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Updated: Dec 10, 2025

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
Rural Standards and the Quality Equation
1SE Med Department of Surgery, Cambridge, OH, USA; American College of Surgeons, Advisory Council for Rural Surgery; Commission on Cancer Program in Ohio; Department of Surgery, Wright State University Boonshoft School of Medicine, Dayton, OH, USA; Lake Erie College of Medicine, Erie, PA, USA; Physicians Assistant Program, Marietta College; Tina Kiser Cancer Concern Coalition.
Abstract:
The article describes the barriers rural surgeons face when attempting to measure, analyze, and benchmark the quality and value of the care they provide for their patients. Examples of suboptimal care are presented as well as special geographic and resource-related circumstances for many of these disparities of care. The article includes in-depth descriptions of the American College of Surgeons (ACS) Optimal Resources for Surgical Quality and Safety Program and the ACS Rural Hospital Surgical Verification and Quality Improvement Program. The article concludes by discussing several documented clinical, economic, and social advantages of keeping surgical care local.
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