural Surgery Practice
Discusses challenges in rural surgery practice, such as demographic trends, workforce shortages, issues with surgical training, rural hospital closures, and economic pressures. Includes a link to video featuring Michael Sarap and Alisha D. Reiss, of the American College of Surgeons.
Author(s): Michael Sarap, Alisha D. Reiss
Date: 04/2023
Sponsoring organization: American College of Surgeons
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Discusses challenges in rural surgery practice, such as demographic trends, workforce shortages, issues with surgical training, rural hospital closures, and economic pressures. Includes a link to video featuring Michael Sarap and Alisha D. Reiss, of the American College of Surgeons.
Author(s): Michael Sarap, Alisha D. Reiss
Date: 04/2023
Sponsoring organization: American College of Surgeons
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Use of Telemedicine among Office-Based Physicians, 2021
Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Rural Communities in the United States Face Persistent Disparities in Access to Orthopaedic Surgical Care
Examines trends in the proportion of orthopedic surgeons practicing in rural areas between 2013 to 2018 using data from the Centers for Medicare & Medicaid Services (CMS) Physician Compare National Downloadable File (PC-NDF). Identifies the proportion of rural U.S. counties with access to orthopedic surgeons. Describes the characteristics associated with surgeons practicing in a rural setting.
Author(s): Victoria S. Wu, Jenna E. Schmidt, Tarun K. Jella, et al.
Citation: The Iowa Orthopaedic Journal, 431(1), 15-21
Date: 2023
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Examines trends in the proportion of orthopedic surgeons practicing in rural areas between 2013 to 2018 using data from the Centers for Medicare & Medicaid Services (CMS) Physician Compare National Downloadable File (PC-NDF). Identifies the proportion of rural U.S. counties with access to orthopedic surgeons. Describes the characteristics associated with surgeons practicing in a rural setting.
Author(s): Victoria S. Wu, Jenna E. Schmidt, Tarun K. Jella, et al.
Citation: The Iowa Orthopaedic Journal, 431(1), 15-21
Date: 2023
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