rural hospitals


Summary: Hospitals located in a rural area.

Top Publications

  1. Ricci M, Caputo M, Amour J, Rogers F, Sartorelli K, Callas P, et al. Telemedicine reduces discrepancies in rural trauma care. Telemed J E Health. 2003;9:3-11 pubmed
    ..Early results of a telemedicine system provide encouragement as a means to address discrepancies in the outcomes after major trauma in rural areas, although more work needs to be completed and evaluated. ..
  2. Endacott R, Westley M. Managing patients at risk of deterioration in rural hospitals: a qualitative study. Aust J Rural Health. 2006;14:275-9 pubmed
    This paper examines strategies used by nurses to manage patients at risk of deterioration in smaller rural hospitals in Victoria, Australia. A two-stage design comprising a postal questionnaire (n = 20) and case studies (n = 7)...
  3. Galli R, Keith J, McKenzie K, Hall G, Henderson K. TelEmergency: a novel system for delivering emergency care to rural hospitals. Ann Emerg Med. 2008;51:275-84 pubmed
    ..This article details the development and implementation of this system and describes the patient population that has been evaluated. ..
  4. Li P, Schneider J, Ward M. Converting to critical access status: how does it affect rural hospitals' financial performance?. Inquiry. 2009;46:46-57 pubmed
    To improve rural access to care, the Balanced Budget Act of 1997 allowed eligible rural hospitals to convert to critical access hospitals (CAHs), which changed their Medicare payment from a prospective payment system (PPS) to a cost-..
  5. Vaishnav A, Pettigrew L, Ryan S. Telephonic guidance of systemic thrombolysis in acute ischemic stroke: safety outcome in rural hospitals. Clin Neurol Neurosurg. 2008;110:451-4 pubmed publisher of telephonic guidance for use of intravenous recombinant tissue plasminogen activator (IV rtPA) in rural hospitals. We performed a retrospective survey of 123 consecutive patients treated with IV rtPA for acute ischemic ..
  6. Charney W, Simmons B, Lary M, Metz S. Zero lift programs in small rural hospitals in Washington state: reducing back injuries among health care workers. AAOHN J. 2006;54:355-8 pubmed
    ..Patient-handling injury claims decreased by 43% in the participating hospitals from 2000 to 2004 (i.e., from 3.51 to 2.23). The time lost frequency rate decreased by 50% (i.e., from 1.91 to 1.03)...
  7. Escarce J, Kapur K. Do patients bypass rural hospitals? Determinants of inpatient hospital choice in rural California. J Health Care Poor Underserved. 2009;20:625-44 pubmed publisher
    b>Rural hospitals play a crucial role in providing health care to rural Americans, a vulnerable and underserved population; however, rural hospitals have faced threats to their financial viability and many have closed as a result...
  8. Gray L, Wright O, Cutler A, Scuffham P, Wootton R. Geriatric ward rounds by video conference: a solution for rural hospitals. Med J Aust. 2009;191:605-8 pubmed
    ..Consultations via VC are an acceptable alternative to in-person consultations, and are less expensive than in-person consultations for even modest distances travelled by the clinician. ..
  9. Kotzee T, Couper I. What interventions do South African qualified doctors think will retain them in rural hospitals of the Limpopo province of South Africa?. Rural Remote Health. 2006;6:581 pubmed
    ..This study utilised a descriptive qualitative design using a semi-structured questionnaire. Ten doctors from rural hospitals within all six districts of the Limpopo province were randomly selected and interviewed...

More Information


  1. Edwards J, Kang J, Silenas R. Promoting regional disaster preparedness among rural hospitals. J Rural Health. 2008;24:321-5 pubmed publisher
    Rural communities face substantial risks of natural disasters but rural hospitals face multiple obstacles to preparedness...
  2. Westbrook J, Coiera E, Brear M, Stapleton S, Rob M, Murphy M, et al. Impact of an ultrabroadband emergency department telemedicine system on the care of acutely ill patients and clinicians' work. Med J Aust. 2008;188:704-8 pubmed
    ..Large-scale trials of telemedicine systems that include measurements of both patient care and impact on clinicians' work are required. ..
