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Rural Health
Resources by Topic: Infrastructure

Health Care's Role in Rural Economic Development: How Broadband Can Improve Health Outcomes
Policy brief exploring how lack of broadband infrastructure and adaptation in rural areas limits access to healthcare. Includes recommendations for policies and actions to improve the rural broadband infrastructure and promote telehealth.
Author(s): Jeremy Cannon
Date: 04/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Ventilation Improvements Among K–12 Public School Districts — United States, August–December 2022
Reports on K-12 public school ventilation improvements to prevent COVID-19 transmission, including replacing or upgrading ventilation systems, installing filtration systems, installing ultraviolet germicidal irradiation devices, and improving airflow. Includes data for city, suburb, town, and rural locations.
Author(s): Miguella Mark-Carew, Gloria Kang, Sanjana Pampati, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(14), 372-376
Date: 04/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Pennsylvania State Health Improvement Plan, 2023-2028
Multi-year strategic plan developed by the Pennsylvania Department of Health and the Healthy Pennsylvania Partnership, a multi-sector partnership of stakeholders and collaborators. Outlines steps and partnerships needed to achieve health equity, chronic disease prevention, and whole person care, and encourages policymakers, healthcare providers, nonprofits, and residents to promote and support health improvements throughout Pennsylvania.
Date: 03/2023
Type: Document
Sponsoring organization: Pennsylvania Department of Health
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Forces Driving Change in Rural North Carolina
Examines major forces driving change in rural North Carolina communities, which influence people, communities, and businesses. Includes sections on rural healthcare inequities, social determinants of health, and the long-term impact of COVID-19 on rural people. Features a county-level map showing health outcome rankings as of 2022, and statistics on the number of healthcare professionals per 10,000 people, with breakdowns by urban, suburban, and rural areas.
Date: 03/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Measuring and Mapping Physical Activity Disparity (PAD) Index Based on Physical Activity Environment for Children
Uses the Physical Activity Disparity (PAD) index to measure accessibility, availability, accommodation, affordability, and acceptability for children's physical activity in the United States and the state of Georgia at the county level. PAD index identifies "play oases" and "play deserts" for children. Figure 3 shows the PAD index alongside rural and urban classifications.
Author(s): Jue Yang, Lan Mu, Janani Rajbhandari-Thapa
Citation: International Journal of Geo-Information, 12(3), 134
Date: 03/2023
Type: Document
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2023 County Health Rankings National Findings Report
Analyzes county-level health and wellness data, focusing on issues such as civic infrastructure and socioeconomic opportunity. Includes information on access to broadband, libraries, parks and recreation, schools, and social organizations. Provides U.S. map of county-level life expectancy (LE) and discusses the relationship of LE to civic participation.
Date: 03/2023
Type: Document
Sponsoring organization: County Health Rankings & Roadmaps
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Rural Community Transit Strategies: Building on, Expanding, and Enhancing Existing Assets and Programs
Provides an overview of a potential rural transit model based on the current infrastructure in Minnesota and by examining other state models. Focuses on solutions such as hybrid mobility, small town assets, expanding service, responding to driver shortages, engaging citizens and networking within communities, and more. Discusses public health concerns such as food access and disability accommodations.
Author(s): Thomas Fisher, Mary Vogel, Alireza Khani, Fernando Burga
Date: 02/2023
Type: Document
Sponsoring organization: Minnesota Department of Transportation
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Investing in Rural Capacity: Comprehensive Summary of the National Rural Development Stakeholder Listening Sessions
Discusses investments in capacity that improve quality of life in rural areas. Reports on responses from organizational stakeholders from the 4 U.S. Regional Rural Development Centers based on survey data and listening sessions that took place between 2021 and 2022. Focuses on strategies to address physical infrastructure, workforce and economic development, community vibrancy, climate change, health, agriculture and food systems, and equity in rural areas.
Author(s): Jason S. Entsminger, John J. Green, Rachel Welborn, et al.
Date: 02/2023
Type: Document
Sponsoring organization: Regional Rural Development Centers
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The Ethnically and Racially Uneven Role of Water Infrastructure Spending in Rural Economic Development
Evaluates local government spending on water infrastructure between 1980 and 2015 in non-metropolitan areas to determine the impact on rural economies. Also considers how these measures change when accounting for the predominant race and ethnicity of the residents in these counties.
Author(s): J. Tom Mueller, Stephen Gasteyer
Citation: Nature Water, 1, 74-82
Date: 01/2023
Type: Document
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COVID-19 Related Protocol Considerations and Modifications within a Rural, Community-Engaged Health Promotion Randomized Trial
Examines data collection protocol modifications in the Change Club (CC) intervention which aims to improve civic engagement and built environment factors related to obesity and other chronic disease disparities. Analyzes 12 rural communities engaged in the CC intervention and discusses the subsequent measurements to observe intervention impacts, which were adjusted from onsite to self-reported due to the COVID-19 pandemic. Analyzes data collection protocols that can establish both rigor and feasibility in rural health research.
Author(s): Rebecca A. Seguin-Fowler, Galen D. Eldridge, Meredith Graham, et al.
Citation: Methods and Protocols, 6(1), 5
Date: 01/2023
Type: Document
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