Rural Health
Resources by Topic: Health disparities
Second Report to Congress: Social Risk Factors and Performance in Medicare's Value-Based Purchasing Programs
Analyzes the effect of individuals' social risk factors on quality measures, resource utilization, and other Medicare program measures using Medicare and non-Medicare data sources. Describes how Medicare value-based purchasing (VBP) programs impact providers who serve socially at-risk beneficiaries. Categorizes rurality as a social risk factor. Explores emerging trends among providers addressing social risk factors through cooperation with social services and community-based organizations. Offers policy recommendations for the U.S. Department of Health and Human Services to account for social risk factors in VBP programs and achieve better outcomes for those with social risk factors. Second of two reports required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. See the first report.
Additional links: Executive Summary
Date: 03/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the effect of individuals' social risk factors on quality measures, resource utilization, and other Medicare program measures using Medicare and non-Medicare data sources. Describes how Medicare value-based purchasing (VBP) programs impact providers who serve socially at-risk beneficiaries. Categorizes rurality as a social risk factor. Explores emerging trends among providers addressing social risk factors through cooperation with social services and community-based organizations. Offers policy recommendations for the U.S. Department of Health and Human Services to account for social risk factors in VBP programs and achieve better outcomes for those with social risk factors. Second of two reports required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. See the first report.
Additional links: Executive Summary
Date: 03/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Maternal Mortality: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them
Examines trends in pregnancy-related deaths between 2007 and 2016, Analyzes data by cause of death and patient demographic characteristics. Appendix III lists ongoing Department of Health and Human Services funding opportunities to address maternal mortality, including the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program. Appendix V provides an overview of efforts to reduce maternal mortality in California, Georgia, Illinois, Maryland, and Texas.
Additional links: Full Report
Date: 03/2020
Sponsoring organization: Government Accountability Office
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Examines trends in pregnancy-related deaths between 2007 and 2016, Analyzes data by cause of death and patient demographic characteristics. Appendix III lists ongoing Department of Health and Human Services funding opportunities to address maternal mortality, including the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program. Appendix V provides an overview of efforts to reduce maternal mortality in California, Georgia, Illinois, Maryland, and Texas.
Additional links: Full Report
Date: 03/2020
Sponsoring organization: Government Accountability Office
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Urban–Rural Infant Mortality Disparities by Race and Ethnicity and Cause of Death
Analyzes data on infant mortality across county-classifications and broken down by race/ethnicity and large metro, medium/small metro, and nonmetropolitan areas. Notes differences regarding cause of death by race/ethnicity, including sudden unexpected infant death, congenital anomalies, and preterm-related.
Author(s): Lindsay S. Womack, Lauren R. Rossen, Ashley H. Hirai
Citation: American Journal of Preventative Medicine, 58(2), 254-260
Date: 02/2020
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Analyzes data on infant mortality across county-classifications and broken down by race/ethnicity and large metro, medium/small metro, and nonmetropolitan areas. Notes differences regarding cause of death by race/ethnicity, including sudden unexpected infant death, congenital anomalies, and preterm-related.
Author(s): Lindsay S. Womack, Lauren R. Rossen, Ashley H. Hirai
Citation: American Journal of Preventative Medicine, 58(2), 254-260
Date: 02/2020
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Effect of Travel Distance and Rurality of Residence on Initial Surveillance for Hepatocellular Carcinoma in VA Primary Care Patient with Cirrhosis
Highlights a study on the effect of travel distance on hepatocellular carcinoma surveillance for veterans with cirrhosis who are being treated by the Veterans Health Administration (VHA). Merges VHA and CMS data and breaks it down by demographics and travel distance to both VA and non-VA medical centers and the patients' primary care providers, among other measures.
Author(s): Yolanda Rodriguez Villalvazo, Jennifer S. McDanel, Lauren A. Beste, et al.
Citation: Health Services Research, 55(1), 103-112
Date: 02/2020
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Highlights a study on the effect of travel distance on hepatocellular carcinoma surveillance for veterans with cirrhosis who are being treated by the Veterans Health Administration (VHA). Merges VHA and CMS data and breaks it down by demographics and travel distance to both VA and non-VA medical centers and the patients' primary care providers, among other measures.
Author(s): Yolanda Rodriguez Villalvazo, Jennifer S. McDanel, Lauren A. Beste, et al.
Citation: Health Services Research, 55(1), 103-112
Date: 02/2020
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A Prospective Cohort Analysis of Gut Microbial Co-metabolism in Alaska Native and Rural African People at High and Low Risk of Colorectal Cancer
Presents a study examining the role of diet and gut microbiota in rates of colorectal cancer. Compares the diets of Alaska Natives, who have the highest rates of colorectal cancer in the world, with the diets of rural Africans, who have some of the lowest.
