Urban and rural patterns in emergent pediatric transfer: A call for regionalization

Timothy Horeczko, James P. Marcin, Jeremy M. Kahn, Robert E. Sapien, Julie Rabeau, Tomi Mars, Marianne Gausche-Hill, Larry Karsteadt, Emily Kim, Nathan Kuppermann, James Marcin, Pamela Mather, Kenneth Stiver, Cheryl Wraa, James DeTienne, Joseph D. Hansen D., Scott Watson, Kathryn Felmet, Melinda Hamilton, Richard Saladino

Research output: Contribution to journalArticle

13 Scopus citations


Context: National groups call for the regionalization of health care, to direct patients with high-risk conditions to designated hospitals with greater capabilities. Currently there is limited information detailing the characteristics and specific needs of acutely ill and injured children who require transfer to another institution, especially in underserved rural communities. Purpose: To determine the epidemiology of pediatric transfers from urban and rural emergency departments (EDs). Methods: We analyzed data in the National Hospital Ambulatory Medical Care Survey from 1995 to 2010. Eligible children were

Original languageEnglish (US)
Pages (from-to)252-258
Number of pages7
JournalJournal of Rural Health
Issue number3
Publication statusPublished - 2014
Externally publishedYes



  • Access to care
  • Health disparities
  • Mental health
  • Policy
  • Utilization of health services

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Horeczko, T., Marcin, J. P., Kahn, J. M., Sapien, R. E., Rabeau, J., Mars, T., ... Saladino, R. (2014). Urban and rural patterns in emergent pediatric transfer: A call for regionalization. Journal of Rural Health, 30(3), 252-258. https://doi.org/10.1111/jrh.12051