COVID-19 Hospitalization Trends in Rural Versus Urban Areas in the United States

被引:7
作者
Zhu, Yi [1 ]
Carroll, Caitlin [1 ]
Vu, Khoa [1 ]
Sen, Soumya [1 ]
Georgiou, Archelle [2 ]
Karaca-Mandic, Pinar [1 ]
机构
[1] Univ Minnesota, Minneapolis, MN USA
[2] Starkey Hearing Technol, Eden Prairie, MN USA
基金
美国医疗保健研究与质量局; 美国国家卫生研究院;
关键词
COVID-19; hospitalizations; rural health; rural and urban disparities; hospital resources;
D O I
10.1177/10775587221111105
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Since the summer of 2020, the rate of coronavirus cases in the United States has been higher in rural areas than in urban areas, raising concerns that patients with coronavirus disease 2019 (COVID-19) will overwhelm under-resourced rural hospitals. Using data from the University of Minnesota COVID-19 Hospitalization Tracking Project and the U.S. Department of Health and Human Services, we document disparities in COVID-19 hospitalization rates between rural and urban areas. We show that rural-urban differences in COVID-19 admission rates were minimal in the summer of 2020 but began to diverge in fall 2020. Rural areas had statistically higher hospitalization rates from September 2020 through early 2021, after which rural-urban admission rates re-converged. The insights in this article are relevant to policymakers as they consider the adequacy of hospital resources across rural and urban areas during the COVID-19 pandemic.
引用
收藏
页码:236 / 244
页数:9
相关论文
共 35 条
[11]   US Trends in COVID-19-Associated Hospitalization and Mortality Rates Before and After Reopening Economies [J].
Gupta, Sumedha ;
Georgiou, Archelle ;
Sen, Soumya ;
Simon, Kosali ;
Karaca-Mandic, Pinar .
JAMA HEALTH FORUM, 2021, 2 (06) :E211262
[12]  
Hatten J M, 1986, Health Care Financ Rev, V8, P77
[13]   Predicting Financial Distress and Closure in Rural Hospitals [J].
Holmes, George M. ;
Kaufman, Brystana G. ;
Pink, George H. .
JOURNAL OF RURAL HEALTH, 2017, 33 (03) :239-249
[14]   First Case of 2019 Novel Coronavirus in the United States [J].
Holshue, Michelle L. ;
DeBolt, Chas ;
Lindquist, Scott ;
Lofy, Kathy H. ;
Wiesman, John ;
Bruce, Hollianne ;
Spitters, Christopher ;
Ericson, Keith ;
Wilkerson, Sara ;
Tural, Ahmet ;
Diaz, George ;
Cohn, Amanda ;
Fox, LeAnne ;
Patel, Anita ;
Gerber, Susan I. ;
Kim, Lindsay ;
Tong, Suxiang ;
Lu, Xiaoyan ;
Lindstrom, Steve ;
Pallansch, Mark A. ;
Weldon, William C. ;
Biggs, Holly M. ;
Uyeki, Timothy M. ;
Pillai, Satish K. .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (10) :929-936
[15]   Association of COVID-19-Related Hospital Use and Overall COVID-19 Mortality in the USA [J].
Karaca-Mandic, Pinar ;
Sen, Soumya ;
Georgiou, Archelle ;
Zhu, Yi ;
Basu, Anirban .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2020,
[16]   Assessment of COVID-19 Hospitalizations by Race/Ethnicity in 12 States [J].
Karaca-Mandic, Pinar ;
Georgiou, Archelle ;
Sen, Soumya .
JAMA INTERNAL MEDICINE, 2021, 181 (01) :131-134
[17]   Half of Rural Residents at High Risk of Serious Illness Due to COVID-19, Creating Stress on Rural Hospitals [J].
Kaufman, Brystana G. ;
Whitaker, Rebecca ;
Pink, George ;
Holmes, G. Mark .
JOURNAL OF RURAL HEALTH, 2020, 36 (04) :584-590
[18]   Systematic Review of Clinical Insights into Novel Coronavirus (CoVID-19) Pandemic: Persisting Challenges in US Rural Population [J].
Lakhani, Hari Vishal ;
Pillai, Sneha S. ;
Zehra, Mishghan ;
Sharma, Ishita ;
Sodhi, Komal .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (12) :1-14
[19]  
Linke M., 2020, WALL STR J
[20]   The Role of Public Health in COVID-19 Emergency Response Efforts From a Rural Health Perspective [J].
Melvin, Sandra C. ;
Wiggins, Corey ;
Burse, Nakeitra ;
Thompson, Erica ;
Monger, Mauda .
PREVENTING CHRONIC DISEASE, 2020, 17