Rural Health
Resources by Topic: Population health
A Global Equity Model (GEM) for the Advancement of Community Health and Health Equity
Provides an overview of existing and emerging payment systems and their roles in promoting community health and health equity. Proposes a global payment model for health systems' inpatient, emergency department (ED), and outpatient sites of care with community health and health equity as its organizing features. Includes information on the Pennsylvania Rural Health Model, the ACO REACH model, and other rural-relevant payment models.
Author(s): Anaeze C. Offodile II, Jason B. Gibbons, Samantha Murrell, Donna Kinzer, Joshua M. Sharfstein
Date: 11/2022
Sponsoring organization: National Academy of Medicine
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Provides an overview of existing and emerging payment systems and their roles in promoting community health and health equity. Proposes a global payment model for health systems' inpatient, emergency department (ED), and outpatient sites of care with community health and health equity as its organizing features. Includes information on the Pennsylvania Rural Health Model, the ACO REACH model, and other rural-relevant payment models.
Author(s): Anaeze C. Offodile II, Jason B. Gibbons, Samantha Murrell, Donna Kinzer, Joshua M. Sharfstein
Date: 11/2022
Sponsoring organization: National Academy of Medicine
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Adaptation and Study Protocol of the Evidence-based Make Better Choices (Mbc2) Multiple Diet and Activity Change Intervention for a Rural Appalachian Population
Details the development of the Make Better Choices 2 (MBC2) mHealth diet and activity randomized trial and how it is being adapted for rural Appalachia. Outlines the adaptation process conducted in Appalachian Kentucky and subsequent revisions to the recruitment, retention, assessment, and intervention components of the study. Discusses the need for culturally appropriate research to reach underserved populations and achieve health equity.
Author(s): Nancy E. Schoenberg, Deanna Sherman, Angela Fidler Pfammatter, et al.
Citation: BMC Public Health, 22, 2043
Date: 11/2022
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Details the development of the Make Better Choices 2 (MBC2) mHealth diet and activity randomized trial and how it is being adapted for rural Appalachia. Outlines the adaptation process conducted in Appalachian Kentucky and subsequent revisions to the recruitment, retention, assessment, and intervention components of the study. Discusses the need for culturally appropriate research to reach underserved populations and achieve health equity.
Author(s): Nancy E. Schoenberg, Deanna Sherman, Angela Fidler Pfammatter, et al.
Citation: BMC Public Health, 22, 2043
Date: 11/2022
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The Path to Coordinated Federal Leadership to Strengthen Primary Health Care
Discusses the potential of a Secretary's Council on Primary Care within the U.S. Department of Health and Human Services. Describes primary care's role in addressing policy challenges related to health equity, payment, workforce training, pandemic recovery and resilience, the opioid crisis, and mental health. Offers recommendations to include and strengthen high-quality primary care as part of a long-term vision of a high-value healthcare system. Includes rural references throughout.
Author(s): Robert L. Phillips Jr., Christopher Koller, Alice Hm Chen
Date: 11/2022
Sponsoring organization: Milbank Memorial Fund
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Discusses the potential of a Secretary's Council on Primary Care within the U.S. Department of Health and Human Services. Describes primary care's role in addressing policy challenges related to health equity, payment, workforce training, pandemic recovery and resilience, the opioid crisis, and mental health. Offers recommendations to include and strengthen high-quality primary care as part of a long-term vision of a high-value healthcare system. Includes rural references throughout.
Author(s): Robert L. Phillips Jr., Christopher Koller, Alice Hm Chen
Date: 11/2022
Sponsoring organization: Milbank Memorial Fund
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Rethinking Rurality: Using Hospital Referral Regions to Investigate Rural-Urban Health Outcomes
Examines the relationship between the proportion of rural population served in each of the 306 hospital referral regions (HRRs) and health outcomes, healthcare spending and utilization, and access to and quality of primary care. Explores whether mortality differences in HRRs are associated with differences in price-adjusted Medicare reimbursements, quality of primary care, and access to primary care.
Author(s): Lucy Skinner, Sandra Wong, Carrie Colla
Citation: BMC Health Services Research, 22(1), 1312
Date: 11/2022
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Examines the relationship between the proportion of rural population served in each of the 306 hospital referral regions (HRRs) and health outcomes, healthcare spending and utilization, and access to and quality of primary care. Explores whether mortality differences in HRRs are associated with differences in price-adjusted Medicare reimbursements, quality of primary care, and access to primary care.
Author(s): Lucy Skinner, Sandra Wong, Carrie Colla
Citation: BMC Health Services Research, 22(1), 1312
Date: 11/2022
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Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them
Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities in rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations.
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Sponsoring organization: KFF
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Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities in rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations.
