Key PointsQuestionIn which communities is uptake of acute care surgery lagging, what are the characteristics of such communities, and why does it matter? FindingsIn this study pairing a national survey of hospitals with geographic information systems and census data, we found that acute care surgery implementation has occurred unevenly across the United States. Rural regions and communities with greater percentages of uneducated patients have had slower acute care surgery uptake. MeaningAcute care surgery, while a potential solution to our national crisis in access to care for general surgery emergencies, has affected vulnerable populations differentially, leaving rural and less educated areas at higher risk of lacking access to emergency general surgery care.
JAMA Surgery – American Medical Association
Published: Feb 4, 2018
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