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Rural Health
Resources by Topic: Health conditions

Impact of the Medicare Improvements for Patients And Providers Act on Mental Health Service Utilization And Spending among Older Adults
Examines the impact of the Medicare Improvements for Patients and Providers Act (MIPPA) on outpatient mental healthcare utilization. Utilizes 2008-2017 Medicare claims and administrative data to analyze MIPPA in a pre-implementation phase as well as 4 post-implementation phases. Includes data on mental healthcare outpatient visits by age group, race, dual eligibility status, substance use disorder, comorbidities, and urban, large rural, small rural, or isolated rural location.
Author(s): Matt Toth, Brent Gibbons, Abbie Levinson, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Postpartum Health Care Use in Medicaid During the COVID-19 Public Health Emergency: Implications for Extending Postpartum Coverage
Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural–Urban Disparities in State-Level Diabetes Prevalence Among US Adults, 2021
Analyzes diabetes disparities among rural and urban populations in 41 states in the U.S. Utilizes 2021 Behavioral Risk Factor Surveillance System data to examine rural versus urban disparities and odds ratios (OR) for diabetes in different states.
Author(s): Olga Khavjou, Zohra Tayebali, Pyone Cho, Kristopher Myers, Ping Zhang
Citation: Preventing Chronic Disease, 21
Date: 01/2025
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Rural Roads to Cognitive Resilience (RRR): A Prospective Cohort Study Protocol
Study protocol to investigate the influence of smoke-related fine particulate matter exposures and social and built environments on social isolation and cognitive function among rural Floridians in areas affected by seasonal agricultural burning. Discusses the significance of health disparities associated with agriculture in predominantly Black and Hispanic communities.
Author(s): Lilah M. Besser, Lisa Wiese, Diane J. Cook, et al.
Citation: PloS ONE, 20(1), e0312660
Date: 01/2025
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HealthHIV State of Aging with HIV: Fourth Annual National Survey
Reports on the demographics, health, quality of life, and barriers to care of people aging with HIV (PAWH), utilizing data from a 2024 survey of 907 PAWH. Includes data on the geography of PAWH and HIV workforce participants, and discusses geographic barriers to care.
Date: 01/2025
Sponsoring organization: Health HIV
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Disparities in Cardiac Arrest Mortality among Patients with Chronic Kidney Disease: A US-Based Epidemiological Analysis
Examines demographic disparities in chronic kidney disease-related cardiac arrest mortality, utilizing 1999-2020 CDC WONDER data. Provides data on factors including social vulnerability and rural or urban dwelling.
Author(s): Mahek Shahid, Hoang Nhat Pham, Ramzi Ibrahim, et al.
Citation: Journal of Arrhythmia, 41(1), e13217
Date: 01/2025
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The Association Between Neighborhood Social Vulnerability and Community-Based Rehabilitation after Stroke
Examines the relationship between the timely use of community-based rehabilitation after a stroke and the social determinants of health. Analyzes 6,843 adults enrolled in a post-acute stroke program in North Carolina, with breakdowns according to patient SVI and therapy visits within 90 days of stroke. Includes discussion of rurality as a factor related to access and timely use of care.
Author(s): Shuqi Zhang, Elizabeth R. Mormer, Anna M. Johnson, et al.
Citation: BMC Health Services Research, 25, 55
Date: 01/2025
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Understanding Barriers and Facilitators to Implementation of a Patient Safety Bundle for Pregnancy-Related Severe Hypertension in 3 North Carolina Outpatient Clinics: A Qualitative Study
Examines the Alliance for Innovation on Maternal Health's Patient Safety Bundle (Bundle) implementation in North Carolina, which aims to address complications of pregnancy related hypertension. Utilizes feedback from 11 key informant interviews working at a rural outpatient Federally Qualified Health Center (FQHC) in central North Carolina. Discusses facilitators and barriers of the Bundle implementation, with a focus on access issues in rural and underserved communities.
Author(s): Aparna G. Kachoria, Hiba Fatima, Alexandra F. Lightfoot, et al.
Citation: Implementation Science Communications, 6, 7
Date: 01/2025
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Cancer-Related Health Behaviors During the COVID 19 Pandemic in Geographically Diverse Samples Across the US
Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
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Target Door-to-Needle Time in Acute Stroke Treatment via Telemedicine Versus In-Person Evaluation in a Rural Setting of the Midwest: A Retrospective Cohort Study
Examines door-to-needle time (DTN) among 239 patients who received thrombolytic treatment within a rural, Midwestern stroke network. Compares telemedicine and in-person treatment delivery, with data on patient safety, short-term outcomes, and DTN by provider type.
Author(s): Andrea Loggini, Jonatan Hornik, Jessie Henson, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(1), 108141
Date: 01/2025
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