Rural emergency departments: A systematic review to develop a resource typology relevant to developed countries.
developed countries
emergency department
regional
remote
resources
rural
Journal
The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
07
10
2020
revised:
19
11
2020
accepted:
25
11
2020
pubmed:
11
2
2021
medline:
5
10
2021
entrez:
10
2
2021
Statut:
ppublish
Résumé
Despite low patient numbers, rural emergency departments have a similar diversity of case presentations as urban tertiary hospitals, with the need to manage high-acuity cases with limited resources. There are no consistent descriptions of the resources available to rural emergency departments internationally, limiting the capacity to compare clinical protocols and standards of care across similarly resourced units. This review aimed to describe the range of human, physical and specialist resources described in rural emergency departments in developed countries and propose a typology for use internationally. A systematic literature search was performed for journal articles between 2000 and 2019 describing the staffing, access to radiology and laboratory investigations, and hospital inpatient specialists. Considerable diversity in defining rurality and in resource access was found within and between Australia, New Zealand, Canada and USA. A typology was developed to account for (a) emergency department staff on-floor, (b) emergency department staff on-call, (c) physical resources and (d) access to a specialist surgical service. This provides a valuable tool for relevant stakeholders to effectively communicate rural emergency department resources within a country and internationally. The proposed five-tiered typology draws together international literature regarding rural emergency department services. Although further research is required to test this tool, the formation of this common language allows a base for effective communication between governments, training providers and policy-makers who are seeking to improve health systems and health outcomes.
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Pagination
7-20Informations de copyright
© 2021 National Rural Health Alliance Ltd.
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