2008
DOI: 10.1016/j.surg.2007.11.022
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General surgery at rural hospitals: a national survey of rural hospital administrators

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Cited by 53 publications
(42 citation statements)
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References 19 publications
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“…[3][4][5] In a recent survey of rural hospital administrators, 34% reported that a surgeon in their hospital would be leaving or retiring within 2 years, and more than a third of these small hospitals were currently searching for a general surgeon. 6 The importance of a general surgeon to the financial viability of, and the breadth of clinical services offered by, these hospitals is well recognized. 2,3 The rural general surgeon plays many vital roles in small hospitals, which may include trauma, critical care, obstetrics, gynecology, orthopedics, endoscopy, urology, and head and neck surgery.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…[3][4][5] In a recent survey of rural hospital administrators, 34% reported that a surgeon in their hospital would be leaving or retiring within 2 years, and more than a third of these small hospitals were currently searching for a general surgeon. 6 The importance of a general surgeon to the financial viability of, and the breadth of clinical services offered by, these hospitals is well recognized. 2,3 The rural general surgeon plays many vital roles in small hospitals, which may include trauma, critical care, obstetrics, gynecology, orthopedics, endoscopy, urology, and head and neck surgery.…”
Section: Introductionmentioning
confidence: 99%
“…Loss of a general surgeon may force a rural hospital to curtail services or close, leaving an underserved population facing treatment delays and the need to travel long distances for care. 2,6 Realistic preparation of general surgeons for rural practice is important, as is identifying retention strategies for surgeons in isolated communities. 5,7 In an effort to improve recruitment and retention of rural general surgeons, we sought to better understand the reasons that general surgery residency graduates choose a rural practice.…”
Section: Introductionmentioning
confidence: 99%
“…for many hospitals, routine surgical procedures are financial lifeblood, and the result of a negative outcomes report may be catastrophic. 18 By simple whim of statistics, some hospitals will be tagged as poor performers. imagine an alternative universe where each of the 5000 hospitals in the country (and the providers within each) provides exactly the same quality of care.…”
Section: Helplessnessmentioning
confidence: 99%
“…7 The cost differentials reported herein suggest that such policy shifts could yield meaningful savings for CMS with respect to payments for inpatient surgery. At the same time, however, rural hospitals often struggle to recruit and retain surgeons, 19, 20 and global reductions in reimbursement may exacerbate this access concern even further. Because we observed similar cost disparities for both elective and non-elective procedures, a potential middle ground might be for policymakers to limit proposed changes in payment levels to elective inpatient surgeries, where access related implications for communities served by CAH may be less acute.…”
Section: Commentmentioning
confidence: 99%