Rural Health
Resources by Topic: Rural-urban differences
Higher Risk of Melanoma-Related Deaths for Patients Residing in Rural Counties: A Surveillance, Epidemiology, and End Results Program Study
Analyzes the persistence of the rural mortality penalty (RMP) related to melanoma cancer. Utilizes 2000-2019 SEER Research-Plus-17-Registry data to examine disease characteristics, incidence, and mortality rates, with breakdowns by race/ethnicity, income, and rural versus urban location.
Author(s): Sarah Kooper-Johnson, Viknesh Kasthuri, Alexander Homer, Bichchau Michelle Nguyen
Citation: Journal of the American Academy of Dermatology, 90(6), 1257-1258
Date: 06/2024
Type: Document
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Analyzes the persistence of the rural mortality penalty (RMP) related to melanoma cancer. Utilizes 2000-2019 SEER Research-Plus-17-Registry data to examine disease characteristics, incidence, and mortality rates, with breakdowns by race/ethnicity, income, and rural versus urban location.
Author(s): Sarah Kooper-Johnson, Viknesh Kasthuri, Alexander Homer, Bichchau Michelle Nguyen
Citation: Journal of the American Academy of Dermatology, 90(6), 1257-1258
Date: 06/2024
Type: Document
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A Closer Look at the Final Nursing Facility Rule and Which Facilities Might Meet New Staffing Requirements
Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Barriers to Buprenorphine Dispensing by Medicaid-Participating Community Retail Pharmacies
Analyzes rates at which pharmacies dispensing opioids also dispensed buprenorphine, utilizing 2016-2019 Medicaid claims data. Includes year-by-year comparisons of clinics by patient volume and rural or urban location.
Author(s): Patricia R. Freeman, Lindsey R. Hammerslag, Katherine A. Ahrens, et al.
Citation: JAMA Health Forum, 5(5), e241077
Date: 05/2024
Type: Document
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Analyzes rates at which pharmacies dispensing opioids also dispensed buprenorphine, utilizing 2016-2019 Medicaid claims data. Includes year-by-year comparisons of clinics by patient volume and rural or urban location.
Author(s): Patricia R. Freeman, Lindsey R. Hammerslag, Katherine A. Ahrens, et al.
Citation: JAMA Health Forum, 5(5), e241077
Date: 05/2024
Type: Document
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Tele-Behavioral Health Use Among Medicare Beneficiaries During COVID-19
Explores whether tele-behavioral healthcare was able to meet the demand for behavioral healthcare during the COVID-19 public health emergency. Examines behavioral healthcare and tele-behavioral healthcare use among Medicare beneficiaries in 2019 and 2020 by type of service and beneficiary characteristics, including urban and rural residence.
Author(s): Laura Jacobus-Kantor, Judith Dey, Emma Nye, et al.
Date: 05/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores whether tele-behavioral healthcare was able to meet the demand for behavioral healthcare during the COVID-19 public health emergency. Examines behavioral healthcare and tele-behavioral healthcare use among Medicare beneficiaries in 2019 and 2020 by type of service and beneficiary characteristics, including urban and rural residence.
Author(s): Laura Jacobus-Kantor, Judith Dey, Emma Nye, et al.
Date: 05/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural/Urban Differences in Housing Quality and Adequacy: Findings from the American Housing Survey, 2019
Explores rural and urban differences in various measures of housing quality affecting health outcomes, using a nationally representative survey. Features statistics on housing adequacy; heating, electrical, plumbing, and building conditions; and presence of mold and pests, with breakdowns by rural, urban, and urbanized housing units.
Author(s): Hawking Yam, Alexis Swendener, Mariana Tuttle, Madeleine Pick, Carrie Henning-Smith
Date: 05/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores rural and urban differences in various measures of housing quality affecting health outcomes, using a nationally representative survey. Features statistics on housing adequacy; heating, electrical, plumbing, and building conditions; and presence of mold and pests, with breakdowns by rural, urban, and urbanized housing units.
Author(s): Hawking Yam, Alexis Swendener, Mariana Tuttle, Madeleine Pick, Carrie Henning-Smith
Date: 05/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Regional and Rural-Urban Patterns in the Prevalence of Diagnosed Hypertension among Older U.S. Adults with Diabetes, 2005–2017
Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
Type: Document
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Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
Type: Document
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Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step
Examines potential implications of including a peer grouping step in the calculation of Centers for Medicare & Medicaid Services (CMS) Overall Star Ratings. Uses January 2023 Medicare Care Compare data on 3,076 hospitals that received a star rating to calculate the peer groups based on the number of quality measure groups for which hospitals had 3 or more reported measures. Presents data on the characteristics of each peer group, the distribution of star ratings whether the peer grouping step was used or not used, and the number of hospitals with a higher, lower, or identical star rating when the peer grouping step was applied. Compares data by hospital characteristics, including safety-net status, Critical Access Hospital status, rural or urban location, and more.
