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Rural Health
Resources by Topic: Surgery

Comprehensive Rural Population Health: Where is the General Surgeon?
Provides an overview of the role that general surgeons play, discusses the importance of surgical access, and describes efforts underway to attract students into the field and to train the rural surgical workforce.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Shortage of Rural Surgeons: How Bad Is It?
Features information on supply and demand in the rural surgery workforce, including reasons for current and expected shortages or maldistribution of surgeons. Explains the difficulties in interpreting available data, and offers ideas for accurately assessing surgical needs in rural areas.
Author(s): Mark W. Puls
Citation: Bulletin of the American College of Surgeons, 103(4), 52-55
Date: 04/2018
Type: Document
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Geographic Diffusion and Implementation of Acute Care Surgery: An Uneven Solution to the National Emergency General Surgery Crisis
Analyzes a survey on emergency general surgery care administered to 2,811 acute care hospitals in the U.S. in 2015. Examines the uptake of acute care surgery (ACS) by geography and further describes areas that are slow to implement ACS, which includes implications for rural communities. Includes county-level maps showing the distribution of hospitals with and without ACS and access to a hospital with ACS based on race and ethnicity and socioeconomic characteristics.
Author(s): Jasmine A. Khubchandani, Angela M. Ingraham, Vijaya T. Daniel, et al.
Citation: JAMA Surgery, 153(2), 150-159
Date: 02/2018
Type: Document
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Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2014
Examines the characteristics, costs, and volume of operating room (OR) procedures in the inpatient setting, presenting data from U.S. hospitals in 2014. Includes a breakdown of inpatient stays with and without OR procedures, based upon metro or nonmetro (rural) patient residence.
Author(s): Kimberly W. McDermott, William J. Freeman, Anne Elixhauser
Date: 12/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Breast Reconstruction Surgery for Mastectomy in Hospital Inpatient and Ambulatory Settings, 2009-2014
Examines reconstruction surgeries for mastectomy among adult women over a 5-year period, with data by patient and hospital characteristics. Includes rural/urban data by location of patient residence and by hospital location.
Author(s): Adela M. Miller, Claudia A. Steiner, Marguerite L. Barrett, Kathryn R. Fingar, Anne Elixhauser
Date: 10/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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RS3--The Montana Rural Surgery Support System--Is a Model for Surgical Care in Rural CAHs
Features a clinically integrated surgery network model, designed to help rural surgeons provide complex surgical care with limited resources. Described as being easy to reproduce and applicable to almost all surgical subspecialties.
Author(s): David Sheldon
Citation: Bulletin of the American College of Surgeons, 102(10), 61-63
Date: 07/2017
Type: Document
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Surgeries in Hospital-Based Ambulatory Surgery and Hospital Inpatient Settings, 2014
Provides national data on surgeries performed in hospital inpatient and hospital-based ambulatory surgery (outpatient) settings. Table 1 includes data for rural, urban teaching, and urban nonteaching hospitals. Revised February 2018 and July 2020.
Author(s): Claudia A. Steiner, Zeynal Karaca, Brian J. Moore, Melina C. Imshaug, Gary Pickens
Date: 05/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Surgery: High Pressure but Rewarding
Describes the challenges, advantages, and rewards associated with practicing surgery in a rural area.
Author(s): Susan Long
Citation: Bulletin of the American College of Surgeons, 102(1)
Date: 01/2017
Type: Document
Sponsoring organization: American College of Surgeons
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Surgical Care Improvement Project Measures among Rural and Urban Hospitals in West Virginia
Reviews data from the Centers for Medicare and Medicaid Services Surgical Care Improvement Project (SCIP) from 10 rural community hospitals in West Virginia to determine the quality of surgical care given by rural providers. Data reported was compared to a set of process measures demonstrating the rates of surgical morbidity and mortality, surgical site infections, and other complications following surgery.
Author(s): Yuya K. Kudo, Linda V. Davis, Dustin M. Long, John C. Honaker, Don K. Nakayama
Citation: American Surgeon, 82(1), E20-E22
Date: 08/2016
Type: Document
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Skills Course Helps Rural Surgeons Stay Current
Describes the components of the Nora Institute Advanced Skills Course for Rural Surgeons, a multidisciplinary curriculum developed by rural and academic surgeons and consisting of 10 modules which are rotated annually. The first course was offered in connection with the North Dakota and South Dakota chapters of the American College of Surgeons, with future courses planned for Utah, New Mexico, and Alabama.
Author(s): Amy L. Halverson
Citation: Bulletin of the American College of Surgeons, 101(4)
Date: 04/2016
Type: Document
Sponsoring organization: American College of Surgeons
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