  3. Dieleman M, Bwete V, Maniple E, Bakker M, Namaganda G, Odaga J, et al. 'I believe that the staff have reduced their closeness to patients': an exploratory study on the impact of HIV/AIDS on staff in four rural hospitals in Uganda. BMC Health Serv Res. 2007;7:205 pubmed
    ..However, exchanges on interventions to improve staff motivation and address HIV/AIDS in the health sector are urgently required, including information on results and details of the context and implementation process. ..
  4. Puoane T, Cuming K, Sanders D, Ashworth A. Why do some hospitals achieve better care of severely malnourished children than others? Five-year follow-up of rural hospitals in Eastern Cape, South Africa. Health Policy Plan. 2008;23:428-37 pubmed publisher
    Staff at 11 rural hospitals in an under-resourced region of Eastern Cape Province, South Africa, participated in an intervention to improve the quality of care of severely malnourished children through training and support aimed at ..
  5. Menakuru S, Philip T, Ravindranath N, Fisher P. Outcome of inguinal hernia repair at two rural hospitals in northern Scotland. Surgeon. 2006;4:343-5 pubmed
    ..audit was performed, of all the inguinal hernias repaired between 1997 and 2003 inclusive, at two rural hospitals in northern Scotland, under a single consultant...
  6. Wandi F, Peel D, Duke T. Hypoxaemia among children in rural hospitals in Papua New Guinea: epidemiology and resource availability--a study to support a national oxygen programme. Ann Trop Paediatr. 2006;26:277-84 pubmed
  7. Gebhardt J, Norris T. Acute stroke care at rural hospitals in Idaho: challenges in expediting stroke care. J Rural Health. 2006;22:88-91 pubmed
    ..thrombolytic therapy, most notably the 3-hour time limit from symptom onset, have proven challenging for many rural hospitals to achieve...
  8. Westfall J, Van Vorst R, McGloin J, Selker H. Triage and diagnosis of chest pain in rural hospitals: implementation of the ACI-TIPI in the High Plains Research Network. Ann Fam Med. 2006;4:153-8 pubmed
    ..this study was to determine the impact of the ACI-TIPI on triage and diagnosis of patients with chest pain in rural hospitals. We undertook a controlled trial of the impact ACI-TIPI use in the High Plains Research Network (HPRN)...
  9. Dalton K, Slifkin R, Howard H. The role of critical access hospital status in mitigating the effects of new prospective payment systems under Medicare. J Rural Health. 2000;16:357-70 pubmed
    This article examines rural hospitals that potentially qualify as critical access hospitals (CAH) and identifies facilities at substantial financial risk as a result of Medicare's expansion of prospective payment systems (PPS) to ..
  10. Doherty S, Jones P. Use of an 'evidence-based implementation' strategy to implement evidence-based care of asthma into rural district hospital emergency departments. Rural Remote Health. 2006;6:529 pubmed
    ..A controlled trial involving eight small rural hospitals (four each in the study and control groups) was conducted...
  11. Liu L, Hader J, Brossart B, White R, Lewis S. Impact of rural hospital closures in Saskatchewan, Canada. Soc Sci Med. 2001;52:1793-804 pubmed
    Canada's health care system has undergone major changes since 1990. In Saskatchewan, 52 small rural hospitals funded for less than eight beds stopped receiving funding for acute care services in 1993...
  12. Mullins R, Hedges J, Rowland D, Arthur M, Mann N, Price D, et al. Survival of seriously injured patients first treated in rural hospitals. J Trauma. 2002;52:1019-29 pubmed
    ..Data were abstracted on patients with brain, liver, or spleen injuries who were first treated in 16 rural hospitals in Oregon (with categorized trauma centers) and 16 hospitals in Washington (without categorized trauma ..
  13. Moscovice I, Stensland J. Rural hospitals: trends, challenges, and a future research and policy analysis agenda. J Rural Health. 2002;18 Suppl:197-210 pubmed
    Previous reviews of the status of rural hospitals conclude that rural hospitals play a major role in ensuring the provision of health services in rural areas, are an essential part of the social and economic identity of rural communities,..
  14. Iglesias S, Saunders L, Tracy N, Thangisalam N, Jones L. Appendectomies in rural hospitals. Safe whether performed by specialist or GP surgeons. Can Fam Physician. 2003;49:328-33 pubmed
    To compare outcomes of appendectomies performed in rural hospitals by specialist surgeons and GP surgeons. Retrospective analysis of the Canadian Institute for Health Information's (CIHI) Discharge Abstract Database (DAD) 1996-1999...
