donation
To request Mental Health
Services or to access Mental
Health Crisis Services Call:
1-800-375-4357

Health Policy & Advocacy
Resources
Basic InformationMore InformationLatest News
Studies Relying on Brain Scans Are Often Unreliable, Analysis ShowsHow You Can Help Ease the Health Crisis in UkraineAHA News: Bystander CPR on Kids Differs by Race and EthnicityU.S. Airplane, Train and Transit Mask Mandates Extended to April 18Pooch Power: Therapy Dogs Bring Quick Relief in the ERFDA Says Gene-Edited Cattle Are Safe to EatApps: They Help Manage Health Conditions, But Few Use Them, Poll FindsAre Health Care Apps in Your Future?Sackler Family & Purdue Pharma Reach Deal With U.S. States Over Opioid CrisisU.S. Traffic Deaths Rise to Highest Level Since 2007White House Unveils New COVID Response StrategyAlexa Will Soon Put Users in Touch With Telehealth DoctorsJ&J Finalizes $26 Billion Opioid SettlementNearly Half of 500 Million Free COVID Tests Still LeftResearchers Map Out Enormous Human Family TreeCDC Close to New Guidance on COVID RestrictionsWhy Is Cancer-Linked Benzene in So Many Personal Care Products?AHA News: Donating Blood Benefits Both Receiver and Giver – And Now Is a Critical TimeFDA Warns of Rising Dangers of Unapproved Drug TianeptineToo Many Americans Are Getting 'Low-Value' Medical Tests, ProceduresGuns Outpacing Car Crashes as Leading Cause of Trauma Death for AmericansCOVID Travel Rules to Europe May Be Lifted for VaccinatedSackler Family Sweetens Opioid Settlement OfferBrut, Sure Brand Deodorants Under Recall Due to Benzene'Fact Check' Notes Work Best to Counter COVID Lies OnlinePoor Will Be Hit Hardest by a Hotter WorldPandemic Put Brakes on Lifesaving Cancer Research, CareWhen Psychiatric Care Is Far Away, Telehealth Fills the GapFDA Panel Rejects Lilly’s Cancer Drug Tested Only in China1 in 3 People Now Exposed to a Harmful PesticideHow Healthy Is Your State? New Federal Data Ranks EachRed Cross Says Blood Shortage Is Worst in a DecadeBiden Relaunches Cancer Moonshot InitiativeGruesome Warning Images on Soda Labels Could Cut ConsumptionYour Gas Stove Might Make You (and the Planet) SickBiden Administration Withdraws Vaccine Mandate for Large EmployersFree N95 Masks Begin Arriving in U.S. PharmaciesEngland to Lift Travel Restrictions for Vaccinated VisitorsMany Marijuana Vendors Aim Advertising at Kids: StudyConservatorships Keep the Homeless in Psychiatric Wards Too Long: StudyCrowded Emergency Rooms Cost Lives: StudyColonoscopy Surprise Bills Should Be Thing of the Past, Experts SayBiden Plans to Send 400 Million N95 Masks to Americans for FreeWhite House Launches Website for Free Home COVID Tests One Day Ahead of SchedulePolitics Clouds Folks' Views on COVID Rules, Global Survey ConfirmsCOVAX Program Has Now Sent 1 Billion COVID Vaccines to Poorer NationsAmid U.S. Blood Shortage, New Pressure to Ease Donor Rules for Gay MenSupreme Court Blocks Biden's Vaccine Mandate for Large EmployersWhite House May Soon Offer 'High-Quality' Masks to AmericansAmericans Should Avoid Travel to Canada: CDC
Questions and AnswersLinksBook Reviews
Related Topics

Health Insurance
Healthcare

Rural Hospitals' ERs Just as Effective as Urban Ones: Study

HealthDay News
by Robert Preidt
Updated: Nov 24th 2021

new article illustration

WEDNESDAY, Nov. 24, 2021 (HealthDay News) -- If you live the country life, new research brings a reassuring finding: Your chances of surviving a heart attack, stroke or other potentially life-threatening medical emergency at a rural emergency department are similar to odds at a city ER in the United States.

Researchers analyzed more than 470,000 outcomes among Medicare beneficiaries treated at rural and urban ERs between 2011 and 2015.

Overall 30-day death rates were 3.9% in rural ERs and 4.1% in urban ERs, according to the study. However, patients with symptoms that did not result in a specific diagnosis had higher death rates at rural ERs than urban ERs.

The researchers also found that patients in rural ERs were much more likely to be transferred than those in urban ERs, 6.2% versus 2%.

"The rural emergency department system functions well for discrete conditions that can be quickly diagnosed and approached for treatment and, if necessary, transferred," said senior study author Dr. Keith Kocher, an associate professor of emergency medicine at Michigan Medicine-University of Michigan.

"We initially expected to see a more significant difference in mortality, as rates for inpatients are often higher at rural hospitals. However, the findings indicate these critical points of access for care are doing well for the patients they serve, even though they are frequently not resourced like peer institutions in metropolitan areas," Kocher said in a university news release.

"Arranging timely transfer of patients from a rural hospital can often be very challenging and has been made even more difficult due to the COVID-19 pandemic," added study lead author Dr. Margaret Greenwood-Ericksen. She's a graduate of Michigan's National Clinician Scholars Program at the Institute for Healthcare Policy and Innovation.

"These findings further highlight how impressive it is that we found rural hospitals produced the same outcomes despite these challenges," she said in the release.

The study was published Nov. 19 in the journal JAMA Network Open.

The researchers noted that more than 100 rural U.S. hospitals have closed since 2010, depriving their communities of emergency care.

"This work demonstrates the critical importance of rural emergency departments," Kocher said, stressing that policymakers should focus on ensuring access to these ERs.

More information

The U.S. National Library of Medicine has more on emergency medical services.

SOURCE: Michigan Medicine-University of Michigan, news release, Nov. 19, 2021