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Rural Health
Resources by Topic: Cardiovascular disease

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
Type: Document
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
Type: Document
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Examining Rural-Urban Differences in the Availability of Hospital-Based Cardiac Services Between 2010-2020
Results of a study examining the availability of hospital-based general cardiology, diagnostic catheterization, and interventional catheterization services, and whether rural-urban differences in the availability of these services occurred between 2010 and 2020. Features statistics including differences in the proportion of hospitals offering cardiac services across metropolitan, micropolitan, and non-core counties in 2010 and 2020.
Author(s): Gabriel A. Benavidez, Shanikque Barksdale, Peiyin Hung, Elizabeth Crouch
Date: 08/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Racial and Rural-Urban Disparities in Maternal Cardiac Disease Care in North Carolina: A Call to Action
Analyzes cardiac-specific severe maternal morbidity of rural and urban, as well as Black and White, populations using data from the 2019 North Carolina State Inpatient Database. Provides statistics on delivery hospitalizations in North Carolina, including births with preexisting maternal cardiac disease, maternal cardiac disease outcomes, and patient characteristics. Discusses disparities in comorbidities, cardiac categories, and health outcomes.
Author(s): Julia M. Moyett, Linda M. Zambrano Guevara, Divya P. Mallampati, et al.
Citation: North Carolina Medical Journal, 84(4), 249-256
Date: 07/2023
Type: Document
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North Carolina Office of Rural Health Key Performance Measures Reported by Program
Offers statistics for performance measures or output for fiscal year 2023. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2023
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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When It's Not Enough: Sleep's Impact on Rural America's Health and Safety
Discusses the impact of sleep on rural health and public safety, with insights from clinical sleep experts, a federal public health agency representative, and Nebraska Extension.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Association Between Social Functioning and Health Literacy Among Rural Southeastern African Americans with Hypertension
Analyzes how the relationship between social support and health literacy may mitigate health outcomes in African American populations in rural Southeastern USA. Utilizes data from the Southeastern Collaboration to Improve Blood Pressure Control trial to examine social isolation and health literacy in 1,221 individuals, with data further broken down by age, sex, education, income, cognition impairments, marriage status, and study site.
Author(s): Iliana Gutierrez, Joanna Bryan, Elizabeth Baquero, Monika M. Safford
Citation: Health Promotion International, 38
Date: 05/2023
Type: Document
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Health Conditions and Health Care Use Among American Indian and Alaska Native Adults by Tribal Land Residential Status: United States, 2019–2021
Examines chronic disease, healthcare access to basic services such as vaccinations, and mental health among American Indian and Alaska Natives (AI/AN) from 2019-2021 National Health Interview Survey data, with comparisons between living on or off tribal lands.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, Anjel Vahratian
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Surveillance of the Initiation of, Participation in, and Completion of Cardiac Rehabilitation in Minnesota, 2017–2018
Analyzes cardiac rehabilitation (CR) disparities in Minnesota related to eligibility, initiation, participation, and completion of CR. Examines 12,937 Minnesota All Payer Claims Database members who qualified for CR, with data broken down by county, demographics, type of health insurance, comorbidities, social vulnerability, qualifying condition, rural-urban commuting area code, and more.
Author(s): James M. Peacock, Emily Styles, Sara Johnson, et al.
Citation: Preventing Chronic Disease, 20
Date: 04/2023
Type: Document
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Rural-Urban Trends in Health Care Utilization, Treatment, and Mortality Among US Veterans with Congestive Heart Failure: A Retrospective Cohort Study
Examines Veterans Health Administration patients between 2012 and 2017 with congestive heart failure. Data compare rural and urban differences in healthcare use, treatment received, and mortality with consideration for severity of diagnosis.
Author(s): Maya Aboumrad, David Peritz, Scott Friedman, et al.
Citation: Journal of Rural Health, 39(4), 844-852
Date: 04/2023
Type: Document
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