Rural Health
Resources by Topic: COVID-19
Rural Relocators: COVID-19 and Rural Population Growth
Compares population growth in rural and urban North Carolina in context of COVID-19 using U.S. Census and NC Office of State Budget and Management data. Identifies trends before the COVID-19 public health emergency and during its first and second years, and discusses contributing factors. Presents county-level maps of population change as well as graphs comparing data of rural, suburban, and urban counties, and also provides a table of county-level population data.
Date: 06/2023
Sponsoring organization: North Carolina Rural Center
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Compares population growth in rural and urban North Carolina in context of COVID-19 using U.S. Census and NC Office of State Budget and Management data. Identifies trends before the COVID-19 public health emergency and during its first and second years, and discusses contributing factors. Presents county-level maps of population change as well as graphs comparing data of rural, suburban, and urban counties, and also provides a table of county-level population data.
Date: 06/2023
Sponsoring organization: North Carolina Rural Center
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Impact of the COVID-19 Vaccination Mandate on the Primary Care Workforce and Differences Between Rural and Urban Settings to Inform Future Policy Decision-Making
Analyzes the impact of COVID-19 vaccination mandates on the primary healthcare workforce in rural and urban settings. Examines 2021 survey data from 38 rural and 42 urban clinics in Oregon about issues such as job losses, vaccination waivers, and newly vaccinated staff. Includes data on clinic characteristics and impacts of the COVID-19 vaccine mandate across rural and urban clinics, as well as qualitative feedback from survey respondents.
Author(s): Brigit A. Hatch, Erin Kenzie, NithyaPriya Ramalingam, et al.
Citation: PLoS One, 18(6)
Date: 06/2023
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Analyzes the impact of COVID-19 vaccination mandates on the primary healthcare workforce in rural and urban settings. Examines 2021 survey data from 38 rural and 42 urban clinics in Oregon about issues such as job losses, vaccination waivers, and newly vaccinated staff. Includes data on clinic characteristics and impacts of the COVID-19 vaccine mandate across rural and urban clinics, as well as qualitative feedback from survey respondents.
Author(s): Brigit A. Hatch, Erin Kenzie, NithyaPriya Ramalingam, et al.
Citation: PLoS One, 18(6)
Date: 06/2023
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Competencies, Training Needs, and Turnover Among Rural Compared With Urban Local Public Health Practitioners: 2021 Public Health Workforce Interests and Needs Survey
Analyzes the rural and urban differences in 29,751 public health workers surveyed regarding competencies, training needs, and workplace stressors. Discusses COVID-19 impacts on public health work.
Author(s): Paula M. Kett, Betty Bekemeier, Davis G. Patterson, Kay Schaffer
Citation: American Journal of Public Health, 113(6), 689-699
Date: 06/2023
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Analyzes the rural and urban differences in 29,751 public health workers surveyed regarding competencies, training needs, and workplace stressors. Discusses COVID-19 impacts on public health work.
Author(s): Paula M. Kett, Betty Bekemeier, Davis G. Patterson, Kay Schaffer
Citation: American Journal of Public Health, 113(6), 689-699
Date: 06/2023
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2023 Minnesota Adolescent Sexual Health Report
Highlights the rates of pregnancies and births among Minnesota adolescents from 1990-2021, and sexually transmitted infections from 2010-2022. Features sections on variations across demographic groups, adolescent sexual health and COVID-19, and geographic disparities between urban and rural areas, including a county-level map showing counties with the highest chlamydia and gonorrhea rates among adolescents.
Author(s): Jill Farris, H. Olson
Date: 06/2023
Sponsoring organizations: Minnesota Department of Health, University of Minnesota
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Highlights the rates of pregnancies and births among Minnesota adolescents from 1990-2021, and sexually transmitted infections from 2010-2022. Features sections on variations across demographic groups, adolescent sexual health and COVID-19, and geographic disparities between urban and rural areas, including a county-level map showing counties with the highest chlamydia and gonorrhea rates among adolescents.
Author(s): Jill Farris, H. Olson
Date: 06/2023
Sponsoring organizations: Minnesota Department of Health, University of Minnesota
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Why is Wisconsin's Rural Population Growth Outpacing the Midwest?
