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Rural Health
Resources by Topic: Emergency department and urgent care services

Use of the Emergency Department for Mental Health and Substance Abuse among Women
Fact sheet identifying trends among rural and urban women who utilize the emergency department (ED) for treatment of substance abuse (SA) and/or mental health (MH) issues. Research seeks to help communities understand who is using the ED for MH and SA so they can provide more effective, less costly care.
Author(s): Shawnda Schroeder, Mandi-Leigh Peterson, Jordan Jaeger
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Rural and Urban Utilization of the Emergency Department for Mental Health and Substance Abuse
Details a report on the use of emergency services in treating mental health and substance abuse (MH/SA) in both rural and urban settings. Discusses healthcare needs of MH/SA patients, as well as the increasing demands on emergency departments. Breaks down data by urban, large rural, small rural, and isolated rural emergency departments, as well as by age and primary payer of patients.
Author(s): Shawnda Schroeder, Mandi Leigh-Peterson
Date: 06/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2017
Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Thirty Miles at Sea — Providing Consistent Care in an Inconsistent Environment
Discusses the challenges of providing emergency department care on the island of Nantucket, Massachusetts, where the population fluctuates widely from the off-season to the summer. Describes how Nantucket Cottage Hospital transitioned from an ad hoc system of rotating physicians, to using a professional staffing group, as a way to ensure adequate coverage and focus on providing quality care rather than scheduling.
Author(s): Margot Hartmann, Jason Graziadei
Citation: New England Journal of Medicine, 376(14), 1306-1307
Date: 04/2017
Type: Document
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Health Insurance Coverage, Health Care Utilization, and Health Outcomes within the Context of Marcellus Shale Development
A discussion of the public health impacts of the Marcellus Shale natural gas well development in four Pennsylvania counties. Includes comparisons of health insurance coverage rates and availability; the burden of increased utilization of healthcare facilities and services; and health outcomes as they relate to the environmental effects of natural gas extraction.
Date: 03/2017
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Disparities in Access to Trauma Care in the United States: A Population-Based Analysis
Describes the geographic, demographic, and socioeconomic disparities in access to trauma care in the U.S., including a rural and urban analysis of disparities. Covers data detailing demographic characteristics stratified by trauma center access by income, poverty, insurance status, education, race/ethnicity, rurality, and more.
Author(s): Brendan Carr, Ariel Bowman, Catherine Wolff, et al.
Citation: Injury, 48(2), 332-338
Date: 02/2017
Type: Document
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Early Death After Discharge From Emergency Departments: Analysis of National US Insurance Claims Data
Report regarding the incidence of early death after release from emergency departments in the United States and what risk factors may contribute to those deaths. Compares urban and rural hospital location, with data for Critical Access Hospitals (CAHs) and rural non-CAHs. Includes data for rural and urban populations as well as poverty level, previous healthcare use, and other demographics.
Author(s): Ziad Obermeyer, Brent Cohn, Michael Wilson, Anupam B Jena, David M Cutler
Citation: BMJ, 356(j239)
Date: 02/2017
Type: Document
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Alaska Facts and Figures: Drug Overdose-Related Emergency Department Visits and Hospitalizations, 2015
Describes the number and rate of drug overdose-related emergency department visits and hospitalizations for Alaskan residents in 2015 by gender, race, age group, and public health region.
Date: 01/2017
Type: Document
Sponsoring organization: Alaska Division of Public Health
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Impact of a Community Dental Access Program on Emergency Dental Admissions in Rural Maryland
Describes the expansion of a rural Maryland community dental access program (CDP) that serves uninsured and underinsured low-income residents following a funding increase from the Health Resources and Services Administration's Federal Office of Rural Health Policy in 2012. Tracks claims data between 2011–2015, comparing CDP claim rates to Medicaid-funded visits to local emergency departments for non-traumatic dental needs, estimating cost savings from the expanded CDP.
Author(s): Sandi Rowland, Jonathan P. Leider, Clare Davidson, Joanne Brady, Alana Knudson
Citation: American Journal of Public Health, 106(12), 2165-2170
Date: 12/2016
Type: Document
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National Hospital Ambulatory Medical Care Survey: 2013 Emergency Department Summary Tables
Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 14 has metro/non-metro injury visit data.
Date: 12/2016
Type: Document
Sponsoring organization: National Center for Health Statistics
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