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Sponsoring organization: KFF
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Obesity in Rural America, with Jennifer Conner and Jason Lofton
An episode of the Exploring Rural Health podcast featuring Dr. Jennifer Conner, an associate professor with the Delta Population Health Institute at the NYIT College of Osteopathic Medicine at Arkansas State University, and Dr. Jason Lofton, a family physician at the Lofton Family Clinic in De Queen, Arkansas. Focuses on rural obesity and how rural patients can live their healthiest lives.
Date: 11/2022
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Dr. Jennifer Conner, an associate professor with the Delta Population Health Institute at the NYIT College of Osteopathic Medicine at Arkansas State University, and Dr. Jason Lofton, a family physician at the Lofton Family Clinic in De Queen, Arkansas. Focuses on rural obesity and how rural patients can live their healthiest lives.
Date: 11/2022
Sponsoring organization: Rural Health Information Hub
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Inequities in Access and Delivery of Acute Stroke Care: A Brain Attack Coalition Symposium Report
Presents findings from the Brain Attack Coalition's Inequities in Access and Delivery of Acute Stroke Care symposium. Identifies barriers to access and disparities in healthcare delivery, and discusses underserved populations, including people in rural areas, throughout. Provides recommendations on policy, research, and service delivery approaches to address inequities and improve stroke care delivery in EMS, acute and hyperacute, and inpatient settings.
Date: 10/2022
Sponsoring organizations: Brain Attack Coalition (BAC), National Institute of Neurological Disorders and Stroke
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Presents findings from the Brain Attack Coalition's Inequities in Access and Delivery of Acute Stroke Care symposium. Identifies barriers to access and disparities in healthcare delivery, and discusses underserved populations, including people in rural areas, throughout. Provides recommendations on policy, research, and service delivery approaches to address inequities and improve stroke care delivery in EMS, acute and hyperacute, and inpatient settings.
Date: 10/2022
Sponsoring organizations: Brain Attack Coalition (BAC), National Institute of Neurological Disorders and Stroke
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Ohio 2023-2026 State Plan on Aging
Highlights the state's health, equity, and justice goals for aging Ohioans. Notes priorities in the areas of community conditions, healthy living, access to care, social connectedness, population health, and preserving independence including those of particular importance to rural or Appalachian residents.
Date: 10/2022
Sponsoring organization: Ohio Department of Aging
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Highlights the state's health, equity, and justice goals for aging Ohioans. Notes priorities in the areas of community conditions, healthy living, access to care, social connectedness, population health, and preserving independence including those of particular importance to rural or Appalachian residents.
Date: 10/2022
Sponsoring organization: Ohio Department of Aging
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Rural and Urban Differences in Care Provided by Home Health Agencies in the United States: A Review of the Literature
Explores the differences in care outcomes for rural and urban home health agencies (HHAs). Discusses some of the barriers faced by rural HHAs, such as overcoming long distances, increased costs, and workforce limitations, among others.
Author(s): Denise D. Quigley, Ashley M. Chastain, Jung A. Kang, et al.
Citation: The Journal of Post-Acute and Long-Term Care Medicine, 23(10), 1653.e1-1653.e13
Date: 10/2022
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Explores the differences in care outcomes for rural and urban home health agencies (HHAs). Discusses some of the barriers faced by rural HHAs, such as overcoming long distances, increased costs, and workforce limitations, among others.
Author(s): Denise D. Quigley, Ashley M. Chastain, Jung A. Kang, et al.
Citation: The Journal of Post-Acute and Long-Term Care Medicine, 23(10), 1653.e1-1653.e13
Date: 10/2022
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The Intersection of Workplace and Environmental Exposure on Health in Latinx Farm Working Communities in Rural Inland Southern California
Analyzes access and barriers to healthcare services for Eastern Coachella Valley rural farmworkers who are exposed to workplace and environmental health risks. Reports on 9 culturally responsive in-home interviews conducted from 2017 to 2018 with the assistance of a bilingual Spanish-Purépecha Latina promotora. Provides demographic information of participants and quotes from interviews related to themes such as environmental exposures, including the nearby Salton Sea; agricultural labor and its impact on health; chronic health conditions and trauma of exposures; and community-proposed solutions.
Author(s): Ann Marie Cheney, Tatiana Barrera, Katheryn Rodriguez, Ana María Jaramillo López
Citation: International Journal of Environmental Research and Public Health, 19(19), 12940
Date: 10/2022
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Analyzes access and barriers to healthcare services for Eastern Coachella Valley rural farmworkers who are exposed to workplace and environmental health risks. Reports on 9 culturally responsive in-home interviews conducted from 2017 to 2018 with the assistance of a bilingual Spanish-Purépecha Latina promotora. Provides demographic information of participants and quotes from interviews related to themes such as environmental exposures, including the nearby Salton Sea; agricultural labor and its impact on health; chronic health conditions and trauma of exposures; and community-proposed solutions.
Author(s): Ann Marie Cheney, Tatiana Barrera, Katheryn Rodriguez, Ana María Jaramillo López
Citation: International Journal of Environmental Research and Public Health, 19(19), 12940
Date: 10/2022
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