Rural Health
Resources by Topic: Surgery
The Distribution of the General Surgery Workforce in Rural and Urban America in 2019
Explores regional, rural-urban, and intra-rural differences in the supply of general surgeons, using 2019 data. Compares the 2019 findings to results of a similar analysis using 2001 data. Intended to give policymakers, workforce analysts, and medical educators an up-to-date picture of current and long-term trends in supply and distribution of the rural and urban general surgeon workforce. Features statistics with breakdowns by urban, rural, large rural, and small rural locations.
Author(s): Eric H. Larson, C. Holly A. Andrilla, John Kearney, Lisa A. Garberson, Davis G. Patterson
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Explores regional, rural-urban, and intra-rural differences in the supply of general surgeons, using 2019 data. Compares the 2019 findings to results of a similar analysis using 2001 data. Intended to give policymakers, workforce analysts, and medical educators an up-to-date picture of current and long-term trends in supply and distribution of the rural and urban general surgeon workforce. Features statistics with breakdowns by urban, rural, large rural, and small rural locations.
Author(s): Eric H. Larson, C. Holly A. Andrilla, John Kearney, Lisa A. Garberson, Davis G. Patterson
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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The Essential Role of Family Physicians in Providing Cesarean Sections in Rural Communities
Policy brief describing percentages of family physicians (FPs) providing obstetric services and cesarean deliveries as the primary surgeon, using data from the 2017 and 2018 American Board of Family Medicine's Family Medicine Certification Examination registration questionnaire for FPs seeking to continue their certification. Features statistics with breakdowns by urban, micropolitan, large rural, and small rural locations.
Author(s): Sebastian T. Tong, Aimee R. Eden, Zachary J. Morgan, Andrew W. Bazemore, Lars E. Peterson
Citation: Journal of the American Board of Family Medicine, 34(1), 10-11
Date: 01/2021
Type: Document
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Policy brief describing percentages of family physicians (FPs) providing obstetric services and cesarean deliveries as the primary surgeon, using data from the 2017 and 2018 American Board of Family Medicine's Family Medicine Certification Examination registration questionnaire for FPs seeking to continue their certification. Features statistics with breakdowns by urban, micropolitan, large rural, and small rural locations.
Author(s): Sebastian T. Tong, Aimee R. Eden, Zachary J. Morgan, Andrew W. Bazemore, Lars E. Peterson
Citation: Journal of the American Board of Family Medicine, 34(1), 10-11
Date: 01/2021
Type: Document
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Rural Disparities in Surgical Care from Gynecologic Oncologists Among Midwestern Ovarian Cancer Patients
Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
Type: Document
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Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
Type: Document
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Nursing Preparedness: Words from Researchers and Rural Nurses
Focuses on job preparedness for rural nurses. Features three rural registered nurses and a nursing doctoral candidate sharing their experiences and insights about rural nursing preparedness.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Focuses on job preparedness for rural nurses. Features three rural registered nurses and a nursing doctoral candidate sharing their experiences and insights about rural nursing preparedness.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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High-Volume Invasive, Therapeutic Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2016
Examines the 20 most common major ambulatory surgeries performed in hospital-owned facilities. Provides data by select patient and hospital characteristics, including urban-rural hospital location.
Author(s): Zeynal Karaca, Kimberly W. McDermott
Date: 09/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the 20 most common major ambulatory surgeries performed in hospital-owned facilities. Provides data by select patient and hospital characteristics, including urban-rural hospital location.
Author(s): Zeynal Karaca, Kimberly W. McDermott
Date: 09/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Hospitals Face Financial Challenges Due to COVID-19
Describes the financial impact of COVID-19 on Kittitas Valley Healthcare in Ellensburg, Washington. Discusses the decline in emergency department and non-emergency surgery volume and changes to labor costs as a percentage of net revenue.
Date: 07/2020
Type: Document
Sponsoring organization: American Hospital Association
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Describes the financial impact of COVID-19 on Kittitas Valley Healthcare in Ellensburg, Washington. Discusses the decline in emergency department and non-emergency surgery volume and changes to labor costs as a percentage of net revenue.