Author(s): Cameron J. Gettel, Kyle Bagshaw, Li Qin, et al.
Citation: JAMA Network Open, 7(5), e2411933
Date: 05/2024
Type: Document
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Examines potential implications of including a peer grouping step in the calculation of Centers for Medicare & Medicaid Services (CMS) Overall Star Ratings. Uses January 2023 Medicare Care Compare data on 3,076 hospitals that received a star rating to calculate the peer groups based on the number of quality measure groups for which hospitals had 3 or more reported measures. Presents data on the characteristics of each peer group, the distribution of star ratings whether the peer grouping step was used or not used, and the number of hospitals with a higher, lower, or identical star rating when the peer grouping step was applied. Compares data by hospital characteristics, including safety-net status, Critical Access Hospital status, rural or urban location, and more.
Author(s): Cameron J. Gettel, Kyle Bagshaw, Li Qin, et al.
Citation: JAMA Network Open, 7(5), e2411933
Date: 05/2024
Type: Document
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COVID-19 Vaccines: Moderna and Pfizer-BioNTech Use Varied By Urban, Rural Counties
Examines rural versus urban usage of mRNA COVID-19 vaccines by county. Provides data on first and second dose of vaccines, with data broken down by large central metro, large fringe metro, medium metro, small metro, micropolitan, or noncore location. Includes county-level maps showing Moderna and Pfizer-BioNTech spatial usage and discusses geographic implications that impacted access to each vaccine.
Author(s): Katherine Wen, Daniel A. Harris, Preeti Chachlani, et al.
Citation: Health Affairs, 43(5)
Date: 05/2024
Type: Document
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Examines rural versus urban usage of mRNA COVID-19 vaccines by county. Provides data on first and second dose of vaccines, with data broken down by large central metro, large fringe metro, medium metro, small metro, micropolitan, or noncore location. Includes county-level maps showing Moderna and Pfizer-BioNTech spatial usage and discusses geographic implications that impacted access to each vaccine.
Author(s): Katherine Wen, Daniel A. Harris, Preeti Chachlani, et al.
Citation: Health Affairs, 43(5)
Date: 05/2024
Type: Document
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Differences in Measurement of Operating Margin: An Update
Describes how differences in measurement of operating margin for hospitals can affect the reported values. Compares the operating margins of urban and rural prospective payment system hospitals and Critical Access Hospitals (CAHs) across three definitions of operating margin using Medicare Cost Report data from April 2021 through March 2022. Describes situations in which each operating margin would be the most appropriate to calculate. Updates a 2008 study from the Flex Monitoring Team.
Author(s): Jessie Ma, Susie Gurzenda, Kristin Reiter, George Pink
Date: 05/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Describes how differences in measurement of operating margin for hospitals can affect the reported values. Compares the operating margins of urban and rural prospective payment system hospitals and Critical Access Hospitals (CAHs) across three definitions of operating margin using Medicare Cost Report data from April 2021 through March 2022. Describes situations in which each operating margin would be the most appropriate to calculate. Updates a 2008 study from the Flex Monitoring Team.
Author(s): Jessie Ma, Susie Gurzenda, Kristin Reiter, George Pink
Date: 05/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization
Analyzes likelihood of receiving physical therapy or occupational therapy during ICU hospitalization among older adults. Utilizes 2011-2018 National Health and Aging Trends Study (NHATS) data of 1,618 hospitalizations. Highlights social determinants of health associated with disparities in rehabilitation service delivery, including rural status, dual eligibility for Medicare and Medicaid, and limited English proficiency.
Author(s): Snigdha Jain, Terrence E. Murphy, Jason R. Falvey, et al.
Citation: JAMA Network Open, 7(5), e2410713
Date: 05/2024
Type: Document
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Analyzes likelihood of receiving physical therapy or occupational therapy during ICU hospitalization among older adults. Utilizes 2011-2018 National Health and Aging Trends Study (NHATS) data of 1,618 hospitalizations. Highlights social determinants of health associated with disparities in rehabilitation service delivery, including rural status, dual eligibility for Medicare and Medicaid, and limited English proficiency.
Author(s): Snigdha Jain, Terrence E. Murphy, Jason R. Falvey, et al.
Citation: JAMA Network Open, 7(5), e2410713
Date: 05/2024
Type: Document
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