An Emergency Medicine-Primary Care Partnership to Improve Rural Population Health: Expanding the Role of Emergency Medicine

被引:15
作者
Greenwood-Ericksen, Margaret B. [1 ,2 ,4 ,5 ]
Tipirneni, Renuka [3 ]
Abir, Mahshid [1 ,4 ,6 ]
机构
[1] Univ Michigan, Dept Emergency Med, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Natl Clinician Scholars Program, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Div Gen Med, Dept Internal Med, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Inst Healthcare Policy & Innovat, Ann Arbor, MI 48109 USA
[5] Ann Arbor Vet Affairs, Ann Arbor, MI 48105 USA
[6] RAND Corp, Santa Monica, CA USA
关键词
UNITED-STATES; OLDER-ADULTS; URBAN; DEPARTMENTS; OUTCOMES; INTERVENTIONS; INEQUALITIES; DISPARITIES; PREVALENCE; HOSPITALS;
D O I
10.1016/j.annemergmed.2017.06.025
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The health of rural America is failing and our traditional approaches have proved ineffective at improving health in rural communities. Rural populations are now a health disparity population, facing higher mortality rates for the 5 leading causes of death compared with their urban counterparts. We must generate novel, rural-specific approaches to solve this challenge-and there is a clear role for the field of emergency medicine. Building on emergency departments' (EDs') expanding role in health care delivery and emergency medicine's increasing involvement in population health, we propose a new health care delivery model for rural population health based on partnership between emergency medicine and primary care that embraces the important role that EDs play in rural areas.
引用
收藏
页码:640 / 647
页数:8
相关论文
共 51 条
  • [1] American Hospital Association, 2011, TREND WATCH OPP CHAL
  • [2] Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions
    Aminzadeh, F
    Dalziel, WB
    [J]. ANNALS OF EMERGENCY MEDICINE, 2002, 39 (03) : 238 - 247
  • [3] Testing of Low-Risk Patients Presenting to the Emergency Department With Chest Pain A Scientific Statement From the American Heart Association
    Amsterdam, Ezra A.
    Kirk, J. Douglas
    Bluemke, David A.
    Diercks, Deborah
    Farkouh, Michael E.
    Garvey, J. Lee
    Kontos, Michael C.
    McCord, James
    Miller, Todd D.
    Morise, Anthony
    Newby, L. Kristin
    Ruberg, Frederick L.
    Scordo, Kristine Anne
    Thompson, Paul D.
    [J]. CIRCULATION, 2010, 122 (17) : 1756 - 1776
  • [4] Social Emergency Medicine: Embracing the Dual Role of the Emergency Department in Acute Care and Population Health
    Anderson, Erik S.
    Hsieh, Dennis
    Alter, Harrison J.
    [J]. ANNALS OF EMERGENCY MEDICINE, 2016, 68 (01) : 21 - 25
  • [5] [Anonymous], 2014, NAT HEALTHC QUAL DIS
  • [6] REGULAR SOURCE OF AMBULATORY CARE AND MEDICAL-CARE UTILIZATION BY PATIENTS PRESENTING TO A PUBLIC HOSPITAL EMERGENCY DEPARTMENT
    BAKER, DW
    STEVENS, CD
    BROOK, RH
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (24): : 1909 - 1912
  • [7] The Triple Aim: Care, health, and cost
    Berwick, Donald M.
    Nolan, Thomas W.
    Whittington, John
    [J]. HEALTH AFFAIRS, 2008, 27 (03) : 759 - 769
  • [8] Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century
    Case, Anne
    Deaton, Angus
    [J]. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2015, 112 (49) : 15078 - 15083
  • [9] Evidence On The Chronic Care Model In The New Millennium
    Coleman, Katie
    Austin, Brian T.
    Brach, Cindy
    Wagner, Edward H.
    [J]. HEALTH AFFAIRS, 2009, 28 (01) : 75 - 85
  • [10] Prevalence and trends in smoking: A national rural study
    Doescher, MP
    Jackson, JE
    Jerant, A
    Hart, LG
    [J]. JOURNAL OF RURAL HEALTH, 2006, 22 (02) : 112 - 118