Rural Health
Resources by Topic: Cardiovascular disease
Enhancing Primary Care Capacity for Cardiovascular Disease Management Through the ECHO+ Model: A Multistate Rural Collaboration Among West Virginia, Arkansas, and Oklahoma
Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Outcomes in Pregnant Patients with Congenital Heart Disease by Rurality
Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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Combined Prevalence of Chronic Conditions or Obesity for Adults in 2022
Examines the combined prevalence of obesity and chronic health conditions, including high blood pressure, cancer, and diabetes, among others, by demographic group, utilizing Medical Expenditure Panel Survey (MEPS) Household Component data. See Figure 6 for a comparison of prevalence between metropolitan statistical areas (MSAs) and non-MSAs.
Author(s): Zhengyi Fang, Rebecca Ahrnsbrak
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the combined prevalence of obesity and chronic health conditions, including high blood pressure, cancer, and diabetes, among others, by demographic group, utilizing Medical Expenditure Panel Survey (MEPS) Household Component data. See Figure 6 for a comparison of prevalence between metropolitan statistical areas (MSAs) and non-MSAs.
Author(s): Zhengyi Fang, Rebecca Ahrnsbrak
Date: 08/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Hospital Health Information Exchange Participation and Heart Failure Discharges to Skilled Nursing Facilities: A Cohort Study
Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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Geographic Disparities in Access to Outpatient Stroke Rehabilitation in Texas
Examines rural-urban disparities in access to and use of outpatient stroke rehabilitation services in Texas, utilizing 2016-2019 Medicare claims data in addition to a survey of Texas clinics.
Author(s): Joseph Wozny, Melissa Howard, Susan Doherty, et al.
Citation: PLOS ONE, 20(8), e0328267.
Date: 08/2025
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Examines rural-urban disparities in access to and use of outpatient stroke rehabilitation services in Texas, utilizing 2016-2019 Medicare claims data in addition to a survey of Texas clinics.
Author(s): Joseph Wozny, Melissa Howard, Susan Doherty, et al.
Citation: PLOS ONE, 20(8), e0328267.
Date: 08/2025
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Quantitative Effects of Mechanical Cardiopulmonary Resuscitation Devices in Rural American Emergency Medical Services: A Retrospective Cohort Study
Examines the effect of mechanical cardiopulmonary resuscitation on out-of-hospital cardiac arrest incidents in rural areas and the usefulness of new technologies on rural emergency medical services (EMS). Utilizes 2017–2019 National Emergency Medical Services Information System data to analyze 585 rural cardiac arrests and the impact of mechanical cardiopulmonary resuscitation on EMS care quality.
Author(s): Peter H. King, Esmaeil Bahalkeh
Citation: International Journal of Emergency Medicine, 18, 151
Date: 08/2025
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Examines the effect of mechanical cardiopulmonary resuscitation on out-of-hospital cardiac arrest incidents in rural areas and the usefulness of new technologies on rural emergency medical services (EMS). Utilizes 2017–2019 National Emergency Medical Services Information System data to analyze 585 rural cardiac arrests and the impact of mechanical cardiopulmonary resuscitation on EMS care quality.
Author(s): Peter H. King, Esmaeil Bahalkeh
Citation: International Journal of Emergency Medicine, 18, 151
Date: 08/2025
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A Comprehensive Mixed-Methods Analysis of Women's Cardiovascular Health Needs in Georgia, United States
Examines cardiovascular disease (CVD) in women living in rural Georgia, with a focus on barriers to care and strategies to improve health outcomes. Analyzes environmental factors in rural and urban counties in Georgia as well qualitative data from 56 women and 11 healthcare providers. Includes data on health indicators/behaviors in rural versus urban counties.
Author(s): Marlo Vernon, Brianna McIndoe, Michael J. Ryan, et al.
Citation: Biology of Sex Differences, 16, 62
Date: 08/2025
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Examines cardiovascular disease (CVD) in women living in rural Georgia, with a focus on barriers to care and strategies to improve health outcomes. Analyzes environmental factors in rural and urban counties in Georgia as well qualitative data from 56 women and 11 healthcare providers. Includes data on health indicators/behaviors in rural versus urban counties.
Author(s): Marlo Vernon, Brianna McIndoe, Michael J. Ryan, et al.
Citation: Biology of Sex Differences, 16, 62
Date: 08/2025
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Evaluating the Implementation of Maternal Safety Bundles for Obstetric Hemorrhage and Severe Hypertension During Pregnancy in Arkansas
Examines the impact of maternal safety bundles to improve outcomes for patients with obstetric hemorrhage and maternal hypertension. Analyzes safety bundle implementation in 37 Arkansas hospitals, with breakdowns according to hospital characteristics such as hospital size and type, number of beds, number of maternal healthcare professionals, rural versus urban region, and more.
Author(s): Cheng Peng, Mahip Acharya, Batool Khattab, et al.
Citation: BMC Pregnancy and Childbirth, 25, 793
Date: 07/2025
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Examines the impact of maternal safety bundles to improve outcomes for patients with obstetric hemorrhage and maternal hypertension. Analyzes safety bundle implementation in 37 Arkansas hospitals, with breakdowns according to hospital characteristics such as hospital size and type, number of beds, number of maternal healthcare professionals, rural versus urban region, and more.
Author(s): Cheng Peng, Mahip Acharya, Batool Khattab, et al.
Citation: BMC Pregnancy and Childbirth, 25, 793
Date: 07/2025
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Tennessee State Health Plan 2025: An Update to the 2024-2026 State Health Plan
Outlines how the Tennessee Department of Health is utilizing the actions identified in the State Health Plan to promote health in Tennessee. Features sections on nutritional security, maternal and infant health, chronic conditions, older adults, transportation, cancer screenings, and workforce.
Date: 07/2025
Sponsoring organization: Tennessee Department of Health
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Outlines how the Tennessee Department of Health is utilizing the actions identified in the State Health Plan to promote health in Tennessee. Features sections on nutritional security, maternal and infant health, chronic conditions, older adults, transportation, cancer screenings, and workforce.
Date: 07/2025
Sponsoring organization: Tennessee Department of Health
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