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Rural Health
Resources by Topic: Access

Household Experiences in Rural America During the Delta Variant Outbreak
Examines the impacts of the COVID-19 pandemic on rural U.S. households. Covers financial, education, childcare, health and healthcare, and employment and work-related impacts related to the pandemic.
Date: 10/2021
Type: Document
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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Health Care in Rural America: Focus on Internet and Telehealth Use
Presents results of a survey of rural adults age 40 and older conducted between November-December 2020, addressing access to specialty health services, infrastructure gaps in rural areas, and utilization of telehealth services. Provides data on internet use relative to overall health, internet access at home and with smartphones, cost issues, and highlights concerns and barriers to telehealth utilization.
Additional links: Annotated Questionnaire
Date: 10/2021
Type: Document
Sponsoring organization: AARP
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Health Care in Rural America: A Focus on Dental Care
Presents findings from a survey of rural adults age 40 and over conducted from November 20 to December 18, 2020, addressing challenges rural populations face in maintaining oral health and consistently accessing oral health providers. Also addresses difficulty paying dental bills and delays in seeking care as a result. Presents data on dental visits by health status, income, insurance coverage, and reasons for delaying or forgoing care.
Additional links: Annotated Questionnaire
Date: 10/2021
Type: Document
Sponsoring organization: AARP
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Longitudinal Analysis of Neighborhood Food Environment and Diabetes Risk in the Veterans Administration Diabetes Risk Cohort
Results of a study examining the association between neighborhood food environment and risk of type 2 diabetes across communities, with breakdowns by high-density urban, low-density urban, suburban, and rural locations. Features statistics including characteristics of the diabetes risk cohort, and incidence of type 2 diabetes by demographic characteristics, overall and by community type.
Author(s): Rania Kanchi, Priscilla Lopez, Pasquale E. Rummo, et al.
Citation: JAMA Network Open, 4(10)
Date: 10/2021
Type: Document
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Health Care in Rural America: Use, Affordability, and Access
Report on rural access to healthcare and the overall health of rural adults age 40 and older based on a survey from November 20 to December 18, 2020. Addresses disparities in health, income, and access to health insurance. Presents data on household income, mental health status, chronic conditions, concerns related to visiting healthcare facilities due to COVID-19, and more.
Additional links: Annotated Questionnaire
Date: 10/2021
Type: Document
Sponsoring organization: AARP
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The Impact of COVID-19 on People with Disabilities
Examines the impact of the COVID-19 pandemic on people with disabilities. Covers access to healthcare and direct care workers, congregate care settings and transition, education, employment, effective communication, and mental health and suicide prevention services. Identifies challenges to rural residents throughout, including access to broadband in rural areas. Offers policy recommendations to federal and state policymakers and other relevant stakeholders.
Date: 10/2021
Type: Document
Sponsoring organization: National Council on Disability
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The Effect of National Health Service Corps Clinician Staffing on Medical and Behavioral Health Care Costs in Community Health Centers
Examines the contribution of National Health Service Corps (NHSC) and non-NHSC clinicians to medical and behavioral health costs per visit, using 2013-2017 data from 1,022 Federally Qualified Health Centers merged with the NHSC participant data. Features statistics on average costs per visit for medical or behavioral healthcare, with breakdowns including rural facility location.
Author(s): Xinxin Han, Patricia Pittman, Leighton Ku
Citation: Medical Care, 59(10), S428-S433
Date: 10/2021
Type: Document
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Mapping the Location of Health Centers in Relation to "Maternity Care Deserts": Associations With Utilization of Women's Health Providers and Services
Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
Type: Document
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How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Capturing Shared Impacts of the Partners for Rural Transformation: Advancing Rural Prosperity
Research report detailing how the 6 member institutions of the Partners for Rural Transformation are working to make progress toward and meet their shared goals, and lays out a framework for measuring future shared impacts and an agenda for action to build on successes. Includes a section on progress toward economic mobility, racial justice, and health equity.
Author(s): Corianne Payton Scally, Brett Theodos, Yipeng Su, et al.
Date: 10/2021
Type: Document
Sponsoring organization: Urban Institute
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