  15. Matsumoto M, Okayama M, Kajii E. Rural doctors' satisfaction in Japan: a nationwide survey. Aust J Rural Health. 2004;12:40-8 pubmed
    ..Among the various factors that can cause this dissociation between satisfaction and intention to stay, doctors' interactions with municipal governments play a pivotal role. ..
  16. Stevenson K, Samore M, Barbera J, Moore J, Hannah E, Houck P, et al. Detection of antimicrobial resistance by small rural hospital microbiology laboratories: comparison of survey responses with current NCCLS laboratory standards. Diagn Microbiol Infect Dis. 2003;47:303-11 pubmed
    Microbiology laboratory personnel from 77 rural hospitals in Idaho, Nevada, Utah, and eastern Washington were surveyed in July 2000 regarding their routine practices for detecting antimicrobial resistance...
  17. Schumock G, Walton S, Sarawate C, Crawford S. Pharmaceutical services in rural hospitals in Illinois--2001. Am J Health Syst Pharm. 2003;60:666-74 pubmed
    The results of a survey characterizing pharmaceutical services in rural hospitals in Illinois are reported and compared with results of a similar survey conducted in 1991...
  18. Hicks L, Boles K, Hudson S, Madsen R, Kling B, Tracy J, et al. Using telemedicine to avoid transfer of rural emergency department patients. J Rural Health. 2001;17:220-8 pubmed this conservative estimate of avoidable transfers based on current availability of resources in the rural hospitals, two more aggressive scenarios were developed, based on an assumption of increased service availability in ..
  19. Bahwere P, Levy J, Hennart P, Donnen P, Lomoyo W, Dramaix Wilmet M, et al. Community-acquired bacteremia among hospitalized children in rural central Africa. Int J Infect Dis. 2001;5:180-8 pubmed
    ..Fever on admission is a sensitive diagnostic sign, even in malnourished children. ..
  20. Berkley J, Lowe B, Mwangi I, Williams T, Bauni E, Mwarumba S, et al. Bacteremia among children admitted to a rural hospital in Kenya. N Engl J Med. 2005;352:39-47 pubmed
  21. Clapham S, Basnet I, Pathak L, McCall M. The evolution of a quality of care approach for improving emergency obstetric care in rural hospitals in Nepal. Int J Gynaecol Obstet. 2004;86:86-97; discussion 85 pubmed
    ..the theoretical concept of quality of care is difficult to translate into a concrete approach, we used a process in rural hospitals in Nepal that created highly motivated teams and improved the overall functioning of these hospitals.
  22. Stevenson K, Barbera J, Moore J, Samore M, Houck P. Understanding keys to successful implementation of electronic decision support in rural hospitals: analysis of a pilot study for antimicrobial prescribing. Am J Med Qual. 2005;20:313-8 pubmed
    ..CDSS designed to optimize antimicrobial prescribing was pilot tested for community-acquired pneumonia in 5 rural hospitals in southwestern Idaho...
  23. Stevenson K, Murphy C, Samore M, Hannah E, Moore J, Barbera J, et al. Assessing the status of infection control programs in small rural hospitals in the western United States. Am J Infect Control. 2004;32:255-61 pubmed
    ..A sample of 77 small rural hospitals in Idaho, Nevada, Utah, and eastern Washington completed a written survey in 2000 regarding IC staffing, ..
  24. Wilkinson D. Issues and challenges facing rural hospitals. Aust Health Rev. 2002;25:94-105 pubmed
    Australia's rural hospitals face most of the same issues and challenges faced by metropolitan hospitals...
  25. Buser K. Laparoscopic surgery in the pregnant patient--one surgeon's experience in a small rural hospital. JSLS. 2002;6:121-4 pubmed
    ..Such lines of communication should be developed before the actual need arises. The rural surgeon must have a plan of action well in advance of that first encounter or any subsequent complication. ..
  26. Berdichevsky K, Tucker C, Martinez A, Miller S. Acceptance of a new technology for management of obstetric hemorrhage: a qualitative study from rural Mexico. Health Care Women Int. 2010;31:444-57 pubmed publisher
    ..involved in pilot studies of the nonpneumatic antishock garment (NASG) at primary health care facilities and rural hospitals. We found that staffs' response fell into four categories: owning, doubting, resisting, and rejecting...
