Rural Health
Resources by Topic: Surgery
Rural-Urban Differences in Breast Cancer Surgical Delays in Medicare Beneficiaries
Examines patients with early-stage breast cancer to evaluate biopsy-to-surgery delays by rurality of patient and surgery location. Analyzes 238,491 patients who underwent breast cancer surgery with demographic breakdowns by age, hospital type/location, race/ethnicity, area deprivation index, and patient and surgery location such as isolated small rural town, small rural town, large rural city/town, and urban.
Author(s): Ronnie J. Zipkin, Andrew Schaefer, Changzhen Wang, et al.
Citation: Annals of Surgical Oncology, 29(9), 5759-5769
Date: 05/2022
Type: Document
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Examines patients with early-stage breast cancer to evaluate biopsy-to-surgery delays by rurality of patient and surgery location. Analyzes 238,491 patients who underwent breast cancer surgery with demographic breakdowns by age, hospital type/location, race/ethnicity, area deprivation index, and patient and surgery location such as isolated small rural town, small rural town, large rural city/town, and urban.
Author(s): Ronnie J. Zipkin, Andrew Schaefer, Changzhen Wang, et al.
Citation: Annals of Surgical Oncology, 29(9), 5759-5769
Date: 05/2022
Type: Document
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Overcoming Disparities in Surgical Care among Native Americans
Discusses the disparity in access to oncologic surgical care for Native Americans. Details a pathway program at the Oregon Health & Science University aimed as increasing matriculation rates among Native Americans into medicals school.
Author(s): Thomas L. Sutton, Brett C. Sheppard
Citation: Bulletin of The American College of Surgeons
Date: 04/2022
Type: Document
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Discusses the disparity in access to oncologic surgical care for Native Americans. Details a pathway program at the Oregon Health & Science University aimed as increasing matriculation rates among Native Americans into medicals school.
Author(s): Thomas L. Sutton, Brett C. Sheppard
Citation: Bulletin of The American College of Surgeons
Date: 04/2022
Type: Document
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Predictors of Hospital Choice among Rural Patients Seeking Elective Surgery: A Scoping Review
Identifies literature describing determinants of hospital choice among rural patients seeking elective surgery and summarizes data and findings from these studies. Includes considerations for future research on rural hospital bypass.
Author(s): Yuqi Zhang, Tyler Malone, Sarah Cantrell, et al.
Date: 04/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Identifies literature describing determinants of hospital choice among rural patients seeking elective surgery and summarizes data and findings from these studies. Includes considerations for future research on rural hospital bypass.
Author(s): Yuqi Zhang, Tyler Malone, Sarah Cantrell, et al.
Date: 04/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Geospatial Analysis of Access to Emergency Cesarean Delivery for Military and Civilian Populations in the US
Results of a study of 29 military medical treatment facilities (MTFs) and 2,363 civilian hospitals, to identify opportunities for military-civilian partnership in obstetric care and to assess whether civilian use of MTFs could improve access to emergency cesarean delivery care, particularly for women in rural areas. Features a county-level map showing coverage of population within a 30-minute travel time to a facility providing emergency cesarean delivery care, and statistics on travel time coverage to civilian hospitals and MTFs providing emergency cesarean delivery care.
Author(s): Tarsicio Uribe-Leitz, Bridget Matsas, Michael K. Dalton, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
Type: Document
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Results of a study of 29 military medical treatment facilities (MTFs) and 2,363 civilian hospitals, to identify opportunities for military-civilian partnership in obstetric care and to assess whether civilian use of MTFs could improve access to emergency cesarean delivery care, particularly for women in rural areas. Features a county-level map showing coverage of population within a 30-minute travel time to a facility providing emergency cesarean delivery care, and statistics on travel time coverage to civilian hospitals and MTFs providing emergency cesarean delivery care.
Author(s): Tarsicio Uribe-Leitz, Bridget Matsas, Michael K. Dalton, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
Type: Document
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Overview of Major Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2019
Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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A Predictive Model of Hospital Choice for Rural Residents Seeking Surgery
Webinar discussing research on factors impacting rural patient choice for inpatient surgery. Discusses healthcare quality and patient outcomes in Critical Access Hospitals, the impact of patient bypass on rural facilities, and characteristics of hospitals, patients, and surgeries associated with bypass. Transcript available in the video description.
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: North Carolina Rural Health Research Program
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Webinar discussing research on factors impacting rural patient choice for inpatient surgery. Discusses healthcare quality and patient outcomes in Critical Access Hospitals, the impact of patient bypass on rural facilities, and characteristics of hospitals, patients, and surgeries associated with bypass. Transcript available in the video description.
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: North Carolina Rural Health Research Program
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Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018
Report offering statistics on operating room (OR) procedures during 2018 using National Inpatient Sample (NIS) data. Compares OR procedure rates to overall hospital stays, examines patient characteristics including rural and metro location, and ranks the top 20 OR procedures with breakdowns by gender, age, and costliness.
Author(s): Kimberly W. McDermott, Lan Liang
Date: 08/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Report offering statistics on operating room (OR) procedures during 2018 using National Inpatient Sample (NIS) data. Compares OR procedure rates to overall hospital stays, examines patient characteristics including rural and metro location, and ranks the top 20 OR procedures with breakdowns by gender, age, and costliness.
Author(s): Kimberly W. McDermott, Lan Liang
Date: 08/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Use of the Spatial Access Ratio to Measure Geospatial Access to Emergency General Surgery Services in California
Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the socio-demographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
Type: Document
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Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the socio-demographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
Type: Document
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Place and Population Matter in General Surgeon Location and Practice Structure
Examines ways in which population changes over time in different geographical regions of the United States have affected the availability of general surgeons and quality of care. Explores the implications of hospital mergers on the viability of rural hospitals.
Author(s): Thomas C. Ricketts
Citation: JAMA Network Open, 4(4)
Date: 04/2021
Type: Document
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Examines ways in which population changes over time in different geographical regions of the United States have affected the availability of general surgeons and quality of care. Explores the implications of hospital mergers on the viability of rural hospitals.
Author(s): Thomas C. Ricketts
Citation: JAMA Network Open, 4(4)
Date: 04/2021
Type: Document
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Predicting Hospital Choice for Rural Residents Seeking Elective Surgery
Webinar summarizing research on patient choice in elective surgery. Discusses the impact of patient choice on rural hospital financial viability, patient and hospital factors impacting choice, and opportunities for further research. Transcript available in the video description.
Date: 03/2021
Type: Video/Multimedia
Sponsoring organization: North Carolina Rural Health Research Program
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Webinar summarizing research on patient choice in elective surgery. Discusses the impact of patient choice on rural hospital financial viability, patient and hospital factors impacting choice, and opportunities for further research. Transcript available in the video description.
Date: 03/2021
Type: Video/Multimedia
Sponsoring organization: North Carolina Rural Health Research Program
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