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Rural Health
Resources by Topic: Surgery

Operative Time and Cost Variability for Functional Endoscopic Sinus Surgery
Examines the sources of variation in costs of endoscopic sinus surgery (ESS) to determine the value of the procedure by analyzing cost and operative time data from 13 different facilities (four community rural hospitals, seven community urban centers, and two tertiary care centers) within Intermountain Healthcare (IHC).
Author(s): Andrew J. Thomas, Kristine A. Smith, Christopher I. Newberry, et al.
Citation: International Forum of Allergy & Rhinology, 9(1), 23-29
Date: 01/2019
Type: Document
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What Medical Students Need to Know About Training for a Career in Rural Surgery
Addresses the need for rural general surgery residencies and describes what medical students should look for when choosing one. Provides a list of 12 verified rural surgical residencies.
Author(s): Matthew B. Rossi
Citation: Bulletin of the American College of Surgeons, 104(1), 72-74
Date: 01/2019
Type: Document
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Motivators, Barriers, and Facilitators to Traveling to the Safest Hospitals in the United States for Complex Cancer Surgery
Results of a nationally representative survey conducted in January 2018, in which 1,016 adults were asked what factors they would consider when deciding whether to seek cancer treatment at their local hospital or at a specialized facility an hour or more away from their home. Table 1 features demographic information including breakdowns by metropolitan or nonmetropolitan residence.
Author(s): Benjamin J. Resio, Alexander S. Chiu, Jessica R. Hoag, et al.
Citation: JAMA Network Open, 1(7)
Date: 11/2018
Type: Document
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Where Are They? Examining General Surgery Workforce Issues
Describes challenges related to getting adequate data on the rural surgical workforce and what is needed to understand rural shortages.
Author(s): Kay Miller Temple
Date: 06/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Rural General Surgeon's Partner: Rural Certified Registered Nurse Anesthetists
Describes the role that certified registered nurse anesthetists (CRNAs) play in rural surgery.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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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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