{"id":"https://openalex.org/W2004646320","doi":"https://doi.org/10.1097/jtn.0b013e3181f52258","title":"Rural Trauma and Emergency Medical Service Challenges in a Sample of Western States","display_name":"Rural Trauma and Emergency Medical Service Challenges in a Sample of Western States","publication_year":2010,"publication_date":"2010-07-01","ids":{"openalex":"https://openalex.org/W2004646320","doi":"https://doi.org/10.1097/jtn.0b013e3181f52258","mag":"2004646320","pmid":"https://pubmed.ncbi.nlm.nih.gov/20838164"},"language":"en","primary_location":{"id":"doi:10.1097/jtn.0b013e3181f52258","doi":"https://doi.org/10.1097/jtn.0b013e3181f52258","is_oa":false,"landing_page_url":"https://doi.org/10.1097/jtn.0b013e3181f52258","pdf_url":null,"source":{"id":"https://openalex.org/S2755296576","display_name":"Journal of Trauma Nursing","issn_l":"1078-7496","issn":["1078-7496","1932-3883"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","ki-jl-1","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Trauma Nursing","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062014726","display_name":"Jolene R. Whitney","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122884","display_name":"Utah Department of Health","ror":"https://ror.org/034de1n65","country_code":"US","type":"government","lineage":["https://openalex.org/I4210122884","https://openalex.org/I4405272622"]},{"id":"https://openalex.org/I4405272622","display_name":"Utah Department of Health and Human Services","ror":"https://ror.org/04f3anj10","country_code":"US","type":"government","lineage":["https://openalex.org/I4405272622"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jolene R. Whitney","raw_affiliation_strings":["Utah Department of Health, Salt Lake City, Utah, USA. jrwhitney@utah.gov","Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Utah Department of Health, Salt Lake City, Utah, USA. jrwhitney@utah.gov","institution_ids":["https://openalex.org/I4210122884","https://openalex.org/I4405272622"]},{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060677855","display_name":"Susan M. Werner","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Susan Werner","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Susan Wilson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Susan Wilson","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043236468","display_name":"Nels D. Sanddal","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nels Sanddal","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075238866","display_name":"Vicki Conditt","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Vicki Conditt","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009434231","display_name":"Peggy Sale","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Peggy Sale","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056463158","display_name":"Clay N. Mann","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Clay Mann","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018671400","display_name":"Jennie Nemec","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jennie Nemec","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006585019","display_name":"Johnathan J. Jones","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Johnathan J. Jones","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088676009","display_name":"Grace Sandeno","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Grace Sandeno","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5008275558","display_name":"Diane Hartford","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Diane Hartford","raw_affiliation_strings":["Conditt)","Hartford)","Jones)","Mann)","Nemec)","Sale)","Sanddal)","Sandeno)","Werner)","Wilson)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Conditt)","institution_ids":[]},{"raw_affiliation_string":"Hartford)","institution_ids":[]},{"raw_affiliation_string":"Jones)","institution_ids":[]},{"raw_affiliation_string":"Mann)","institution_ids":[]},{"raw_affiliation_string":"Nemec)","institution_ids":[]},{"raw_affiliation_string":"Sale)","institution_ids":[]},{"raw_affiliation_string":"Sanddal)","institution_ids":[]},{"raw_affiliation_string":"Sandeno)","institution_ids":[]},{"raw_affiliation_string":"Werner)","institution_ids":[]},{"raw_affiliation_string":"Wilson)","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5062014726"],"corresponding_institution_ids":["https://openalex.org/I4210122884","https://openalex.org/I4405272622"],"apc_list":null,"apc_paid":null,"fwci":0.6609,"has_fulltext":false,"cited_by_count":11,"citation_normalized_percentile":{"value":0.75506029,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"17","issue":"3","first_page":"158","last_page":"162"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rural-trauma-care","display_name":"rural trauma care","score":0.9399999976158142},{"id":"https://openalex.org/keywords/emergency-medical-services","display_name":"emergency medical services","score":0.9929999709129333},{"id":"https://openalex.org/keywords/trauma-systems","display_name":"trauma