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Rural Health
Resources by Topic: Diabetes

Challenges to Care of Patients with Diabetes in Rural, Underserved Areas
Discussion of providing care to diabetes patients in rural areas. Includes information on demographics, barriers to care, and Federally Qualified Health Centers (FQHCs).
Author(s): Richard J. Santen
Date: 10/2023
Type: Document
Sponsoring organization: University of Virginia School of Medicine
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Changes in Healthcare Utilization Among Medicare Beneficiaries With Diabetes 2 Years Into the COVID-19 Pandemic
Examines changes in healthcare service use by people with diabetes over the course of the COVID-19 pandemic, utilizing 2018-2021 Medicare fee-for-service (FFS) beneficiary data. Includes rural versus urban comparisons of month-by-month and year-by-year changes in usage of telehealth and inpatient services.
Author(s): Xilin Zhou, Linda J. Andes, Deborah B. Rolka, Giuseppina Imperatore
Citation: AJPM Focus, 2(3), 100117
Date: 09/2023
Type: Document
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Factors Associated with Higher Hemoglobin A1c and Type 2 Diabetes-related Costs: Secondary Data Analysis of Adults 18 to 64 in Texas with Commercial Insurance
Examines factors associated with hemoglobin A1c values and diabetes-related costs in Texas residents with type 2 diabetes. Analyzes 2018-2019 data from 34,992 individuals with type 2 diabetes according to age, sex, comorbidities, health indicators, and metro versus nonmetro location.
Author(s): Marcia G. Ory ,Gang Han,Sagar N. Jani, et al.
Citation: PLoS One, 18(9)
Date: 09/2023
Type: Document
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Trends and Predictors of Glycemic Control Among Adults With Type 2 Diabetes Covered by Alabama Medicaid, 2011–2019
Analyzes trends and predictors related to achieving optimum targets for glycemic control in adults with type 2 diabetes. Analyzes 2011-2019 Medicaid data from 18,560 patients living in Alabama according to sex, race/ethnicity, reason for Medicaid eligibility, ambulatory/acute care use, comorbidities, and urban, small town, or rural residence.
Author(s): Caroline A. Presley, Yulia Khodneva, Lucia D. Juarez, et al.
Citation: Preventing Chronic Disease, 20
Date: 09/2023
Type: Document
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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
Type: Document
Sponsoring organization: Pennsylvania Department of Health
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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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Respecting Tribal Voices in the Development of a Gestational Diabetes Risk Reduction Preconception Counseling Program for American Indian/Alaska Native Adolescent Females: A Qualitative Study
Investigates the relationship among obesity, pregnancy, and gestational diabetes mellitus (GDM) and the impact on American Indians and Alaska Natives (AI/AN) adolescents. Provides feedback from AI/AN girls at-risk for GDM and their mothers regarding culturally relevant preconception counseling interventions.
Author(s): Kelly R. Moore, Sarah A. Stotz, Martha Ann Terry, et al.
Citation: BMC Pregnancy and Childbirth, 23, 552
Date: 08/2023
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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Development and Evaluation of the Delivery-Based HEALED Produce Rx Program for Uninsured Patients With Diabetes in Rural Eastern North Carolina
A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride
Citation: Preventing Chronic Disease, 20
Date: 06/2023
Type: Document
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Diabetes Prevalence and Monitoring in Nonmetropolitan and Metropolitan Areas Within a Commercially Insured U.S. Population
Explores the prevalence of diabetes in metro and nonmetro areas. Draws data from commercial insurance enrollees and compares rates of diabetes testing and outcomes by rurality.
Author(s): Lindsey R. Hammerslag, Jeffery Talbert
Date: 06/2023
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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