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Rural Health
Resources by Topic: Health disparities

Life Beyond 65: Changing Spatial Patterns of Survival at Older Ages in the United States, 2000–2016
Examines life expectancy trends among Americans at age 65 between 2000 and 2016. Analyzes data by sex and across 4 metropolitan categories and 10 geographic regions. Considers how causes of death impact the changes in mortality rates over time.
Author(s): Yana C Vierboom, Samuel H. Preston
Citation: The Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 1-11
Date: 01/2020
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Quantification of Neighborhood-Level Social Determinants of Health in the Continental United States
Results of a study examining 71,901 census tracts, to quantify the social determinants of health (SDOH) consisting of advantage, isolation, opportunity, and mixed immigrant cohesion. Features demographic statistics with breakdowns by 7 multidimensional neighborhood typologies, including Rural Affordable. Offers comparisons between SDOH in Chicago and the rest of the continental United States.
Author(s): Marynia Kolak, Jay Bhatt, Yoon Hong Park, Norma A. Padron, Ayrin Molefe
Citation: JAMA Network Open, 3(1)
Date: 01/2020
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Geographic Disparities Affect Access to Buprenorphine Services for Opioid Use Disorder
Results of a national study to determine the patient capacity of healthcare providers who received waivers to prescribe buprenorphine and the extent to which they were located in rural or urban areas with high rates of opioid abuse. Features 2018 county-level maps showing rates of patient capacity and counties with high need for treatment services.
Author(s): Christi A. Grimm
Date: 01/2020
Sponsoring organization: Office of Inspector General (HHS)
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Maternal Morbidity among Women in Medicaid
Provides an overview of severe maternal morbidity and mortality (SMMM) among Medicaid beneficiaries. Presents data on SMMM rates by insurance payer, race/ethnicity, and geography, including differences among rural and urban residents. Presented by Dr. Katy Kozhimannil, director of the University of Minnesota Rural Health Research Center, at the January 2020 MACPAC meeting.
Author(s): Katy B. Kozhimannil
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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White Paper on Telehealth in the Rural American West
Describes issues of healthcare access for rural communities in the American West and ways that telehealth can address disparities in access and health conditions for rural and underserved populations. Offers an overview of telehealth technology, policy, barriers to implementation, and recommendations.
Author(s): Bruce E. Cain
Date: 2020
Sponsoring organization: Stanford Bill Lane Center for the American West
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Missouri Primary Care Needs Assessment (PCNA) 2020
Analyzes Missouri's unmet healthcare needs and lack of access to healthcare services, and evaluates resources and services necessary to overcome health disparities in Missouri. Features statistics on Health Professional Shortage Areas, various incentive programs, and 33 primary care health indicators, with breakdowns by urban and rural locations.
Author(s): Sara Davenport, Laura Hart, Aleesha Jones, et al.
Date: 2020
Sponsoring organization: Missouri Office of Rural Health and Primary Care
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Striving for Birth Equity: Family Medicine's Role in Overcoming Disparities in Maternal Morbidity and Mortality
Policy position paper examining disparities in maternal morbidity and mortality, and offering recommendations for ways in which family physicians, educators, and policy makers can facilitate and advocate for change. Mentions rural throughout.
Date: 2020
Sponsoring organization: American Academy of Family Physicians
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Associations Between Stopping Prescriptions for Opioids, Length of Opioid Treatment, and Overdose or Suicide Deaths in US Veterans: Observational Evaluation
Highlights a study on the correlation between halting treatment for opioid use disorder, length of treatment, and death from overdose or suicide among Veterans Health Administration patients. Breaks down data by age, sex, and rural status among other factors.
Author(s): Elizabeth M. Oliva, Thomas Bowe, Ajay Manhapra, et al.
Citation: BMJ, 2020: m283
Date: 2020
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Recognition and Stigma of Prescription Drug Abuse Disorder: Personal and Community Determinants
Highlights a study on the role personal and community characteristics play in levels of stigma around prescription drug misuse. Breaks down data by age, income, and rurality of the county.
Author(s): Robert Shupp, Scott Loveridge, Mark Skidmore, et al.
Citation: BMC Public Health, 20, 977
Date: 2020
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Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings
Report explores how primary care providers can best provide mental health and substance use disorder services to their patients. Discusses the barriers to behavioral healthcare in rural areas such as insurance coverage, workforce shortages, and lack of transportation, among others, and highlights the role primary care providers can play in overcoming those barriers.
Additional links: Read Online
Date: 2020
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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