systems","score":0.6759999990463257},{"id":"https://openalex.org/keywords/access-to-trauma-care","display_name":"trauma care access","score":0.7960000038146973},{"id":"https://openalex.org/keywords/rural-health-care-delivery","display_name":"rural health care delivery","score":0.6660000085830688},{"id":"https://openalex.org/keywords/geographic-barriers","display_name":"geographic barriers","score":0.8410000205039978},{"id":"https://openalex.org/keywords/communication-difficulties","display_name":"communication difficulties","score":0.5260000228881836},{"id":"https://openalex.org/keywords/population-decline","display_name":"population decline","score":0.5519999861717224},{"id":"https://openalex.org/keywords/poverty","display_name":"poverty","score":0.6129999756813049},{"id":"https://openalex.org/keywords/american-west","display_name":"American West","score":0.871999979019165}],"concepts":[{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.5761044025421143},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4983408451080322},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4688454866409302},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.46591925621032715},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.461275577545166},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.4462866187095642},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.43140313029289246},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3515201807022095},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.3421187400817871},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32805079221725464},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.1636774241924286},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.11022210121154785},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C43617362","wikidata":"https://www.wikidata.org/wiki/Q170050","display_name":"Chromatography","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015205","descriptor_name":"Northwestern United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015206","descriptor_name":"Southwestern United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016529","descriptor_name":"Emergency Nursing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019035","descriptor_name":"Rural Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D019035","descriptor_name":"Rural Health Services","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/jtn.0b013e3181f52258","doi":"https://doi.org/10.1097/jtn.0b013e3181f52258","is_oa":false,"landing_page_url":"https://doi.org/10.1097/jtn.0b013e3181f52258","pdf_url":null,"source":{"id":"https://openalex.org/S2755296576","display_name":"Journal of Trauma Nursing","issn_l":"1078-7496","issn":["1078-7496","1932-3883"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","ki-jl-1","medline","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Trauma Nursing","raw_type":"journal-article"},{"id":"pmid:20838164","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20838164","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of trauma nursing : the official journal of the Society of Trauma Nurses","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.4000000059604645,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":1,"referenced_works":["https://openalex.org/W2083066201"],"related_works":["https://openalex.org/W4242679607","https://openalex.org/W7052495257","https://openalex.org/W3094377261","https://openalex.org/W6885211126","https://openalex.org/W4386565209","https://openalex.org/W2574832367","https://openalex.org/W2002913507","https://openalex.org/W2416723486","https://openalex.org/W3040632451","https://openalex.org/W2264855021"],"abstract_inverted_index":{"State":[0],"trauma":[1,21],"system":[2],"managers":[3],"from":[4],"the":[5],"western":[6],"region":[7],"meet":[8],"annually":[9],"to":[10,20,55,82],"identify":[11],"and":[12,24,45,75,92,95],"address":[13],"health":[14],"care":[15,22],"issues,":[16],"particularly":[17],"those":[18],"related":[19],"access":[23],"delivery.":[25],"In":[26],"each":[27],"of":[28,36,50,62,65,69,84],"these":[29],"states,":[30],"policy":[31],"makers":[32],"face":[33],"a":[34],"host":[35],"convergent":[37],"problems:":[38],"declining":[39],"populations,":[40],"rapid":[41],"growth,":[42],"low":[43],"incomes,":[44],"high":[46],"poverty":[47],"rates.":[48],"Challenges":[49],"providing":[51],"emergency":[52],"medical":[53],"services":[54,70],"largely":[56],"rural":[57],"states":[58],"include":[59],"geographic":[60],"barriers":[61],"vast":[63],"expanses":[64],"unpopulated":[66],"landmass,":[67],"provision":[68],"across":[71],"mountain":[72],"ranges,":[73],"volcanoes,":[74],"extreme":[76],"weather":[77],"conditions,":[78],"communication":[79],"challenges":[80],"due":[81],"lack":[83],"cell":[85],"or":[86],"radio":[87],"coverage":[88],"in":[89],"some":[90],"areas,":[91],"difficulty":[93],"recruiting":[94],"retaining":[96],"trained":[97],"personnel.":[98]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":4},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
