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Rural Health
Resources by Topic: COVID-19

Study Protocol: Maintaining Preventive Care During Public Health Emergencies Through Effective Coordination
Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
Type: Document
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Pre-Pandemic Assessment: A Decade of Progress in Electronic Health Record Adoption among U.S. Hospitals
Assessment of trends in electronic health record adoption between 2009 and 2020. Compares hospitals by rurality, size, ownership, and more. Discusses the impacts of COVID-19.
Author(s): John (Xuefeng) Jiang, Kangkang Qi, Ge Bai, Kevin Schulman
Citation: Health Affairs Scholar, 1(5)
Date: 11/2023
Type: Document
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Cross-sectional Population-Based Estimates of a Rural-Urban Disparity in Prevalence of Long COVID Among Michigan Adults With Polymerase Chain Reaction-Confirmed COVID-19, 2020–2022
Explores the potential correlation between rurality and experiencing long COVID. Uses the Michigan COVID-19 Recovery Surveillance Study to compare COVID recovery times in rural and urban areas. Breaks down data by age, socioeconomic status, and access to healthcare, among other measures.
Author(s): Colleen L. MacCallum-Bridges, Jana L. Hirschtick, Kristi L. Allgood, et al.
Citation: Journal of Rural Health
Date: 11/2023
Type: Document
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Why Rural Matters 2023: Centering Equity and Opportunity
Report describing schools in rural communities. Discusses the impact of COVID-19, access to psychologists and mental health supports, impact on poverty, broadband access, and more. Includes state-level comparisons.
Author(s): Daniel Showalter, Sara L. Hartman, Karen Eppley, Jerry Johnson, Bob Klein
Date: 11/2023
Type: Document
Sponsoring organization: National Rural Education Association
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2022
Explores 2022 survey data, including revisions, on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status. Includes information on substance use and mental health during the COVID-19 pandemic.
Date: 11/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Declines in Influenza Vaccination Coverage Among Health Care Personnel in Acute Care Hospitals During the COVID-19 Pandemic — United States, 2017–2023
Examines influenza vaccinations among health care personnel (HCP) prior to and during the COVID-19 pandemic. Provides data on facility-level influenza vaccination levels among HCP for 3 years during the prepandemic period (2017-2020) and 3 years during the pandemic (2020-2023), broken down by HCP type and rural, suburban, or urban location.
Author(s): Hoody Lymon, Lu Meng, Hannah E. Reses, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(45), 1244-1247
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Influenza and Up-to-Date COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2022–23 Influenza Season
Provides data on influenza and COVID-19 vaccination among health care personnel (HCP) during the 2022-2023 influenza season. Presents vaccination data of HCP in nursing homes and acute care hospitals, broken down by staff type, facility size, rural versus urban location, urbanicity, social vulnerability index, and region. Includes state-level maps of HCP vaccination percentages.
Author(s): Jeneita Bell, Lu Meng, Kira Barbre, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(45), 1237-1243
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The Opioid Crisis in the Pandemic Era
Analyzes trends in opioid use during the 2019-2021 years of the COVID-19 pandemic. Provides information on the history of the opioid crisis and mortality rates by age, race/ethnicity, type of opioid, state, and urbanicity, including non-metro, small/medium metro, and large metro.
Additional links: Appendix
Author(s): Colin Planalp, Andrea Stewart
Date: 11/2023
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, State Health Access Data Assistance Center
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Burden of COVID-19 Pandemic on Mental Health and Related Behavioral Stressors of Students in Pennsylvania Schools
Results of a study investigating the stress effects of the COVID-19 pandemic on rural and urban Pennsylvania students' mental health. Uses primary and secondary data to compute a mental health stress index of youth mental stress levels and to examine the impact of the pandemic on youth behaviors.
Author(s): S.N. Gajanan
Date: 10/2023
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Aligning Systems for Health: Research Learnings from Across the Nation
Summarizes findings from three cohorts funded through the Aligning Systems for Health initiative, which explores how systems can better work together to address community goals and needs. Covers research on how established collaborative systems responded to the COVID-19 pandemic, how collaborative systems can be measured, and the evidence base around approaches and conditions that foster collaborative systems. Features findings from the Strengthening Health Equity in Recovery Outcomes (SHERO) study, which measured and described the context surrounding cross-sector alignment within rural and urban community networks in Kentucky, and system alignment efforts across four tribal partners.
Date: 10/2023
Type: Document
Sponsoring organization: Georgia Health Policy Center
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