Rural Health
Resources by State: Pennsylvania
Survey of Pennsylvania Emergency Medical Services Agencies
Results of a December 2021 survey of 389 directors of urban, rural, and mixed Pennsylvania emergency medical services agencies. Features statistics on topics including staffing, finances, changes in providers, recruitment and retention, and strategic planning, with breakdowns by rural and urban/mixed classifications.
Date: 07/2022
Sponsoring organization: Center for Rural Pennsylvania
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Results of a December 2021 survey of 389 directors of urban, rural, and mixed Pennsylvania emergency medical services agencies. Features statistics on topics including staffing, finances, changes in providers, recruitment and retention, and strategic planning, with breakdowns by rural and urban/mixed classifications.
Date: 07/2022
Sponsoring organization: Center for Rural Pennsylvania
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Urban–Rural Differences in Health Care Utilization and COVID-19 Outcomes in Patients With Type 2 Diabetes
Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
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Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
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Latino/a Farmworkers' Concerns about Safety and Health in the Pennsylvania Mushroom Industry
Interviews 60 Pennsylvania mushroom farm farmworkers between September 2018 and January 2019 to determine their perception of occupational health and safety in their workplaces. Data show types of injuries and workplace conditions contributing to injuries broken down by sex.
Author(s): Kathleen Sexsmith, Effie E. Palacios, Maria Gorgo-Gourovitch, Ilse A. Huerta Arredondo
Citation: Journal of Agromedicine 27(2), 169-182
Date: 06/2022
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Interviews 60 Pennsylvania mushroom farm farmworkers between September 2018 and January 2019 to determine their perception of occupational health and safety in their workplaces. Data show types of injuries and workplace conditions contributing to injuries broken down by sex.
Author(s): Kathleen Sexsmith, Effie E. Palacios, Maria Gorgo-Gourovitch, Ilse A. Huerta Arredondo
Citation: Journal of Agromedicine 27(2), 169-182
Date: 06/2022
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COVID-19 Effects on Pennsylvania Crime Trends: A Rural/Urban Comparison
Examines the effect of the COVID-19 pandemic on murder and abuse in Pennsylvania, and identifies rural-urban differences in these outcomes before and during the pandemic. Features statistics on yearly homicide totals and protection orders, with breakdowns by rural counties, Philadelphia county, and other urban counties.
Additional links: Executive Summary
Author(s): David Yerger, Brandon Vick, Robert Orth, Charles Gartside
Date: 06/2022
Sponsoring organization: Center for Rural Pennsylvania
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Examines the effect of the COVID-19 pandemic on murder and abuse in Pennsylvania, and identifies rural-urban differences in these outcomes before and during the pandemic. Features statistics on yearly homicide totals and protection orders, with breakdowns by rural counties, Philadelphia county, and other urban counties.
Additional links: Executive Summary
Author(s): David Yerger, Brandon Vick, Robert Orth, Charles Gartside
Date: 06/2022
Sponsoring organization: Center for Rural Pennsylvania
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The Pennsylvania Rural Health Model (PARHM): Second Annual Evaluation Report
Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Additional links: Appendix, Findings at a Glance
Date: 06/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Additional links: Appendix, Findings at a Glance
Date: 06/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Geographic Disparities in New Onset of Internalizing Disorders in Pennsylvania Adolescents Using Electronic Health Records
Examines the prevalence of anxiety and depressive disorders among adolescents in 37 Pennsylvania counties. Includes demographic breakdowns of 7,974 subjects with internalizing disorder cases residing in rural, urban cluster, or urbanized areas. Discusses the relationship of geographic location, socioeconomic deprivation, and community greenness in relation to internalizing disorders.
Author(s): Irena Gorski-Steiner, Sean O'Dell, Karen Bandeen-Roche, et al.
Citation: Spatial and Spatio-Temporal Epidemiology, 41, 100439
Date: 06/2022
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Examines the prevalence of anxiety and depressive disorders among adolescents in 37 Pennsylvania counties. Includes demographic breakdowns of 7,974 subjects with internalizing disorder cases residing in rural, urban cluster, or urbanized areas. Discusses the relationship of geographic location, socioeconomic deprivation, and community greenness in relation to internalizing disorders.
Author(s): Irena Gorski-Steiner, Sean O'Dell, Karen Bandeen-Roche, et al.
Citation: Spatial and Spatio-Temporal Epidemiology, 41, 100439
Date: 06/2022
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Rural Youth Survey: Trends and Developments in the Attitudes and Aspirations of Rural Pennsylvania Youth
Results of a study conducted in the spring of 2021, to document the educational, career, and residential aspirations of rural Pennsylvania 9th and 11th grade students, to examine factors that shape aspirations, and to detail opportunities and barriers that youth experience. Notes that healthcare was the most common career field sought by students. Offers recommendation that additional mental health support be provided for rural youth as they return to in-person schooling after the COVID pandemic. Features demographics and statistics on career aspirations, with breakdowns by type of employment.