  27. Casey M, Sorensen T, Elias W, Knudson A, Gregg W. Current practices and state regulations regarding telepharmacy in rural hospitals. Am J Health Syst Pharm. 2010;67:1085-92 pubmed publisher
    Telepharmacy practices in rural hospitals in several states were examined, and relevant policies and state laws and regulations were analyzed, along with issues to be addressed as the use of telepharmacy expands...
  28. Shively E, Richardson M, Romines R, Englund G, Watkins J. Laparoscopic common duct exploration in 90-bed rural hospital. Am Surg. 2010;76:626-9 pubmed
    ..64%) of the total laparoscopic cholecystectomies were converted to open cholecystectomies. LCBDE can be done safely in small hospitals and is very useful when endoscopic retrograde cholangiopancreatography is not available. ..
  29. Mooney S, Russell M, Prairie B, Savage C, Weeks W. Group prenatal care: an analysis of cost. J Health Care Finance. 2008;34:31-41 pubmed
    ..Using a group model of prenatal care allows lower cost providers to see additional patients efficiently. Although group prenatal care may offer some benefits, cost analysis should be considered before initiation. ..
  30. Halvorson G. The hospital on Bushenyi Hill. AHIP Cover. 2007;48:46-9 pubmed
  31. Henry B. The rural development imperative: fundraising to 'own' the hospital. Trustee. 2008;61:24, 26, 1 pubmed
    Why rural hospitals' community fund-raising efforts matter so much.
  32. Otchere S, Kayo A. The challenges of improving emergency obstetric care in two rural districts in Mali. Int J Gynaecol Obstet. 2007;99:173-82 pubmed
  33. Malasao R, Maneekarn N, Khamrin P, Pantip C, Tonusin S, Ushijima H, et al. Genetic diversity of norovirus, sapovirus, and astrovirus isolated from children hospitalized with acute gastroenteritis in Chiang Mai, Thailand. J Med Virol. 2008;80:1749-55 pubmed publisher
    ..The findings suggest that NV, SV, and HAstV are important enteric viruses cocirculating among hospitalized children in Chiang Mai, Thailand. ..
  34. Helling T. Trauma care at rural level III trauma centers in a state trauma system. J Trauma. 2007;62:498-503 pubmed
    ..There were a paucity of life-threatening head, chest, and abdominal injuries, which provide a challenge to the rural trauma surgeon to maintain necessary skills in management of these critical injuries. ..
  35. Spetz J, Keane D. Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital. J Healthc Inf Manag. 2009;23:62-7 pubmed
  36. Carson P. Providing specialist services in Australia across barriers of distance and culture. World J Surg. 2009;33:1562-7 pubmed publisher
    ..Adoption of the principles of this model may lead to increasingly efficient delivery of specialist services in more densely populated regions. ..
  37. Durham C, McNally M, Parker F, Bogey W, Powell C, Goettler C, et al. A contemporary rural trauma center experience in blunt traumatic aortic injury. J Vasc Surg. 2010;52:884-9; discussion 889-90 pubmed publisher
    ..The low aortic-related mortality in the MM group demonstrates that there is time for a thorough evaluation in patients sustaining TAI who arrive without hemodynamic instability. ..
  38. Blankenship J, Haldis T, Wood G, Skelding K, Scott T, Menapace F. Rapid triage and transport of patients with ST-elevation myocardial infarction for percutaneous coronary intervention in a rural health system. Am J Cardiol. 2007;100:944-8 pubmed
    ..Efficient community hospitals working with an efficient angioplasty center can achieve presentation-to-wire crossing times of <90 minutes for some patients. ..
  39. Duke T, Wandi F, Jonathan M, Matai S, Kaupa M, Saavu M, et al. Improved oxygen systems for childhood pneumonia: a multihospital effectiveness study in Papua New Guinea. Lancet. 2008;372:1328-33 pubmed publisher
    In rural hospitals of developing countries, oxygen supplies are poor and detection of hypoxaemia is difficult...
  40. Fennell M, Campbell S. The regulatory environment and rural hospital long-term care strategies from 1997 to 2003. J Rural Health. 2007;23:1-9 pubmed
    Since the passage of the Balanced Budget Act of 1997, rural hospitals have struggled with the need to strategically adapt to an abundance of changing reimbursement and regulatory programs, as well as to respond to the needs of an ..
