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Rural Health
Resources by Topic: Infrastructure

Structural Determinants of Health: Hospitals' Unequal Capital Investments Drive Health Inequities
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Type: Document
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Expanding America's Bandwidth: Gaps in Rural and Underserved Communities
Discusses the availability of broadband, devices, and digital skills and their impact on communities. Describes barriers to connectivity among rural and underserved communities and the federal funding programs designated for infrastructure development and internet adoption.
Date: 07/2024
Type: Document
Sponsoring organization: Board of Governors of the Federal Reserve System
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Innovative State Strategies for Rural Broadband: Case Studies from Colorado, Minnesota and Maine
Explores the roles of state broadband policy, local leadership, and private investment in expanding broadband coverage and infrastructure in rural areas. Presents case studies from Colorado, Maine, and Minnesota and describes how rural recipients leverage state and federal broadband funds, navigate financial and regulatory constraints, and develop innovative place-based solutions. Identifies unique challenges, lessons learned, and implications for broadband policy.
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 07/2024
Type: Document
Sponsoring organization: Cornell University
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Countermeasures that Work: An Introductory Resource for Rural Communities
Provides safety countermeasures related to speed, alcohol-impaired driving, and seat belts/child restraints in rural communities. Includes effectiveness ratings of countermeasures as well as program examples.
Author(s): Holly Kostrzewski, Lori Haskett
Date: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Building Resilience: How Recent Federal Policy Is Laying the Groundwork for Improved Climate Adaptation
Examines the intersection of public health, climate change, and equity and details federal policy that focuses on climate adaptation and resilience strategies for underserved, rural, and/or tribal communities. Provides resources and collaborative opportunities for public health departments to address climate change issues in their local areas. Includes data on global surface temperature by year and state-by-state infrastructure funding to improve environmental health.
Date: 07/2024
Type: Document
Sponsoring organization: Trust for America's Health
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Risk Factors for Persistent Fatal Opioid-Involved Overdose Clusters in Massachusetts 2011–2021: A Spatial Statistical Analysis with Socio-Economic, Accessibility, and Prescription Factors
Examines locations with high opioid-involved overdose deaths in Massachusetts as well as factors contributing to mortality, such as social infrastructure and opioid prescribing practices. Provides state maps showing opioid overdose rates according to ZIP Code Tabulation Area (ZCTA). Includes data on social infrastructure access, opioid prescriptions, and ZCTA clusters, with breakdowns by poverty and race.
Author(s): Sumeeta Srinivasan, Jennifer Pustz, Elizabeth Marsh, Leonard D. Young, Thomas J. Stopka
Citation: BMC Public Health, 24, 1893
Date: 07/2024
Type: Document
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Impact of In-Home Handwashing Stations on Hand Hygiene During the COVID-19 Pandemic in Unpiped Rural Alaska Native Homes
Examines the impact of installing the Miniature Portable Alternative Sanitation System (Mini-PASS) in rural Alaskan homes that lacked piped water. Utilizes interview feedback from 71 households who used the Mini-PASS during the COVID-19 pandemic, discussing themes such as handwashing station usage, the ability to troubleshoot repairs, collaboration with tribal health organizations, and more.
Author(s): Olivia A. Harmon, Tricia S. Howe, Jacqualine D. Schaeffer, Ramot Adeboyejo, Laura P. Eichelberger
Citation: Public Health Reports, 139(1), 81S-88S
Date: 07/2024
Type: Document
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Fifty Years of Rural Service, Impact, and Innovation: Looking Forward to Fifty More - RCAP's Fiscal Year 2023 Impact Report
Details the accomplishments of the Rural Community Assistance Partnership Incorporated (RCAP) in FY 2023. Highlights RCAP's programs and partnerships supporting infrastructure and community development in rural and tribal areas, including in-depth discussion of water, wastewater, and solid waste initiatives.
Date: 06/2024
Type: Document
Sponsoring organization: Rural Community Assistance Partnership
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Loneliness and Social Isolation Are Common in Rural America. Is "Social Infrastructure" the Solution?
Discusses structural factors that contribute to social isolation in rural areas. Features programs in Minnesota, Nebraska, and Alaska that are finding ways to build connection into rural communities.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 06/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Road Safety Funding at the US Department of Transportation: Example Projects from 2022
Compiles a selection of projects from certain U.S. Department of Transportation (USDOT) discretionary and non-discretionary grant programs intended to address rural road safety. Helps prospective rural applicants understand how USDOT grants have previously been used to improve rural road safety, and showcases the importance of safety across USDOT grant programs.
Date: 06/2024
Type: Document
Sponsoring organization: U.S. Department of Transportation
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