Author(s): Lacey Wallace, Sam Tanner, Freyca Calderon-Berumen, Lauren Jacobson
Date: 05/2022
Sponsoring organization: Center for Rural Pennsylvania
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Results of a study conducted in the spring of 2021, to document the educational, career, and residential aspirations of rural Pennsylvania 9th and 11th grade students, to examine factors that shape aspirations, and to detail opportunities and barriers that youth experience. Notes that healthcare was the most common career field sought by students. Offers recommendation that additional mental health support be provided for rural youth as they return to in-person schooling after the COVID pandemic. Features demographics and statistics on career aspirations, with breakdowns by type of employment.
Author(s): Lacey Wallace, Sam Tanner, Freyca Calderon-Berumen, Lauren Jacobson
Date: 05/2022
Sponsoring organization: Center for Rural Pennsylvania
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Access to Maternity and Obstetric Care in Rural Pennsylvania
Examines access to maternity care in rural Pennsylvania, using federal- and state-level data to determine the distribution of birthing facilities and birth attendants. Includes a workforce analysis to forecast the supply of and demand for care providers and to identify gaps where supply will not meet demand. Provides a survey of stakeholders and key informants, to identify strengths, weaknesses, opportunities, threats, and solutions to improving access to maternity care.
Additional links: Executive Summary
Author(s): Sharon Bernecki DeJoy, David J. Doorn
Date: 04/2022
Sponsoring organization: Center for Rural Pennsylvania
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Examines access to maternity care in rural Pennsylvania, using federal- and state-level data to determine the distribution of birthing facilities and birth attendants. Includes a workforce analysis to forecast the supply of and demand for care providers and to identify gaps where supply will not meet demand. Provides a survey of stakeholders and key informants, to identify strengths, weaknesses, opportunities, threats, and solutions to improving access to maternity care.
Additional links: Executive Summary
Author(s): Sharon Bernecki DeJoy, David J. Doorn
Date: 04/2022
Sponsoring organization: Center for Rural Pennsylvania
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Impact of Telemedicine on Retention in Medications for Opioid Use Disorder (MOUD) Treatment with Buprenorphine in the Times of COVID-19 Pandemic: A Retrospective Chart Review
Study examining treatment retention for medication for opioid use disorder (MOUD) patients via telehealth during the COVID-19 pandemic, based on electronic health records of patients at a rural Federally Qualified Health Center (FQHC) in Pennsylvania. Discusses the impacts of telemedicine on retention rates, COVID-19-related challenges to treatment delivery systems, and policy measures to support telehealth and MOUD interventions.
Author(s): Jagdeep Kaur, Irakli Mania, Raghavendra Tirupathi, Lakshmi Polavarapu
Citation: Journal of Rural Mental Health, 46(2), 75-81
Date: 04/2022
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Study examining treatment retention for medication for opioid use disorder (MOUD) patients via telehealth during the COVID-19 pandemic, based on electronic health records of patients at a rural Federally Qualified Health Center (FQHC) in Pennsylvania. Discusses the impacts of telemedicine on retention rates, COVID-19-related challenges to treatment delivery systems, and policy measures to support telehealth and MOUD interventions.
Author(s): Jagdeep Kaur, Irakli Mania, Raghavendra Tirupathi, Lakshmi Polavarapu
Citation: Journal of Rural Mental Health, 46(2), 75-81
Date: 04/2022
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Access to Mental Health Services in Rural Pennsylvania
Results of a study to assess the demand for mental health services in rural Pennsylvania, with a focus on youth and the elderly. Identifies challenges these populations face in accessing mental health care to provide options for improving and expanding mental healthcare services for underserved rural Pennsylvanians. Features demographics and statistics on health and mental health needs in rural Pennsylvania, with breakdowns by county.
Additional links: Executive Summary
Author(s): Juliana Svistova, Ahyoung Lee, Christopher Harris, et al.
Date: 01/2022
Sponsoring organization: Center for Rural Pennsylvania
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Results of a study to assess the demand for mental health services in rural Pennsylvania, with a focus on youth and the elderly. Identifies challenges these populations face in accessing mental health care to provide options for improving and expanding mental healthcare services for underserved rural Pennsylvanians. Features demographics and statistics on health and mental health needs in rural Pennsylvania, with breakdowns by county.
Additional links: Executive Summary
Author(s): Juliana Svistova, Ahyoung Lee, Christopher Harris, et al.
Date: 01/2022
Sponsoring organization: Center for Rural Pennsylvania
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