Rural Health
Resources by Topic: Surgery
Running the Numbers: The Maldistribution of Health Care Providers in Rural and Underserved Areas in North Carolina
Discusses the maldistribution of health care professionals related to population needs in rural North Carolina. Highlights physician workforce shortages in primary care, general surgery, psychiatry, licensed nurse practitioners, and physician assistants.
Author(s): Julie C. Spero, Erin P. Fraher
Citation: North Carolina Medical Journal, 75(1), 74-79
Date: 01/2014
Type: Document
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Discusses the maldistribution of health care professionals related to population needs in rural North Carolina. Highlights physician workforce shortages in primary care, general surgery, psychiatry, licensed nurse practitioners, and physician assistants.
Author(s): Julie C. Spero, Erin P. Fraher
Citation: North Carolina Medical Journal, 75(1), 74-79
Date: 01/2014
Type: Document
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Association Between Dedicated Rural Training Year and the Likelihood of Becoming a General Surgeon in a Small Town
Presents the results of a one-year study to determine if fourth-year residents training in a rural hospital setting would be more likely to practice general surgery over specialized surgery after residency was completed, and if they are more likely to practice in rural areas. The records of 70 surgical residents were divided into two groups: one group completed the rural residency program and the other group did not. Comparisons of the demographic characteristics of the two groups are discussed.
Author(s): Karen Deveney, Mark Deatherage, David Oehling
Citation: JAMA Surgery, 148(9), 817-821
Date: 09/2013
Type: Document
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Presents the results of a one-year study to determine if fourth-year residents training in a rural hospital setting would be more likely to practice general surgery over specialized surgery after residency was completed, and if they are more likely to practice in rural areas. The records of 70 surgical residents were divided into two groups: one group completed the rural residency program and the other group did not. Comparisons of the demographic characteristics of the two groups are discussed.
Author(s): Karen Deveney, Mark Deatherage, David Oehling
Citation: JAMA Surgery, 148(9), 817-821
Date: 09/2013
Type: Document
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The Future of Rural Health
Describes the state of the rural healthcare system and the opportunities for improvement with the passage of the Affordable Care Act. Discusses core concepts of providing primary care, basic mental health and oral health services, surgery and obstetric, pharmacy, eye and audiology services, public health, new models of care, workforce issues, and more.
Author(s): Charlie Alfero, Tommy Barnhart, Darrold Bertsch, et al.
Date: 02/2013
Type: Document
Sponsoring organization: National Rural Health Association
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Describes the state of the rural healthcare system and the opportunities for improvement with the passage of the Affordable Care Act. Discusses core concepts of providing primary care, basic mental health and oral health services, surgery and obstetric, pharmacy, eye and audiology services, public health, new models of care, workforce issues, and more.
Author(s): Charlie Alfero, Tommy Barnhart, Darrold Bertsch, et al.
Date: 02/2013
Type: Document
Sponsoring organization: National Rural Health Association
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Evidence-Based Surgical Care Quality Improvement Programs and Strategies for Critical Access Hospitals
Focuses on evidence-based surgical care QI programs and strategies applicable to inpatient and outpatient surgeries in CAHs. One in a series of policy briefs identifying and assessing evidence-based patient safety and quality improvement interventions for use by state Flex Programs and Critical Access Hospitals (CAHs).
Author(s): Jill Klingner, Michelle Casey, Shailendra Prasad, Walter Gregg, Ira Moscovice
Date: 08/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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Focuses on evidence-based surgical care QI programs and strategies applicable to inpatient and outpatient surgeries in CAHs. One in a series of policy briefs identifying and assessing evidence-based patient safety and quality improvement interventions for use by state Flex Programs and Critical Access Hospitals (CAHs).
Author(s): Jill Klingner, Michelle Casey, Shailendra Prasad, Walter Gregg, Ira Moscovice
Date: 08/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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Trends in the Provision of Surgery by Rural Hospitals
Examines changes in the number of rural hospitals that provided surgery between 2001 and 2008. Shows results based on hospital location and Medicare payment classification.
Author(s): George M. Holmes, Saleema A. Karim, George H. Pink
Date: 07/2011
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines changes in the number of rural hospitals that provided surgery between 2001 and 2008. Shows results based on hospital location and Medicare payment classification.
Author(s): George M. Holmes, Saleema A. Karim, George H. Pink
Date: 07/2011
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Impact of Freestanding Ambulatory Surgery Centers on Rural Community Hospital Performance, 1997–2006
Describes the impact of ambulatory surgery centers (ASCs) on rural hospital markets. Includes a comparison of urban and rural freestanding ASC services.
Additional links: Policy Brief
Author(s): Walter Gregg, Douglas Wholey, Ira Moscovice
Date: 10/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Describes the impact of ambulatory surgery centers (ASCs) on rural hospital markets. Includes a comparison of urban and rural freestanding ASC services.
Additional links: Policy Brief
Author(s): Walter Gregg, Douglas Wholey, Ira Moscovice
Date: 10/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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The Crisis in Rural General Surgery
Describes issues rural general surgeons face and why maintaining their supply is important in meeting the needs of the aging rural population.
Date: 04/2009
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Describes issues rural general surgeons face and why maintaining their supply is important in meeting the needs of the aging rural population.
Date: 04/2009
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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A Longitudinal Analysis of the General Surgery Workforce in the United States, 1981-2005
Examines the supply of general surgeons per capita from 1981-2005. Includes information by rural/urban location, age, and gender.
Author(s): Dana Christian Lynge, Eric H. Larson, Matthew J. Thompson
Citation: Archives of Surgery, 143(4), 345-350
Date: 04/2008
Type: Document
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Examines the supply of general surgeons per capita from 1981-2005. Includes information by rural/urban location, age, and gender.
Author(s): Dana Christian Lynge, Eric H. Larson, Matthew J. Thompson
Citation: Archives of Surgery, 143(4), 345-350
Date: 04/2008
Type: Document
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Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey
Examines how Critical Access Hospital (CAH) services have changed over time, based on 2000, 2002, and 2004 survey data. Discusses the role of network affiliations in service changes and reasons for reported service expansions.
Author(s): David Hartley, Stephenie Loux
Date: 03/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines how Critical Access Hospital (CAH) services have changed over time, based on 2000, 2002, and 2004 survey data. Discusses the role of network affiliations in service changes and reasons for reported service expansions.
Author(s): David Hartley, Stephenie Loux
Date: 03/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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Financial Incentives for Rural Hospitals to Expand the Scope of Their Services
Examines the financial incentives that rural hospitals have to conduct surgery and treat more complex medical conditions. Evaluates whether rural hospitals that offer broader services are more profitable than hospitals with very limited inpatient services. A low-volume adjustment considered by the Medicare Payment Advisory Commissions (MedPAC) is discussed.
Author(s): Jeffrey Stensland, Michelle Brasure, Ira Moscovice, Tiffany Radcliff
Date: 06/2002
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines the financial incentives that rural hospitals have to conduct surgery and treat more complex medical conditions. Evaluates whether rural hospitals that offer broader services are more profitable than hospitals with very limited inpatient services. A low-volume adjustment considered by the Medicare Payment Advisory Commissions (MedPAC) is discussed.
Author(s): Jeffrey Stensland, Michelle Brasure, Ira Moscovice, Tiffany Radcliff
Date: 06/2002
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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