{"id":1676,"date":"2025-03-06T09:24:00","date_gmt":"2025-03-06T14:24:00","guid":{"rendered":"https:\/\/carleton.ca\/determinants\/?p=1676"},"modified":"2026-05-27T09:32:24","modified_gmt":"2026-05-27T13:32:24","slug":"new-article-creating-an-inclusive-definition-for-high-users-of-inpatient-hospital-systems-that-considers-different-levels-of-rurality","status":"publish","type":"post","link":"https:\/\/carleton.ca\/determinants\/2025\/new-article-creating-an-inclusive-definition-for-high-users-of-inpatient-hospital-systems-that-considers-different-levels-of-rurality\/","title":{"rendered":"New Article: Creating an Inclusive Definition for High Users of Inpatient Hospital Systems That Considers Different Levels of Rurality"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        New Article: Creating an Inclusive Definition for High Users of Inpatient Hospital Systems That Considers Different Levels of Rurality\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n\n\n\n<p><em class=\"myprefix-text-italic\">Tomoko McGaughey, George Kephart, Utkarsh J. Dang, and Paul A. Peters<\/em><\/p>\n\n\n\n<h3 id=\"abstract\" class=\"wp-block-heading\">Abstract<\/h3>\n\n\n\n<p>Multiple definitions have been used to identify individuals who are high system users (HSUs), through economic costs, frequency of use, or length of stay for inpatient care users. However, no definition has been validated to be representative of those residing in rural communities, who face unique service accessibility. This paper identifies an HSU definition for rural Canada that is inclusive of various levels of rurality, longitudinal patient experiences, and types of hospitalizations experienced. This study utilized the 2011 Canadian Census Health and Environment Cohort (CanCHEC) linkage profile to assess hospitalization experiences between 1 January 2009 and 31 December 2013. A range of common HSU indicators were compared using Cox proportional hazards modelling for multiple periods of assessment and types of admissions. The preferred definition for rural HSUs was individuals who are in the 90th percentile of unplanned hospitalization episodes for 2 of 3 consecutive years. This approach is innovative in that it includes longitudinal hospital experiences and multiple types of hospitalizations and assesses an individual\u2019s rurality as a point of context for analysis, rather than a characteristic. These differences provide an opportunity for community characteristic needs assessment and subsequent adjustments to policy development and resource allocation to meet each rural community\u2019s specific needs.<\/p>\n\n\n\n<p><strong class=\"myprefix-text-bold\">Read the Article:<\/strong> <a href=\"https:\/\/doi.org\/10.3390\/ijerph22030381\">https:\/\/doi.org\/10.3390\/ijerph22030381<\/a>.<\/p>\n\n\n\n<h4 id=\"citation\" class=\"wp-block-heading\">Citation<\/h4>\n\n\n\n<pre class=\"wp-block-code\"><code>McGaughey, T.; Kephart, G.; Dang, U.J.; Peters, P.A. Creating an Inclusive Definition for High Users of Inpatient Hospital Systems That Considers Different Levels of Rurality. Int. J. Environ. Res. Public Health 2025, 22, 381. https:\/\/doi.org\/10.3390\/ijerph22030381<\/code><\/pre>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tomoko McGaughey, George Kephart, Utkarsh J. Dang, and Paul A. Peters Abstract Multiple definitions have been used to identify individuals who are high system users (HSUs), through economic costs, frequency of use, or length of stay for inpatient care users. However, no definition has been validated to be representative of those residing in rural communities, [&hellip;]<\/p>\n","protected":false},"author":234,"featured_media":1677,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[24,108,127,90],"tags":[77,78],"class_list":["post-1676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-health-data","category-health-services","category-rural-health","tag-rural-health","tag-rural-research"],"acf":{"cu_post_thumbnail":""},"_links":{"self":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/1676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/users\/234"}],"replies":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/comments?post=1676"}],"version-history":[{"count":3,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/1676\/revisions"}],"predecessor-version":[{"id":1680,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/1676\/revisions\/1680"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/media\/1677"}],"wp:attachment":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/media?parent=1676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/categories?post=1676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/tags?post=1676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}