Rural Health
Resources by Topic: Health disparities
Rural Health Care Disparities Created by Medicare Regulations
Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Disparities in Colorectal Cancer Treatment Delay Within Appalachia – The Role of For-Profit Hospitals
Discusses the timeliness of colorectal cancer (CRC) treatment in rural hospitals of the Appalachian regions of Kentucky, Ohio, Pennsylvania, and North Carolina. Study uses data from the 2006-2008 Central Cancer Registry (CCR) as well as Medicare claims to identify delays between diagnosis and treatment in healthcare facilities with various funding models.
Author(s): Eric E. Seiber, Fabian Camacho, Muhammad Fazal Zeeshan, et al.
Citation: Journal of Rural Health, 31(4), 382-391
Date: 05/2015
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Discusses the timeliness of colorectal cancer (CRC) treatment in rural hospitals of the Appalachian regions of Kentucky, Ohio, Pennsylvania, and North Carolina. Study uses data from the 2006-2008 Central Cancer Registry (CCR) as well as Medicare claims to identify delays between diagnosis and treatment in healthcare facilities with various funding models.
Author(s): Eric E. Seiber, Fabian Camacho, Muhammad Fazal Zeeshan, et al.
Citation: Journal of Rural Health, 31(4), 382-391
Date: 05/2015
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Improving Access and Provision of Preventive Oral Health Care for Very Young, Poor, and Low-Income Children Through a New Interdisciplinary Partnership
Describes a demonstration model in which dental care and education was provided by a nurse practitioner-dietitian team to 4,360 Ohio preschool children enrolled in the Women, Infants, and Children program at one urban and one rural site.
Author(s): Diana L. Biordi, Marjet Heitzer, Eric Mundy, et al.
Citation: American Journal of Public Health, 105(Suppl 2), e23-e29
Date: 04/2015
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Describes a demonstration model in which dental care and education was provided by a nurse practitioner-dietitian team to 4,360 Ohio preschool children enrolled in the Women, Infants, and Children program at one urban and one rural site.
Author(s): Diana L. Biordi, Marjet Heitzer, Eric Mundy, et al.
Citation: American Journal of Public Health, 105(Suppl 2), e23-e29
Date: 04/2015
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Service Learning: A Vehicle for Building Health Equity and Eliminating Health Disparities
Details 5 different seven-day long service learning courses for emerging health professionals focused on urban, rural, border, and indigenous health. Includes information on the course themes, partners, impacts on the students, and communities.
Author(s): Samantha Sabo, Jill de Zapien, Nicolette Teufel-Shone, et al.
Citation: American Journal of Public Health, 105(Suppl 1), S38-S43
Date: 03/2015
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Details 5 different seven-day long service learning courses for emerging health professionals focused on urban, rural, border, and indigenous health. Includes information on the course themes, partners, impacts on the students, and communities.
Author(s): Samantha Sabo, Jill de Zapien, Nicolette Teufel-Shone, et al.
Citation: American Journal of Public Health, 105(Suppl 1), S38-S43
Date: 03/2015
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Disparities Persist in Nutrition Policies and Practices in Minnesota Secondary Schools
Examines school nutrition policies and practices by school characteristics in Minnesota secondary schools between 2008 and 2012. Compares school nutrition policies by rural versus urban/suburban location and across three main areas: the availability of low-nutrient, energy dense (LNED) items, strategies to engage students in healthy eating, and restrictions on advertising LNED products around the school.
Author(s): Caitlin Eicher Caspi, Cynthia Davey, Toben F. Nelson, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 115(3), 419-425
Date: 03/2015
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Examines school nutrition policies and practices by school characteristics in Minnesota secondary schools between 2008 and 2012. Compares school nutrition policies by rural versus urban/suburban location and across three main areas: the availability of low-nutrient, energy dense (LNED) items, strategies to engage students in healthy eating, and restrictions on advertising LNED products around the school.
Author(s): Caitlin Eicher Caspi, Cynthia Davey, Toben F. Nelson, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 115(3), 419-425
Date: 03/2015
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Appalachia Then and Now: Examining Changes to the Appalachian Region since 1965
Presents a comparison of collected data on the Appalachian region from the 1960s and 2010s. Discusses a variety of determinants of health, including poverty, mortality, infrastructure, and employment, among others. Document includes Executive Summary, Technical Report, and State Meetings Report.
