Rural Health
Resources by Topic: Emergency department and urgent care services
COVID-19 Hospital Encounters by Urban-Rural Location of the Hospital by Week From Selected Hospitals
Line chart showing hospitals' percentage of confirmed COVID-19 encounters among all emergency department or inpatient encounters. Includes data from March 2020 through July 2022 for large central and fringe metro areas, medium and small metro areas, and rural areas.
Date: 11/2022
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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Line chart showing hospitals' percentage of confirmed COVID-19 encounters among all emergency department or inpatient encounters. Includes data from March 2020 through July 2022 for large central and fringe metro areas, medium and small metro areas, and rural areas.
Date: 11/2022
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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Small Rural Hospitals with Low-Volume Emergency Departments that May Convert to a Rural Emergency Hospital (REH)
Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Changes in Emergency Department Visits in the Initial Period of the COVID-19 Pandemic (April–December 2020), 29 States
Presents data from 29 states on the difference between the number of emergency department (ED) visits and ED admission rates between April and December 2020 and compares this data to the same time period in 2019. Includes data by patient characteristics, including urban-rural status and race/ethnicity.
Date: 10/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 29 states on the difference between the number of emergency department (ED) visits and ED admission rates between April and December 2020 and compares this data to the same time period in 2019. Includes data by patient characteristics, including urban-rural status and race/ethnicity.
Date: 10/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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'Filling the Cracks': How a Rural Maine Community Kept its 24/7 Urgent Care Open with Paramedics
Features a pilot program serving rural Maine where paramedics take shifts staffing the local health center after-hours and on weekends.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features a pilot program serving rural Maine where paramedics take shifts staffing the local health center after-hours and on weekends.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January, 2017 to May 2021. Breaks down data by demographic factors, such as race, gender, and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
Type: Document
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Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January, 2017 to May 2021. Breaks down data by demographic factors, such as race, gender, and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
Type: Document
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Availability of Hospital-Based Emergency Department and Trauma Services in Minoritized Racial/Ethnic Group Areas
Explores the availability of hospital-based emergency department and trauma services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest emergency department and trauma service by rurality in minoritized and non-minoritized ZCTA and the percent of ZCTAs more than 30 miles from emergency department and trauma services by Census region.
Author(s): Nabil Natafgi, Peiyin Hung, Whitney E. Zahnd, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Explores the availability of hospital-based emergency department and trauma services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest emergency department and trauma service by rurality in minoritized and non-minoritized ZCTA and the percent of ZCTAs more than 30 miles from emergency department and trauma services by Census region.
Author(s): Nabil Natafgi, Peiyin Hung, Whitney E. Zahnd, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Outcomes of Farm Compared to Nonfarm Pediatric Injuries: A Propensity-Matched Analysis
Compares the outcomes of pediatric injuries received in farm and non-farm locations. Looks at a number of factors, including length of hospital stay, admission to intensive care unit, and mortality. Breaks down data by sex, race, and pediatric trauma-level designation, among other measures.
Author(s): Michael C. Larkins, Ashish Khanchandani, Dmitry Tumin, et al.
Citation: Journal of Rural Health
Date: 09/2022
Type: Document
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Compares the outcomes of pediatric injuries received in farm and non-farm locations. Looks at a number of factors, including length of hospital stay, admission to intensive care unit, and mortality. Breaks down data by sex, race, and pediatric trauma-level designation, among other measures.
Author(s): Michael C. Larkins, Ashish Khanchandani, Dmitry Tumin, et al.
Citation: Journal of Rural Health
Date: 09/2022
Type: Document
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National Hospital Ambulatory Medical Care Survey: 2019 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location. Table 2 includes metro/nonmetro ED visit data by location of patient residence. Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 08/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location. Table 2 includes metro/nonmetro ED visit data by location of patient residence. Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 08/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Identifying Unique Barriers to Implementing Rural Emergency Department-Based Peer Services for Opioid Use Disorder Through Qualitative Comparison with Urban Sites
Study examining the implementation of emergency department-based interventions for opioid use disorder (OUD) in rural and urban areas based on interviews with programs in Indiana's Recovery Coach and Peer Support Initiative (RCPSI). Describes barriers to implementation for rural programs, including issues related to intervention characteristics, logistical challenges, and staffing issues.
Author(s): Dennis P. Watson, Monte D. Staton, Nicole Gastala
Citation: Addiction Science & Clinical Practice, 17, 41
Date: 07/2022
Type: Document
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Study examining the implementation of emergency department-based interventions for opioid use disorder (OUD) in rural and urban areas based on interviews with programs in Indiana's Recovery Coach and Peer Support Initiative (RCPSI). Describes barriers to implementation for rural programs, including issues related to intervention characteristics, logistical challenges, and staffing issues.
Author(s): Dennis P. Watson, Monte D. Staton, Nicole Gastala
Citation: Addiction Science & Clinical Practice, 17, 41
Date: 07/2022
Type: Document
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Rural Health Disparities in Health Care Utilization for Dementia in Minnesota
Examines emergency department (ED) and inpatient hospitalization rates for older adults with dementia in rural and urban areas of Minnesota. Utilizes 2016-2018 Centers for Disease Control and Prevention disease-specific mortality data to compare to chronologically related H-CUP's State Inpatient Database (SID) and State Emergency Department Database (SEDD) hospital and ED visit data. Includes rural versus urban breakdowns of hospitalizations and ED visits by demographics such as age, sex, income, education, minority status, health behaviors, and access to healthcare providers.
Author(s): Sung Han Rhew, Kristen Jacklin, Patrick Bright, et al.
Citation: Journal of Rural Health
Date: 07/2022
Type: Document
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Examines emergency department (ED) and inpatient hospitalization rates for older adults with dementia in rural and urban areas of Minnesota. Utilizes 2016-2018 Centers for Disease Control and Prevention disease-specific mortality data to compare to chronologically related H-CUP's State Inpatient Database (SID) and State Emergency Department Database (SEDD) hospital and ED visit data. Includes rural versus urban breakdowns of hospitalizations and ED visits by demographics such as age, sex, income, education, minority status, health behaviors, and access to healthcare providers.
Author(s): Sung Han Rhew, Kristen Jacklin, Patrick Bright, et al.
Citation: Journal of Rural Health
Date: 07/2022
Type: Document
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