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Rural Health
Resources by Topic: COVID-19

Best Practices for COVID-19 Vaccination and Testing
Summarizes findings of an environmental scan of testing and vaccination policies and programs serving people who are medically or socially at disproportionate risk for COVID-19 and related adverse outcomes. Identifies populations at disproportionate risk, including rural residents, and their barriers to COVID-19 testing, COVID-19 vaccination, and routine vaccination. Describes programs that aim to overcome these barriers and increase access to testing and vaccination services. Discuss the implications of these programs' strategies and approaches for future pandemics and public health crises.
Date: 04/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Assessing the Accuracy of California County Level COVID-19 Hospitalization Forecasts to Inform Public Policy Decision Making
Evaluates model performance and accuracy regarding the forecasting of infectious diseases by retroactively examining COVID-19 forecasting in California counties. Utilizes archived forecasts from the California Department of Public Health's California COVID Assessment Tool to analyze the accuracy of forecasts referenced with actual COVID-19 hospitalization. Discusses issues related to model accuracy, such as local transmission trends, variant prevalence, and county population size, and how accurate forecasting is important for public health planning and policy.
Author(s): Lauren A. White, Ryan McCorvie, David Crow, Seema Jain, Tomás M. León
Citation: BMC Public Health 23, 782
Date: 04/2023
Type: Document
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Location, Age, and Race Matter: A Path Model of Emotional Distress in the U.S. During COVID-19
Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
Type: Document
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Ventilation Improvements Among K–12 Public School Districts — United States, August–December 2022
Reports on K-12 public school ventilation improvements to prevent COVID-19 transmission, including replacing or upgrading ventilation systems, installing filtration systems, installing ultraviolet germicidal irradiation devices, and improving airflow. Includes data for city, suburb, town, and rural locations.
Author(s): Miguella Mark-Carew, Gloria Kang, Sanjana Pampati, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(14), 372-376
Date: 04/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Telehealth and the Expiration of the COVID-19 Public Health Emergency, with Kathy Wibberly
An episode of the Exploring Rural Health podcast featuring Kathy Wibberly, Director of the Mid-Atlantic Telehealth Resource Center. Discusses the impact of the COVID-19 Public Health Emergency (PHE) on rural access to telehealth services and adjustments patients and providers can anticipate as the PHE comes to an end May 11, 2023.
Date: 04/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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COVID-19 Hospitalization Trends in Rural Versus Urban Areas in the United States
Examines disparities in COVID-19 hospitalization rates between rural and urban areas in six states from May 1, 2020, to July 1, 2021. Describes differences in occupancy rates between rural and urban hospitals during the same period. Presents data by week and cumulatively over time.
Author(s): Yi Zhu, Caitlin Carroll, Khoa Vu, et al.
Citation: Medical Care Research and Review, 80(2), 236-244
Date: 04/2023
Type: Document
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Inequitable Access to General and Behavioral Healthcare in the US During the COVID-19 Pandemic: A Role for Telehealth?
Examines general and behavioral healthcare access and disparities during the first year of the pandemic, using data from the 2019–2020 U.S. National Alcohol Survey and its COVID follow-up survey conducted January 30 to March 28, 2021. Explores the role of telehealth in providing an important bridge to healthcare for certain medically underserved groups during the pandemic. Features statistics with breakdowns by urban and rural location.
Author(s): Nina Mulia, Yu Ye, Thomas K. Greenfield, et al.
Citation: Preventive Medicine, 169
Date: 04/2023
Type: Document
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Forces Driving Change in Rural North Carolina
Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 03/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Analysis of an Innovative Approach to Target Rural Communities in Public Health Funding
Explores the Centers for Disease Control and Prevention's (CDC) funding to address COVID-19 in rural communities and its impact. Presents findings from interviews with federal and state officials regarding the development of this dedicated funding, its impact on state behavior and rural communities, challenges faced, and lessons learned.
Author(s): Timothy H. Callaghan, Gogoal Falia, Earl Greer, Maya Ramy, David Washburn
Date: 03/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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