Rural America's Hospitals are Not Prepared to Protect Older Adults From a Surge in COVID-19 Cases

Gerontology & Geriatric Medicine
Natalie M DavoodiElizabeth M Goldberg

Abstract

Rural communities with predominantly older adult populations could be especially vulnerable to poor outcomes from COVID-19 due to lacking intensive care unit (ICU) capacity. Our objective is to describe the scope of the problem by summarizing population totals of older adults in rural America and their community's ICU bed availability. We performed a review of peer-reviewed literature, in addition to hand searching non-peer-reviewed and governmental/non-governmental agency reports, using the Kaiser Health News data report to assess the number of ICU beds in 10 predominantly rural states with the highest older adult populations. We found that while 19% of the U.S. population lives in rural counties, these counties contain only 1% of the ICU beds in the United States. Counties particularly at risk for inadequate ICU capacity include Crittenden, Arkansas; Cass, Minnesota; and Sagadahoc, Maine. Solutions include building new delivery systems, reopening previously closed rural hospitals, and calling on local businesses to create medical supplies. In summary, the 10 million older adults in rural communities in the United States may face challenges with obtaining critical care treatment due to the increased need of ICU beds during the...Continue Reading

Citations

Dec 9, 2020·Translational Behavioral Medicine·Pamela BehrmanMonica Baskin
Dec 22, 2020·The American Surgeon·Michael SarapDorothy Hughes
Mar 7, 2021·Bioengineering·Mark J OsbornJakub Tolar
Mar 13, 2021·Healthcare : the Journal of Delivery Science and Innovation·Jamie A AronSteven Heneghan
Feb 24, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Timothy CallaghanAlva O Ferdinand
Apr 25, 2021·Annals of Epidemiology·Diego F CuadrosNeil MacKinnon

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