{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:41:20Z","timestamp":1761007280728,"version":"build-2065373602"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T00:00:00Z","timestamp":1613433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Though initially spared from the brunt of the COVID\u201019 pandemic, rural areas in the United States have been ravaged by the disease. With a higher\u2010risk population at baseline and an already strained health care system, rural hospitals face severe challenges in delivering care during the pandemic. In otolaryngology specifically, there has been difficulty in ensuring patient access to care while maintaining safe environments for patients and staff. Partnership between academic medical centers and critical access rural hospitals is urgently needed to help improve care for vulnerable rural populations.<\/jats:p>","DOI":"10.1177\/0194599821995146","type":"journal-article","created":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T04:03:37Z","timestamp":1613448217000},"page":"5-6","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Challenges in the Delivery of Rural Otolaryngology Care During the COVID\u201019\u00a0Pandemic"],"prefix":"10.1002","volume":"165","author":[{"given":"Tasher","family":"Losenegger","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Urban","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashok J.","family":"Jagasia","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,16]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6605a1"},{"key":"e_1_2_4_3_1","unstructured":"Health United States 2017\u2014data finder.PublishedAugust 9 2018. Accessed December 12 2020.https:\/\/www.cdc.gov\/nchs\/hus\/contents2017.htm"},{"key":"e_1_2_4_4_1","unstructured":"JonesB KileyJ.The changing geography of COVID\u201019\u00a0in the US. PublishedDecember 8 2020. Accessed December 18 2020.https:\/\/www.pewresearch.org\/politics\/?p=20076611"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28652"},{"key":"e_1_2_4_6_1","unstructured":"MosleyD DeBehnkeD.Rural hospital sustainability: new analysis shows worsening situation for rural hospitals residents. PublishedFebruary 2019. Accessed December 11 2020.https:\/\/guidehouse.com\/\u2010\/media\/www\/site\/insights\/healthcare\/2019\/navigant\u2010rural\u2010hospital\u2010analysis\u201022019.pdf"},{"issue":"4","key":"e_1_2_4_7_1","article-title":"The effect of surgery on the profitability of rural hospitals","volume":"41","author":"Karim S","year":"2015","journal-title":"Journal of Health Care Finance"},{"key":"e_1_2_4_8_1","unstructured":"BerlinG BuenoD SchulzJ.Cutting through the COVID\u201019 surgical backlog. PublishedOctober 2020. Accessed December 11 2020.https:\/\/www.mckinsey.com\/industries\/healthcare\u2010systems\u2010and\u2010services\/our\u2010insights\/cutting\u2010through\u2010the\u2010covid\u201019\u2010surgical\u2010backlog#"},{"key":"e_1_2_4_9_1","unstructured":"MehrotraA ChernewM LinetskyD HatchH CutlerD SchneiderE.The impact of the COVID\u201019 pandemic on outpatient care: visits return to prepandemic levels but not for all providers and patients. PublishedOctober 15 2020. Accessed December 11 2020.https:\/\/www.commonwealthfund.org\/publications\/2020\/oct\/impact\u2010covid\u201019\u2010pandemic\u2010outpatient\u2010care\u2010visits\u2010return\u2010prepandemic\u2010levels"},{"key":"e_1_2_4_10_1","unstructured":"The impact of coronavirus on households in rural America. Published onlineOctober 2020. Accessed December 11 2020.https:\/\/drive.google.com\/file\/d\/1UYBTE\u2010lZo_XZAdkMUPpnkb3HmQO6ihCO\/view"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599821995146","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599821995146","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599821995146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:20:31Z","timestamp":1760962831000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599821995146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,16]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/0194599821995146"],"URL":"https:\/\/doi.org\/10.1177\/0194599821995146","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2021,2,16]]},"assertion":[{"value":"2021-01-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}