Date: 02/2015
Sponsoring organization: Appalachian Regional Commission
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Presents a comparison of collected data on the Appalachian region from the 1960s and 2010s. Discusses a variety of determinants of health, including poverty, mortality, infrastructure, and employment, among others. Document includes Executive Summary, Technical Report, and State Meetings Report.
Date: 02/2015
Sponsoring organization: Appalachian Regional Commission
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Distribution of Cardiovascular Disease and Associated Risk Factors by County Type and Health Insurance Status: Results from the 2008 Ohio Family Health Survey
Analyzes the health status of Ohio residents living in Appalachia with other rural and non-rural populations in Ohio. Uses 2008 Ohio Family Health Survey data to identify links among county demographics, health insurance coverage, and health outcomes in low-income adult populations.
Author(s): Mbabazi Kariisa, Eric Seiber
Citation: Public Health Reports, 130(1), 87-95
Date: 01/2015
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Analyzes the health status of Ohio residents living in Appalachia with other rural and non-rural populations in Ohio. Uses 2008 Ohio Family Health Survey data to identify links among county demographics, health insurance coverage, and health outcomes in low-income adult populations.
Author(s): Mbabazi Kariisa, Eric Seiber
Citation: Public Health Reports, 130(1), 87-95
Date: 01/2015
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QuickStats: Percentage of Adults Aged ≥45 Years with Selected Diagnosed Chronic Conditions, by Number of Conditions and Urban/Rural Classification - National Health Interview Survey, 2013
Chart showing the percentage of adults 45 and older with zero, one, or two or more chronic conditions, for rural areas, urban areas, and the U.S. overall.
Citation: MMWR (Morbidity and Mortality Weekly Report), 63(53), 1247
Date: 01/2015
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Chart showing the percentage of adults 45 and older with zero, one, or two or more chronic conditions, for rural areas, urban areas, and the U.S. overall.
Citation: MMWR (Morbidity and Mortality Weekly Report), 63(53), 1247
Date: 01/2015
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Disparities in Life Expectancy of Pacific Northwest American Indians and Alaska Natives: Analysis of Linkage-Corrected Life Tables
Discusses a project in which patient record linkage was used to correct misclassification on death certificates issued in Idaho, Oregon, and Washington during 2008-2010, which had resulted in inflation of life expectancy estimates and underreporting of morbidity and mortality measures for American Indians and Alaska Natives living in the Pacific Northwest. Includes statistics with breakdowns including age, sex, state, mortality rates, and rates of death certificate misclassification.
Author(s): Jenine Dankovchik, Megan J. Hoopes, Victoria Warren-Mears, Elizabeth Knaster
Citation: Public Health Reports, 130(1), 71-80
Date: 2015
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Discusses a project in which patient record linkage was used to correct misclassification on death certificates issued in Idaho, Oregon, and Washington during 2008-2010, which had resulted in inflation of life expectancy estimates and underreporting of morbidity and mortality measures for American Indians and Alaska Natives living in the Pacific Northwest. Includes statistics with breakdowns including age, sex, state, mortality rates, and rates of death certificate misclassification.
Author(s): Jenine Dankovchik, Megan J. Hoopes, Victoria Warren-Mears, Elizabeth Knaster
Citation: Public Health Reports, 130(1), 71-80
Date: 2015
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Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 2
Provides a rural focus for the Healthy People 2020 priorities with an overview for each of the top health priorities ranked 11 through 20 identified by rural stakeholders. (Volume 1 discussed the top 10 priorities.) Topics include: cancer, health education, oral health, immunizations and infectious disease, public health, sexual health and family planning, injury and violence prevention, and social determinants of health. Includes reviews of the relevant literature and model programs appropriate for rural communities. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Sponsoring organization: Southwest Rural Health Research Center
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Provides a rural focus for the Healthy People 2020 priorities with an overview for each of the top health priorities ranked 11 through 20 identified by rural stakeholders. (Volume 1 discussed the top 10 priorities.) Topics include: cancer, health education, oral health, immunizations and infectious disease, public health, sexual health and family planning, injury and violence prevention, and social determinants of health. Includes reviews of the relevant literature and model programs appropriate for rural communities. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Sponsoring organization: Southwest Rural Health Research Center
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