Rural Health
Resources by Topic: Health conditions
Disparities in Virtual Cardiology Visits Among Veterans Health Administration Patients During the COVID-19 Pandemic
Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
Type: Document
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Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
Type: Document
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Comparison of In-Person vs. Telebehavioral Health Outcomes from Rural Populations Across America
Examines the efficacy of 2 federal behavioral health grant programs in reducing depression and anxiety in patients, comparing telehealth and in-person modalities in rural areas. Analyzes data from 1,514 patients participating in grant programs between 2017 and 2021 and their associated behavioral health modality. Includes demographic breakdowns by age, sex, race/ethnicity, and insurance status.
Author(s): Carly McCord, Fred Ullrich, Kimberly A. S. Merchant, et al.
Citation: BMC Psychiatry, 22, 778
Date: 12/2022
Type: Document
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Examines the efficacy of 2 federal behavioral health grant programs in reducing depression and anxiety in patients, comparing telehealth and in-person modalities in rural areas. Analyzes data from 1,514 patients participating in grant programs between 2017 and 2021 and their associated behavioral health modality. Includes demographic breakdowns by age, sex, race/ethnicity, and insurance status.
Author(s): Carly McCord, Fred Ullrich, Kimberly A. S. Merchant, et al.
Citation: BMC Psychiatry, 22, 778
Date: 12/2022
Type: Document
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Medicare: CMS Needs to Address Risks Posed by Provider Enrollment Waivers and Flexibilities
Report discusses the waivers and flexibilities in Medicare requirements that were implemented during the COVID-19 pandemic. Highlights how these waivers, such as fingerprint-based criminal background checks and revalidating provider eligibility, put Medicare at a high risk for fraud, waste, and abuse. Details how these waivers affect rural providers, as well.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Report discusses the waivers and flexibilities in Medicare requirements that were implemented during the COVID-19 pandemic. Highlights how these waivers, such as fingerprint-based criminal background checks and revalidating provider eligibility, put Medicare at a high risk for fraud, waste, and abuse. Details how these waivers affect rural providers, as well.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Cancer Clinical Trials: Federal Actions and Selected Non-Federal Practices to Facilitate Diversity of Patients
Examines actions taken by federal agencies to increase diverse population enrollment in cancer clinical trials as well as practices by non-federal cancer centers to facilitate diverse enrollment. Discusses strategies such as collaboration, reducing barriers, data standardization, training, utilization of community ambassadors, and more. Focuses on inclusion of underrepresented groups such as racial/ethnic minorities, young adults, older adults, those with low incomes, women, American Indian and Alaska Native (AI/AN) persons, and people living in rural communities.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Examines actions taken by federal agencies to increase diverse population enrollment in cancer clinical trials as well as practices by non-federal cancer centers to facilitate diverse enrollment. Discusses strategies such as collaboration, reducing barriers, data standardization, training, utilization of community ambassadors, and more. Focuses on inclusion of underrepresented groups such as racial/ethnic minorities, young adults, older adults, those with low incomes, women, American Indian and Alaska Native (AI/AN) persons, and people living in rural communities.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Effect of Health System on the Association of Rurality and Level of Disadvantage with Receipt of Diabetic Eye Screening
Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, gender, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J Lock, Roomasa Channa, Meghan B Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10, e003174
Date: 12/2022
Type: Document
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Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, gender, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J Lock, Roomasa Channa, Meghan B Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10, e003174
Date: 12/2022
Type: Document
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COVID-19 Relief Funds: Lessons Learned Could Improve Future Distribution of Federal Emergency Relief to Tribal Recipients
Examines approaches selected federal agencies used to administer programs that provided COVID-19 funds to tribal recipients. Identifies lessons learned that could improve future federal relief to these recipients.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Examines approaches selected federal agencies used to administer programs that provided COVID-19 funds to tribal recipients. Identifies lessons learned that could improve future federal relief to these recipients.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread
Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Impact of Healthcare Capacity Disparities on the COVID-19 Vaccination Coverage in the United States: A Cross-Sectional Study
Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
Type: Document
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Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
Type: Document
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Mental Health Disorders Among Delivery Inpatient Stays by Patient Race and Ethnicity, 2020
Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Developing a Co-Production Strategy to Facilitate the Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions for Rural Health Systems: A Pilot Study
Reports on the process of introducing a co-production/bundle strategy of evidence-based colorectal cancer screening (CRCS) interventions in 2 rural clinics to allow the clinics to evaluate and select the CRCS interventions best suited for their clinics. Explains the study design, evaluation plan, measures, and results of the bundled implementation strategy to improve CRCS in rural areas.
Author(s): Jungyoon Kim, Paul Estabrooks, Alisha Aggarwal, Analisa McMillan, Khalid Alshehri
Citation: Implementation Science Communications, 3, 131
Date: 12/2022
Type: Document
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Reports on the process of introducing a co-production/bundle strategy of evidence-based colorectal cancer screening (CRCS) interventions in 2 rural clinics to allow the clinics to evaluate and select the CRCS interventions best suited for their clinics. Explains the study design, evaluation plan, measures, and results of the bundled implementation strategy to improve CRCS in rural areas.
Author(s): Jungyoon Kim, Paul Estabrooks, Alisha Aggarwal, Analisa McMillan, Khalid Alshehri
Citation: Implementation Science Communications, 3, 131
Date: 12/2022
Type: Document
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