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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Ohio 2023 Early Childhood Dashboard
Provides an overview of early childhood health outcomes and overall wellness in Ohio. Covers issues such as birth outcomes, young child health, maternal health, school readiness, healthcare access and quality, economic stability, food insecurity, adverse childhood experiences (ACEs), housing, and more. Includes family profiles and data with comparisons of Ohio's metrics versus the U.S. at large, as well as select data broken down by county, race/ethnicity, and rural versus urban.
Author(s): Carrie Almasi, Hailey Akah, Lexi Chirakos, Brian O'Rourke
Date: 01/2023
Type: Document
Sponsoring organizations: Groundwork Ohio, Health Policy Institute of Ohio
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What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access
Identifies federal health-related COVID-19 public health emergency (PHE) declarations, the flexibilities each provides, and implications for ending them. Topics covered include COVID-19 testing, treatment, and vaccination; telehealth; Medicaid coverage and federal match rates; Medicaid, Medicare, and private insurance flexibilities; and more.
Date: 01/2023
Type: Document
Sponsoring organization: KFF
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The State of Healthcare in North Carolina: 2022 Impact Report
Examines contributions to the people and economy of North Carolina by the North Carolina Healthcare Association's 130 member hospitals and hospitals systems. Describes key issues facing North Carolina health systems, including access and innovation, workforce development and retention, health equity, and behavioral health. Mentions rural throughout.
Date: 01/2023
Type: Document
Sponsoring organization: North Carolina Healthcare Association
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A Disaggregated View of Market Concentration in the Food Retail Industry
Examines changes in food retailing market concentration at the national, state, Metropolitan Statistical Area, and county levels in the United States from 1990-2019, using data from the National Establishment Time Series dataset. Features statistics with breakdowns by metro, large nonmetro, small nonmetro, and rural areas.
Author(s): Eliana Zeballos, Xiao Dong, Ergys Islamaj
Date: 01/2023
Type: Document
Sponsoring organization: USDA Economic Research Service
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Variations in Affordability of Health Care by Non-Metropolitan/Metropolitan and Race/Ethnicity Status across Eight Geographically Dispersed States
Examines affordability of healthcare in terms of healthcare coverage, forgone healthcare due to cost, forgone medications due to cost, and needing to pay back healthcare bills over time. Analyzes data from respondents aged 18-64 participating in the Behavioral Risk Factor Surveillance System (BRFSS) survey, with information broken down by race/ethnicity and metropolitan versus non-metropolitan.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al.
Date: 01/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Problems Paying Medical Bills: United States, 2021
Reports data on families facing problems paying medical bills by selected sociodemographic and geographic characteristics. Table 2 includes data for metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Amy E. Cha,
Date: 01/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Engaging Rural Communities to Incorporate Social Determinants in Developing Strategies to Improve Access to Health Care in the Missouri Bootheel Counties
Presents a study on how social determinants of health affect healthcare access in several rural counties in Missouri. Discusses the perceived barriers to care in the rural "Bootheel" counties, such as economic issues, lack of health insurance coverage, and lack of coordinated care, among others.
Author(s): Ashish Shrestha, Katherine Stamatakis, Janice Ballard
Citation: Rural and Remote Health, 23, 7678
Date: 01/2023
Type: Document
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Unmet Needs for Help with Mobility Limitations among Older Adults Aging in Place: The Role of Rurality
Examines unmet mobility needs related to issues of access and appropriate housing in older adult populations. Analyzes data from 3,343 respondents of the National Health and Aging Trends Study (NHATS) by age, gender, race, education, income, and housing status/characteristics. Includes differences in health characteristics, fall history, and unmet needs with data broken down by rural versus urban location.
Author(s): Carrie Henning-Smith, Megan Lahr, John Mulcahy, Hannah MacDougall
Citation: Journal of Aging and Health, 35(9)
Date: 01/2023
Type: Document
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Distance and Transportation Barriers to Colorectal Cancer Screening in a Rural Community
Discusses barriers, facilitators, and intervention needs related to colorectal cancer (CRC) screening at the system, provider, and patient levels. Reports on 40 interviews conducted with clinical practitioners and staff in rural Southern Illinois from 2017 to 2018 about assisting patients with navigating barriers. Focuses on issues of transportation, distance, and access in rural areas.
Author(s): Katharine M. N. Lee, Jean Hunleth, Liz Rolf, et al.
Citation: Journal of Primary Care & Community Health, 14
Date: 01/2023
Type: Document
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Mental Health in Rural New York: Findings and Implications of a Listening Tour with Residents and Professionals
Findings from the Rural Mental Health Listening Tour of New York State, conducted between March 2020 and September 2021 to elicit input and experiences of community members living and working in rural areas. Presents strengths and assets of rural communities, and highlights model programs and success stories. Includes recommendations in categories including access to transportation and broadband, access to mental health programs, availability of services, improving and sustaining workforce capacity, and offers state- and county-specific recommendations.
Author(s): Brett Harris, Katie Gallant, Abby Mariani
Date: 01/2023
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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