Discusses rural population growth trends in Wisconsin with a focus on the impact of tourism and the COVID-19 pandemic. Provides data comparisons to other Midwestern states since 1980 as well as percentage of growth from 1990 to 2022 per rural county in Wisconsin.
Date: 06/2023
Sponsoring organization: Wisconsin Policy Forum
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Discusses rural population growth trends in Wisconsin with a focus on the impact of tourism and the COVID-19 pandemic. Provides data comparisons to other Midwestern states since 1980 as well as percentage of growth from 1990 to 2022 per rural county in Wisconsin.
Date: 06/2023
Sponsoring organization: Wisconsin Policy Forum
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The Impact of COVID-19 on CAH Financial Indicators
Describes the impact of the COVID-19 pandemic on Critical Access Hospital (CAH) financial indicators. Compares summary statistics on CAH financial indicators across eight categories in the six years prior to the pandemic (April 2015 - March 2020) to the same metrics during the pandemic (April 2020 - March 2022).
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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Describes the impact of the COVID-19 pandemic on Critical Access Hospital (CAH) financial indicators. Compares summary statistics on CAH financial indicators across eight categories in the six years prior to the pandemic (April 2015 - March 2020) to the same metrics during the pandemic (April 2020 - March 2022).
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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The Impact of COVID-19 Funding on Profitability of Critical Access Hospitals
Examines the impacts of COVID-19 Public Health Emergency (PHE) funding on Critical Access Hospitals (CAHs). Compares CAH operating margins in the six years prior to the pandemic (April 2015 - March 2020) to operating margins during the pandemic (April 2020 - March 2022). Offers estimates to what CAH profitability would have been if CAHs did not receive PHE funding.
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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Examines the impacts of COVID-19 Public Health Emergency (PHE) funding on Critical Access Hospitals (CAHs). Compares CAH operating margins in the six years prior to the pandemic (April 2015 - March 2020) to operating margins during the pandemic (April 2020 - March 2022). Offers estimates to what CAH profitability would have been if CAHs did not receive PHE funding.
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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Monthly Excess Mortality Across Counties in the United States During the COVID-19 Pandemic, March 2020 to February 2022
Analyzes all-cause excess mortality between March 2020 and February 2022 by county and month to show trends in mortality by date and location. Highlights patterns seen over time between metropolitan and nonmetropolitan areas. Discusses the impact of COVID-19 vaccination on the trends.
Author(s): Eugenio Paglino, Dielle J. Lundberg, Zhenwei Zhou, et al.
Citation: Science Advances 9(25)
Date: 06/2023
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Analyzes all-cause excess mortality between March 2020 and February 2022 by county and month to show trends in mortality by date and location. Highlights patterns seen over time between metropolitan and nonmetropolitan areas. Discusses the impact of COVID-19 vaccination on the trends.
Author(s): Eugenio Paglino, Dielle J. Lundberg, Zhenwei Zhou, et al.
Citation: Science Advances 9(25)
Date: 06/2023
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The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Sponsoring organization: Center for Health Workforce Studies
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Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Sponsoring organization: Center for Health Workforce Studies
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CATCH-UP Vaccines: Protocol for a Randomized Controlled Trial Using the Multiphase Optimization Strategy (MOST) Framework to Evaluate Education Interventions to Increase Covid-19 Vaccine Uptake in Oklahoma
Utilizes the multiphase optimization strategy (MOST) to examine interventions that improve COVID-19 vaccine uptake in underserved areas of Oklahoma, including rural. Reviews process improvement, barrier elicitation and reduction, and teachable moment messaging as strategies to reduce vaccine health disparities in rural and underserved populations. Includes a map of Oklahoma showing vaccination rates by ZIP code.
Author(s): Amanda E. Janitz, Jordan M. Neil, Laura A. Bray, et al.
Citation: BMC Public Health, 23
Date: 06/2023
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Utilizes the multiphase optimization strategy (MOST) to examine interventions that improve COVID-19 vaccine uptake in underserved areas of Oklahoma, including rural. Reviews process improvement, barrier elicitation and reduction, and teachable moment messaging as strategies to reduce vaccine health disparities in rural and underserved populations. Includes a map of Oklahoma showing vaccination rates by ZIP code.
Author(s): Amanda E. Janitz, Jordan M. Neil, Laura A. Bray, et al.
Citation: BMC Public Health, 23
Date: 06/2023
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