  41. Aguirre F, Varghese J, Kelley M, Lam W, Lucore C, Gill J, et al. Rural interhospital transfer of ST-elevation myocardial infarction patients for percutaneous coronary revascularization: the Stat Heart Program. Circulation. 2008;117:1145-52 pubmed publisher
  42. Mohamed Y, Alias N, Shuaib I, Tharakan J, Abdullah J, Munawir A, et al. Referral of epileptic patients in North East Coast of West Malaysia an area with poor MRI coverage: an analysis. Southeast Asian J Trop Med Public Health. 2006;37:1199-208 pubmed
    ..7% in relation to abnormal MRI findings. This meants that those patients in rural hospitals with abnormal EEGs should be referred to a neurology center for further workup and an MRI to detect causes ..
  43. Wang W, Wu J, Dai X, Wang T, Yang B, Ma G, et al. [Evaluation of the efficacy of phenobarbital in treatment of epilepsy in rural areas: study of 2455 patients in rural China]. Zhonghua Yi Xue Za Zhi. 2006;86:1297-300 pubmed
    ..The trained physicians are capable of fulfilling the task to treat the patients with epilepsy. Phenobarbital is an effective drug for most patients with convulsive seizures and has no severe side effect. ..
  44. Bateman C. Rural health care delivery set to collapse. S Afr Med J. 2006;96:1219-21, 1224-6 pubmed
  45. Murdoch J. Medical opportunity of special scale? The future of rural hospitals in New Zealand?. N Z Med J. 2007;120:U2655 pubmed
  46. Olotu A, Mithwani S, Newton C. Haemolytic uraemic syndrome in children admitted to a rural district hospital in Kenya. Trop Doct. 2008;38:165-7 pubmed publisher
    ..Shigella dysenteriae was the most common isolated organism in the stool and Escherichia coli and S. dysenteriae were the most common blood isolates. HUS carries a high mortality rate and D-HUS is as common as D + HUS. ..
  47. Pope T. Multi-institutional ethics committees: for rural hospitals, and urban ones too. Am J Bioeth. 2008;8:69-71; author reply W3-4 pubmed publisher
  48. Snyder K, McDermott M. A rural hospital takes on Lean. J Healthc Qual. 2009;31:23-8 pubmed
    ..Though large healthcare organizations have the resources to embrace Lean, few rural hospitals have been known to use Lean's process improvement philosophy...
  49. Augustin T, Bhende S, Chavda K, VanderMeer T, Cagir B. CT scans and acute appendicitis: a five-year analysis from a rural teaching hospital. J Gastrointest Surg. 2009;13:1306-12 pubmed publisher
    ..037). Males undergoing CT scans are significantly more likely to have perforated appendicitis. A protocol-driven rational approach to CT evaluation of suspected appendicitis may lower perforation rates, especially in males. ..
  50. Ambardekar A, Fonarow G, Dai D, Peterson E, Hernandez A, Cannon C, et al. Quality of care and in-hospital outcomes in patients with coronary heart disease in rural and urban hospitals (from Get With the Guidelines-Coronary Artery Disease Program). Am J Cardiol. 2010;105:139-43 pubmed publisher
    ..87 to 1.26). In conclusion, within the GWTG-CAD quality improvement initiative, patients with CAD treated at rural hospitals receive similar quality of care and have similar outcomes as those at urban centers.
  51. Bharti B, Bharti S, Verma V. Role of Acute Illness Observation Scale (AIOS) in managing severe childhood pneumonia. Indian J Pediatr. 2007;74:27-32 pubmed
    ..Authors study indicates the clinimetric validity of AIOS in managing, Severe childhood pneumonia and suggests its role in further enriching IMCI strategy. ..
  52. Kirke A. How safe is GP obstetrics? An assessment of antenatal risk factors and perinatal outcomes in one rural practice. Rural Remote Health. 2010;10:1545 pubmed
    ..Further investigation of rates of gestational diabetes in other rural populations is warranted to explore this further. ..
  53. Mills R, Schwartz F, Shubrook J. Evaluation of diabetes management in a rural community hospital. Endocr Pract. 2008;14:50-5 pubmed
    ..Protocol improvement and increased hospital staff education concerning appropriate hospital target glucose levels are required to achieve ADA/ACE recommendations in small community hospitals. ..