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Rural Health
Resources by Topic: Health disparities

Clinical Risk and Outpatient Therapy Utilization for COVID-19 in the Medicare Population
Evaluates COVID-19 treatment disparities among Medicare beneficiaries, with comparisons by age, race and ethnicity, Medicaid eligibility, nursing home use, telemedicine use, rural/urban status, and more. Utilizes Medicare Master Beneficiary Summary and Standard Analytic Claim files for the year 2022. Provides data on rates of COVID-19 therapy use, including medication, hospitalization, and outpatient treatment. Highlights undertreatment experienced by populations with high risk of severe infection.
Author(s): Andrew D. Wilcock, Stephen Kissler, Ateev Mehrotra
Citation: JAMA Health Forum, 5(1), e235044
Date: 01/2024
Type: Document
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Rural-Urban Disparities in Colorectal Cancer Screening, Diagnosis, Treatment, and Survivorship Care: A Systematic Review and Meta-Analysis
Systematic review of 39 studies on rural-urban colorectal cancer (CRC) disparities. Summarizes study results related to CRC screening, stage at diagnosis, treatment, and survivorship care. Discusses barriers to access, identifies trends, and evaluates study characteristics.
Author(s): Aryana Sepassi, Meng Li, Jason Zell, Alexandre Chan, Ila M Saunders, Dana B Mukamel
Citation: The Oncologist, 29(4), e431-e446
Date: 01/2024
Type: Document
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Unequal Treatment Revisited - The Current State of Racial and Ethnic Disparities in Health Care: Proceedings of a Workshop
Highlights the proceedings of a workshop on addressing racial and ethnic disparities and equitable healthcare delivery. Presents care perspectives for American Indian, Alaska Native, Native Hawaiian, and Pacific Islander communities, among others. Discusses health equity research strategies and challenges.
Author(s): Board on Health Care Services
Date: 01/2024
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Veterans Health: VA Should Improve Its Monitoring of Severe Maternal Complications and Mental Health Screenings
Examines Veterans Administration (VA) data on deaths and severe maternal morbidity among pregnant and postpartum veterans from fiscal year 2011 through 2020. Explores actions the VA has taken to monitor maternal health outcomes among pregnant and postpartum veterans and the extent to which the VA facilitates mental health screenings for these veterans. Offers recommendations to the VA regarding monitoring trends in severe maternal morbidity by veteran characteristics and maternity care coordinators' screening of veterans for mental health conditions. Includes rural references throughout.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Full Committee Oversight Hearing: "Rural Access: Is VA Meeting All Veterans Where They Live?"
The House Committee on Veterans' Affairs full committee oversight hearing discusses rural veteran's access to healthcare through the VA. Features a discussion of the VA's role as both a healthcare provider and a payer via its Community Care Program. Highlights technological challenges related to telehealth, such as lack of broadband connections and technological literacy of older veterans. Presents testimony from the VA, the Government Accountability Office, the Navajo Nation, and veteran advocacy groups, among others.
Additional links: Witnesses' Testimonies
Date: 01/2024
Type: Video/Multimedia
Sponsoring organization: House Committee on Veterans' Affairs
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VA Health Care: Office of Rural Health Efforts and Recommendations for Improvement
Presents an evaluation of the Veterans Health Administration's Office of Rural Health (ORH). Discusses the methods the ORH uses to improve healthcare quality and access for rural veterans, such as initiatives to expand VHA services to rural veterans and funding research to improve the healthcare quality in rural areas. Evaluates the ORH's efforts and makes recommendations for improvement.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Community-Acquired Staphylococcus Aureus Skin and Soft Tissue Infection Risk Assessment Using Hotspot Analysis and Risk Maps: The Case of California Emergency Departments
Using California emergency department data between 2016 and 2019, evaluates the association between risk for Staphylococcus aureus skin and soft tissue infections with various neighborhood characteristics such as population, poverty, and healthcare access shortage measures. Discusses rural disparities.
Author(s): Brittany L. Morgan Bustamante, Laura Fejerman, Larissa May, Beatriz Martínez-Lopéz
Citation: BMC Public Health, 24, 123
Date: 01/2024
Type: Document
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County-Level Colorectal Cancer Screening Rates on Colorectal Cancer Survival in the State of Georgia: Does County-Level Rurality Matter?
Evaluates 5-year colorectal cancer (CRC) survival rates in Georgia by county-level rurality and CRC screening rate, utilizing 2004-2010 Surveillance, Epidemiology, and End Results (SEER) Program data. Discusses rural-urban CRC mortality disparities, and describes the influence of CRC screening on mortality.
Author(s): Meng-Han Tsai, Steven S. Coughlin, Jorge Cortes
Citation: Cancer Medicine, 13(1)
Date: 01/2024
Type: Document
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Ending Unequal Treatment: Strategies to Achieve Equitable Health Care and Optimal Health for All
Examines racial and ethnic health inequities in health and healthcare, including discussion of enablers and barriers of health equity, changes in healthcare systems over time, approaches to health equity interventions and research, and health equity policy. Mentions rural, tribal, and indigenous populations throughout. Pages 229-233 highlight successful Alaska Native, Native Hawaiian, and American Indian initiatives and partnerships.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural Mental Health in the United States 2006–2022: An Overview and Annotated Bibliography
Provides a comprehensive overview of mental health in the rural United States. Includes chapters focused on a rural perspective of mental health, the demographic profile of rural areas by race/ethnicity, substance abuse, mental health service delivery, workforce challenges and opportunities, comparative information about rural mental health outside the U.S., and the future of rural mental health in the U.S.
Author(s): Jasmine R. Davis, David Lambert, Sree Sinha, et al.
Date: 2024
Type: Document
Sponsoring organization: Western Interstate Commission for Higher Education
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