Rural Surgery, An Issue of Surgical Clinics

1st Edition, Volume 100-5 - September 7, 2020
Editor: Tyler G. Hughes
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 4 9 2 - 3
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 4 9 3 - 0

This issue of Surgical Clinics of North America focuses on Rural Surgery and is edited by Dr. Tyler G. Hughes. Articles will include: Status of the rural workplace: Hospital… Read more

Rural Surgery, An Issue of Surgical Clinics

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This issue of Surgical Clinics of North America focuses on Rural Surgery and is edited by Dr. Tyler G. Hughes. Articles will include: Status of the rural workplace: Hospital survival and economics; Rural standards and the quality equation; Scope of practice of the rural surgeon; Advanced technology and the rural surgeon; Qualitative research in rural surgery; Perioperative support in the rural surgery world; Initial and ongoing training of the rural surgeon; Demographics in rural populations; Dealing with the sick rural surgery patient in need of transfer; National quality projects and patient selection decisions; Status of the rural surgical workforce; Regionalization of rural surgery; and more!

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Demographics in Rural Populations
Key points
Introduction
Role of demography
Rural definitions
Meaning of place
Population data
Rural trends
Implications and challenges
Summary
Rural Surgery and Status of the Rural Workplace: Hospital Survival and Economics
Key points
The rural population and hospital closures
Rural surgery
The future of rural hospitals and surgery
Initial and Ongoing Training of the Rural Surgeon
Key points
Introduction
Alternative options for rural surgery training
Summary
Scope of Practice of the Rural Surgeon
Key points
Introduction
Summary
Status of the Rural Surgical Workforce
Key points
The surgeon is the critical component for survival of rural hospitals
General surgeons are in short supply
The rural general surgeon
Who are the rural physicians?
The dilemma
Solutions
Training the rural surgeon
Critical access hospitals
Quality of rural surgery
No need for subspecialization
what needs to be done now
What needs to be done now
Rural Standards and the Quality Equation
Key points
Introduction
Rural barriers to measuring the quality of surgical care
Defining and measuring quality
How to measure and document the safety and effectiveness of rural surgical care?
Optimal resources for surgical quality and safety
American College of Surgeons rural hospital surgical verification and quality improvement program
The cost of health care and its effect on value
Timeliness of care
Patient centeredness
Summary
Perioperative Support in the Rural Surgery World
Key points
Introduction
Preoperative phase outline
Immediate preoperative phase
Intraoperative phase
Postoperative phase
Postdischarge phase
Quality improvement initiatives and tools
Summary
Rural Surgical Quality: Policy and Practice
Key points
Introduction
Patient factors and community factors
Surgical quality
Cancer care
State collaboratives
Summary
Advanced Technology and the Rural Surgeon
Key points
Introduction
Operative technologies
Telemedicine
Discussion
Dealing with the Sick Rural Surgery Patient in Need of Transfer
Key points
Introduction
The paradox
The transfer process
Outcomes of interhospital transfer patients
Be careful what you wish for?
The role of damage control in rural surgery
Transporting the critically ill patient
Reverse handoff: transition of care to home
The cost of interhospital transport
Safety of transport
Summary
Regionalization of General Surgery Within the Mayo Clinic Health System and the Mayo Clinic
Key points
Objective
Introduction
Background
Regionalization
Early regionalization
Internal regionalization
External factors affecting regionalization
Discussion
Using Qualitative Research to Study the Profession of Rural Surgery
Key points
Introduction
Methods
Results
Discussion
Appendix 1. Articles included in systematic review