Author(s): Soeren Ocvirk, Annette S. Wilson, Joram M. Posma, et al.
Citation: The American Journal of Clinical Nutrition, 111(2), 406-419
Date: 02/2020
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Presents a study examining the role of diet and gut microbiota in rates of colorectal cancer. Compares the diets of Alaska Natives, who have the highest rates of colorectal cancer in the world, with the diets of rural Africans, who have some of the lowest.
Author(s): Soeren Ocvirk, Annette S. Wilson, Joram M. Posma, et al.
Citation: The American Journal of Clinical Nutrition, 111(2), 406-419
Date: 02/2020
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Predictors of Substance Use Disorder and Mental Health Treatment Use Among Rural Adults using Stimulants over Three Years
Details a study on the factors that predict mental health and substance use treatment utilization among rural stimulant users. Breaks down data from 2002 to 2008 by race, age, and substance use, among other measures.
Author(s): Michael A. Cucciare, Songthip T. Ounpraseuth, Geoffrey M. Curran, Brenda M. Booth
Citation: Substance Abuse, 40(3), 363-370
Date: 02/2020
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Details a study on the factors that predict mental health and substance use treatment utilization among rural stimulant users. Breaks down data from 2002 to 2008 by race, age, and substance use, among other measures.
Author(s): Michael A. Cucciare, Songthip T. Ounpraseuth, Geoffrey M. Curran, Brenda M. Booth
Citation: Substance Abuse, 40(3), 363-370
Date: 02/2020
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Predictors of Substance Use Treatment Initiation and Engagement Among Adult and Adolescent Medicaid Recipients
Presents a study on the indicators of substance use treatment among Medicaid recipients in rural and urban areas. Breaks down data by race, sex, and co-occurring conditions, among other measures.
Author(s): Bonnie K. Lind, Dennis McCarty, Yifan Gu, et al.
Citation: Substance Abuse, 40(3), 285-291
Date: 02/2020
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Presents a study on the indicators of substance use treatment among Medicaid recipients in rural and urban areas. Breaks down data by race, sex, and co-occurring conditions, among other measures.
Author(s): Bonnie K. Lind, Dennis McCarty, Yifan Gu, et al.
Citation: Substance Abuse, 40(3), 285-291
Date: 02/2020
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Severe Maternal Morbidity and Mortality Among Indigenous Women in the United States
Compares maternal mortality and morbidity rates of Native American and Alaska Native women to those of non-Hispanic White women in both rural and urban areas across the U.S. Draws from hospital discharge data from 2012 to 2015.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Alena N. Tofte, Lindsay K. Admon
Citation: Obstetrics and Gynecology, 135(2), 294-300
Date: 02/2020
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Compares maternal mortality and morbidity rates of Native American and Alaska Native women to those of non-Hispanic White women in both rural and urban areas across the U.S. Draws from hospital discharge data from 2012 to 2015.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Alena N. Tofte, Lindsay K. Admon
Citation: Obstetrics and Gynecology, 135(2), 294-300
Date: 02/2020
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Strengthening Community-Clinical Linkages to Reduce Cardiovascular Disease Risk in Rural NC: Feasibility Phase of the CHANGE Study
Highlights a study evaluating the implementation and effectiveness of a cardiovascular disease prevention program using community health worker (CHW) interventions. Analyzes the CHANGE program in rural North Carolina and discusses the program's design, implementation, and outcomes.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: BMC Public Health, 20, 264
Date: 02/2020
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Highlights a study evaluating the implementation and effectiveness of a cardiovascular disease prevention program using community health worker (CHW) interventions. Analyzes the CHANGE program in rural North Carolina and discusses the program's design, implementation, and outcomes.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: BMC Public Health, 20, 264
Date: 02/2020
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Rural-Urban Differences in the Association Between Individual, Facility, and Clinical Characteristics and Travel Time for Cancer Treatment
Examines the association of patient, facility, and clinical characteristics with round trip travel times for all types of cancer patients living in rural and urban areas with the objective to help providers understand which patients may be most in need of resources to assist with travel.
Author(s): Joel E. Segel, Eugene J. Lengerich
Citation: BMC Public Health, 20(1),196
Date: 02/2020
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Examines the association of patient, facility, and clinical characteristics with round trip travel times for all types of cancer patients living in rural and urban areas with the objective to help providers understand which patients may be most in need of resources to assist with travel.
Author(s): Joel E. Segel, Eugene J. Lengerich
Citation: BMC Public Health, 20(1),196
Date: 02/2020
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