Date: 07/2020
Type: Document
Sponsoring organization: American Hospital Association
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Expect Delays: Poor Connections Between Rural and Urban Health Systems Challenge Multidisciplinary Care for Rural Americans with Diabetic Foot Ulcers
Investigates communication barriers between rural and urban health systems to identify factors that may be contributing to higher risk of major amputation among rural patients with diabetic foot ulcers (DFUs) compared to urban patients with DFUs. Barriers for rural providers include time-consuming referrals; poor interactions with urban providers; and data sharing issues due to multiple, disconnected electronic health records.
Author(s): Bryn L. Sutherland, Kristen Pecanac, Christie M. Bartels, Meghan B. Brennan
Citation: Journal of Foot and Ankle Research, 13(1), 32
Date: 06/2020
Type: Document
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Investigates communication barriers between rural and urban health systems to identify factors that may be contributing to higher risk of major amputation among rural patients with diabetic foot ulcers (DFUs) compared to urban patients with DFUs. Barriers for rural providers include time-consuming referrals; poor interactions with urban providers; and data sharing issues due to multiple, disconnected electronic health records.
Author(s): Bryn L. Sutherland, Kristen Pecanac, Christie M. Bartels, Meghan B. Brennan
Citation: Journal of Foot and Ankle Research, 13(1), 32
Date: 06/2020
Type: Document
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Safety in Numbers: Hospital Performance on Leapfrog's Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey
Compares hospital and surgeon volume for 8 high-risk procedures to Leapfrog's minimum volume standards. Identifies the percent of rural hospitals that meet Leapfrog's volume standard for each procedure, as well as the percent of rural hospitals that do not electively perform these procedures.
Date: 02/2020
Type: Document
Sponsoring organization: Leapfrog Group
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Compares hospital and surgeon volume for 8 high-risk procedures to Leapfrog's minimum volume standards. Identifies the percent of rural hospitals that meet Leapfrog's volume standard for each procedure, as well as the percent of rural hospitals that do not electively perform these procedures.
Date: 02/2020
Type: Document
Sponsoring organization: Leapfrog Group
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Buyback Program of Unused Prescription Opioids in US Rural Communities, 2017–2018
Describes a buyback intervention that was designed to encourage rural, ambulatory surgery patients to return unused prescription opioids to a U.S. Department of Veterans Affairs (VA) hospital. Provides data on patient characteristics as well as percent of opioids prescribed and returned during 2017 and 2018. Includes implications for public health.
Author(s): Jean Liu, Julie Franklin, Frank Gesek, Joseph Anderson
Citation: American Journal of Public Health, 110(9), 1318-1324
Date: 2020
Type: Document
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Describes a buyback intervention that was designed to encourage rural, ambulatory surgery patients to return unused prescription opioids to a U.S. Department of Veterans Affairs (VA) hospital. Provides data on patient characteristics as well as percent of opioids prescribed and returned during 2017 and 2018. Includes implications for public health.
Author(s): Jean Liu, Julie Franklin, Frank Gesek, Joseph Anderson
Citation: American Journal of Public Health, 110(9), 1318-1324
Date: 2020
Type: Document
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Hospitalizations for Inflammatory Bowel Disease Among Medicare Fee-for-Service Beneficiaries — United States, 1999–2017
Reports on hospitalization for Crohn's disease and ulcerative colitis among Medicare fee-for-service beneficiaries, with data by location of patient residence for urban and rural areas. Includes information on hospitalization rates, surgery rates, readmission rates, mortality, and length of stay.
Author(s): Fang Xu, Anne G. Wheaton, Yong Liu, Hua Lu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(49), 1134-1138
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on hospitalization for Crohn's disease and ulcerative colitis among Medicare fee-for-service beneficiaries, with data by location of patient residence for urban and rural areas. Includes information on hospitalization rates, surgery rates, readmission rates, mortality, and length of stay.
Author(s): Fang Xu, Anne G. Wheaton, Yong Liu, Hua Lu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(49), 1134-1138
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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