Rural Health
Resources by Topic: Cardiovascular disease
The Role of Comorbidities, Medications, and Social Determinants of Health in Understanding Urban-Rural Outcome Differences among Patients with Heart Failure
Analyzes health outcomes for patients with heart failure and mitigating factors such as comorbidities, guideline-directed medical therapy (GDMT), and social determinants of health (SDOH) in rural versus urban areas. Utilizes data from Medicare beneficiaries who had a heart failure hospitalization between 2008 to 2017 to observe mortality rates within 30 days or 1 year, hospital readmission rates, and emergency room (ER) admissions. Discusses health outcome disparities that correlate to patient location.
Author(s): Emily P. Zeitler, Joanna Joly, Christopher G. Leggett, et al.
Citation: Journal of Rural Health, 40(2), 386-393
Date: 2024
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Analyzes health outcomes for patients with heart failure and mitigating factors such as comorbidities, guideline-directed medical therapy (GDMT), and social determinants of health (SDOH) in rural versus urban areas. Utilizes data from Medicare beneficiaries who had a heart failure hospitalization between 2008 to 2017 to observe mortality rates within 30 days or 1 year, hospital readmission rates, and emergency room (ER) admissions. Discusses health outcome disparities that correlate to patient location.
Author(s): Emily P. Zeitler, Joanna Joly, Christopher G. Leggett, et al.
Citation: Journal of Rural Health, 40(2), 386-393
Date: 2024
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Rural Disparities in Cardiovascular and Cerebrovascular Health among Utah Prostate Cancer Survivors
Poster analyzing cardiovascular and cerebrovascular disease diagnosis among rural and urban prostate cancer survivors in Utah, utilizing Utah SEER Cancer Registry and Utah Population Database data for diagnoses between 1997 and 2015. Identifies rural-urban disparities in disease incidence rates, demographic characteristics, and first-course treatment methods.
Author(s): Shaelee Nielsen, Brock O'Neil, Bayarmaa Mark, Mia Hashibe
Date: 12/2023
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Poster analyzing cardiovascular and cerebrovascular disease diagnosis among rural and urban prostate cancer survivors in Utah, utilizing Utah SEER Cancer Registry and Utah Population Database data for diagnoses between 1997 and 2015. Identifies rural-urban disparities in disease incidence rates, demographic characteristics, and first-course treatment methods.
Author(s): Shaelee Nielsen, Brock O'Neil, Bayarmaa Mark, Mia Hashibe
Date: 12/2023
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2023 - 2028 Oklahoma State Health Improvement Plan
Offers an overview of Oklahoma resident health indicators and improvement goals with specific focus on social determinants of health, mental health, substance use, obesity, diabetes, and cardiovascular disease. Notes statewide resources and assets for each indicator. Includes a health inequity map at the census tract level.
Date: 12/2023
Sponsoring organization: Oklahoma State Department of Health
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Offers an overview of Oklahoma resident health indicators and improvement goals with specific focus on social determinants of health, mental health, substance use, obesity, diabetes, and cardiovascular disease. Notes statewide resources and assets for each indicator. Includes a health inequity map at the census tract level.
Date: 12/2023
Sponsoring organization: Oklahoma State Department of Health
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Bringing the Doctor to the Patients: Cardiology Outreach to Rural Areas
Analyzed 30 year cardiologist rural outreach travel data from Iowa to determine factors impacting outreach decision-making and the impact on rural access to cardiology care. Discusses cardiologist distribution, predicted impacts of reduction in workforce, and policy measures to increase access to care, particularly for the most at risk rural outreach sites.
Author(s): J. Jason Bell, Sanghak Lee, Thomas Gruca
Citation: Journal of Marketing, 88(1)
Date: 10/2023
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Analyzed 30 year cardiologist rural outreach travel data from Iowa to determine factors impacting outreach decision-making and the impact on rural access to cardiology care. Discusses cardiologist distribution, predicted impacts of reduction in workforce, and policy measures to increase access to care, particularly for the most at risk rural outreach sites.
Author(s): J. Jason Bell, Sanghak Lee, Thomas Gruca
Citation: Journal of Marketing, 88(1)
Date: 10/2023
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Evaluation of Self-measured Blood Pressure Monitoring in a Southern Rural West Virginia Health System
Explores a study on the efficacy of a remote blood pressure monitoring intervention for rural adults in southern West Virginia. Breaks down data by participants' race, sex, and location, among other measures.
Author(s): Andrya J Durr, Craig H Robinson, Robin A Seabury, et al.
Citation: Rural and Remote Health, 23(4), 8248
Date: 10/2023
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Explores a study on the efficacy of a remote blood pressure monitoring intervention for rural adults in southern West Virginia. Breaks down data by participants' race, sex, and location, among other measures.
Author(s): Andrya J Durr, Craig H Robinson, Robin A Seabury, et al.
Citation: Rural and Remote Health, 23(4), 8248
Date: 10/2023
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Racial Disparities in Obesity‐Related Cardiovascular Mortality in the United States: Temporal Trends From 1999 to 2020
Examines disparities in obesity-related cardiovascular mortality in U.S. citizens from 1999 to 2020. Utilizes the Multiple Cause of Death database to analyze mortality trends by race, sex, age, and rural versus urban residence.
Author(s): Zahra Raisi‐Estabragh, Ofer Kobo, Jennifer H. Mieres, et al.
Citation: Journal of the American Heart Association, 12(18)
Date: 09/2023
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Examines disparities in obesity-related cardiovascular mortality in U.S. citizens from 1999 to 2020. Utilizes the Multiple Cause of Death database to analyze mortality trends by race, sex, age, and rural versus urban residence.
Author(s): Zahra Raisi‐Estabragh, Ofer Kobo, Jennifer H. Mieres, et al.
Citation: Journal of the American Heart Association, 12(18)
Date: 09/2023
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The State of Our Health: A Statewide Health Assessment of Pennsylvania, August 2023 Update
Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 08/2023
Sponsoring organization: Pennsylvania Department of Health
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Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 08/2023
Sponsoring organization: Pennsylvania Department of Health
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Differential Treatment and Outcomes for Patients With Heart Attacks in Advantaged and Disadvantaged Communities
Analyzes geographic disparities in percutaneous coronary intervention (PCI) access, treatment, and outcomes among patients with acute myocardial infarction in California using 2006-2020 patient data. Compares mortality, readmissions, same-day PCI, distance to PCI, and more by neighborhood disadvantage status. Highlights factors associated with neighborhood disadvantage including race, ethnicity, and rurality.
Author(s): Yu-Chu Shen, Nandita Sarkar, Renee Y. Hsia
Citation: Journal of the American Heart Association, 12(17), e030506
Date: 08/2023
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Analyzes geographic disparities in percutaneous coronary intervention (PCI) access, treatment, and outcomes among patients with acute myocardial infarction in California using 2006-2020 patient data. Compares mortality, readmissions, same-day PCI, distance to PCI, and more by neighborhood disadvantage status. Highlights factors associated with neighborhood disadvantage including race, ethnicity, and rurality.
Author(s): Yu-Chu Shen, Nandita Sarkar, Renee Y. Hsia
Citation: Journal of the American Heart Association, 12(17), e030506
Date: 08/2023
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report
Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica, RAND Corporation
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Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica, RAND Corporation
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Association Between Insurer Connectivity in Appalachian Population Health Networks and Preventable Hospitalizations: Evidence from Kentucky
Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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