Rural Health
Resources by Topic: Emergency department and urgent care services
Accountable Health Communities (AHC) Model Evaluation: Second Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Addressing the Oral Health Needs of Hispanics in the U.S. – An Exploration of Oral Health Status, Dental Needs, Utilization of Dental Services, and Workforce
Report highlights the factors affecting the oral health of Hispanic and Latino populations in the U.S. Explores access, healthcare utilization, and workforce issues, among others. Discusses the use of emergency departments for oral health issues in rural areas, as well as access issues faced by migrants.
Date: 04/2023
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Report highlights the factors affecting the oral health of Hispanic and Latino populations in the U.S. Explores access, healthcare utilization, and workforce issues, among others. Discusses the use of emergency departments for oral health issues in rural areas, as well as access issues faced by migrants.
Date: 04/2023
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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FH Healthcare Indicators and FH Medical Price Index 2023: An Annual View of Place of Service Trends and Medical Pricing
White paper exploring changes in healthcare utilization, demographic and geographic factors, diagnoses, costs, and procedures. Features statistics including usage of retail clinics and telehealth from 2016-2021, and urgent care, ambulatory surgery centers, and emergency rooms from 2012-2021, with breakdowns by urban and rural locations.
Date: 03/2023
Type: Document
Sponsoring organization: FAIR Health
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White paper exploring changes in healthcare utilization, demographic and geographic factors, diagnoses, costs, and procedures. Features statistics including usage of retail clinics and telehealth from 2016-2021, and urgent care, ambulatory surgery centers, and emergency rooms from 2012-2021, with breakdowns by urban and rural locations.
Date: 03/2023
Type: Document
Sponsoring organization: FAIR Health
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Social Determinants of Health and Emergency Department Utilization in Alabama Children's Health Insurance Program
Examines the relationship between social determinants of health (SDOH) and emergency department (ED) use in Alabama children. Utilizes 2015-2017 data from ALL Kids, Alabama's Children's Health Insurance Program, to analyze ED use by race, socioeconomic status (SES), urbanicity, availability of pediatricians, immigrant-density factors, and more.
Author(s): Ye Liu, Pradeep Sharma, David J. Becker, et al.
Citation: The American Journal of Managed Care, 29(3)
Date: 03/2023
Type: Document
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Examines the relationship between social determinants of health (SDOH) and emergency department (ED) use in Alabama children. Utilizes 2015-2017 data from ALL Kids, Alabama's Children's Health Insurance Program, to analyze ED use by race, socioeconomic status (SES), urbanicity, availability of pediatricians, immigrant-density factors, and more.
Author(s): Ye Liu, Pradeep Sharma, David J. Becker, et al.
Citation: The American Journal of Managed Care, 29(3)
Date: 03/2023
Type: Document
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Access to Health Services Across Rural and Urban Minoritized Racial/Ethnic Group Areas
Summarizes results from a series of reports documenting disparities in access to health services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Presents data on the distance to care from the population center of rural and urban ZCTAs to the nearest provider. Covers first line, higher acuity, and home-based services.
Date: 03/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Summarizes results from a series of reports documenting disparities in access to health services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Presents data on the distance to care from the population center of rural and urban ZCTAs to the nearest provider. Covers first line, higher acuity, and home-based services.
Date: 03/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Emergency Department Visits Related to Mental Health Disorders Among Adults, by Race and Hispanic Ethnicity: United States, 2018–2020
Report explores the rates of mental health-related visits to emergency departments (EDs) by race and Hispanic ethnicity. Breaks down data by race, mental health disorder, and urbanization level, among other measures.
Author(s): Zachary J. Peters, Loredana Santo, Danielle Davis, Carol J. DeFrances
Date: 03/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Report explores the rates of mental health-related visits to emergency departments (EDs) by race and Hispanic ethnicity. Breaks down data by race, mental health disorder, and urbanization level, among other measures.
Author(s): Zachary J. Peters, Loredana Santo, Danielle Davis, Carol J. DeFrances
Date: 03/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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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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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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