Rural Health
Resources by Topic: Racial and ethnic groups
Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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Indian Health Service Fact Sheet: HIV in Indian Country
Fact sheet on HIV disparities in diagnosis, awareness of HIV status, receipt of care, and more among American Indian and Alaska Native (AI/AN) people. Discusses the Indian Health Service's National HIV/HCV/STI Program, which focuses on reducing HIV, hepatitis C, and other sexually transmitted infections in AI/AN communities.
Date: 12/2024
Type: Document
Sponsoring organization: Indian Health Service
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Fact sheet on HIV disparities in diagnosis, awareness of HIV status, receipt of care, and more among American Indian and Alaska Native (AI/AN) people. Discusses the Indian Health Service's National HIV/HCV/STI Program, which focuses on reducing HIV, hepatitis C, and other sexually transmitted infections in AI/AN communities.
Date: 12/2024
Type: Document
Sponsoring organization: Indian Health Service
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Utilization of Inpatient and Emergency Services by Rural and Urban Medicaid Enrollees
Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote (FAR) area codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote (FAR) area codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Mammography Among Women Residing in Urban Versus Rural Utah: Breast Cancer Survival
Examines breast cancer screening and mortality among rural and urban Utahns, utilizing Utah Population Database data for breast cancer patients diagnosed from 1998 to 2017 and matched controls. Provides rural-urban comparisons of cancer stage at diagnosis, first-course treatment received, risk of death based on mammograms received in the last 3 years, and other clinical and demographic comparisons.
Author(s): Quinn Tanner, Chun-Pin Chang, Karen Curtin, et al.
Citation: Cancer Medicine, 13(24), e70505
Date: 12/2024
Type: Document
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Examines breast cancer screening and mortality among rural and urban Utahns, utilizing Utah Population Database data for breast cancer patients diagnosed from 1998 to 2017 and matched controls. Provides rural-urban comparisons of cancer stage at diagnosis, first-course treatment received, risk of death based on mammograms received in the last 3 years, and other clinical and demographic comparisons.
Author(s): Quinn Tanner, Chun-Pin Chang, Karen Curtin, et al.
Citation: Cancer Medicine, 13(24), e70505
Date: 12/2024
Type: Document
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Electronic Case Reporting Roadmap - For Tribes and Tribal Epidemiology Centers
Report discusses the benefits of electronic case reporting (eCR) for tribal public health authorities and epidemiology centers (TECs). Highlights challenges in implementing eCR as well as the benefits of electronic disease surveillance conducted by Tribes and TECs. Presents guidance on the planning, implementation, and funding of tribal eCR.
Date: 12/2024
Type: Document
Sponsoring organization: National Indian Health Board
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Report discusses the benefits of electronic case reporting (eCR) for tribal public health authorities and epidemiology centers (TECs). Highlights challenges in implementing eCR as well as the benefits of electronic disease surveillance conducted by Tribes and TECs. Presents guidance on the planning, implementation, and funding of tribal eCR.
Date: 12/2024
Type: Document
Sponsoring organization: National Indian Health Board
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Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) Program Year 1 Progress Report: Addressing Public Health in Indian Country
Reports on the work of the 12 Tribal Epidemiology Centers (TECs) and Network Coordinating Center (NCC) in the first year of the Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) Program according to the TECPHI Program performance measures and evaluation findings.
Additional links: Communications Supplement, Evaluation Supplement, Executive Summary, Workforce Development Supplement
Date: 12/2024
Type: Document
Sponsoring organization: Tribal Epidemiology Centers
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Reports on the work of the 12 Tribal Epidemiology Centers (TECs) and Network Coordinating Center (NCC) in the first year of the Tribal Epidemiology Centers Public Health Infrastructure (TECPHI) Program according to the TECPHI Program performance measures and evaluation findings.
Additional links: Communications Supplement, Evaluation Supplement, Executive Summary, Workforce Development Supplement
Date: 12/2024
Type: Document
Sponsoring organization: Tribal Epidemiology Centers
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Transforming Lives at the Border: How a Rural Library in San Elizario is Changing the Game
Describes how the Pete Herrera Library functions as a hub for healthcare, human services, education, and more in the rural, border community of San Elizario, Texas. Highlights the library's initiatives and strategies for supporting community health and wellness in a predominantly Spanish-speaking, under-resourced community.
Author(s): Rick Ybarra
Date: 12/2024
Type: Document
Sponsoring organization: Hogg Foundation for Mental Health
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Describes how the Pete Herrera Library functions as a hub for healthcare, human services, education, and more in the rural, border community of San Elizario, Texas. Highlights the library's initiatives and strategies for supporting community health and wellness in a predominantly Spanish-speaking, under-resourced community.
Author(s): Rick Ybarra
Date: 12/2024
Type: Document
Sponsoring organization: Hogg Foundation for Mental Health
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Staffing Shortages Limited IHS's Capacity To Effectively Administer Much-Needed Sanitation Projects Funded by the Infrastructure Investment and Jobs Act
Explores Indian Health Service (IHS) efforts to expand staffing and capacity to administer and oversee Sanitation Facilities Construction (SFC) projects funded by the Infrastructure Investment and Jobs Act (IIJA) in fiscal year 2023. Identifies challenges IHS experienced that threatened its ability to complete projects and meet sanitation needs in a timely manner. Offers recommendations to IHS to related to recruitment, retention, and housing of SFC staff.
Additional links: Report Highlights
Date: 12/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Explores Indian Health Service (IHS) efforts to expand staffing and capacity to administer and oversee Sanitation Facilities Construction (SFC) projects funded by the Infrastructure Investment and Jobs Act (IIJA) in fiscal year 2023. Identifies challenges IHS experienced that threatened its ability to complete projects and meet sanitation needs in a timely manner. Offers recommendations to IHS to related to recruitment, retention, and housing of SFC staff.
Additional links: Report Highlights
Date: 12/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US
Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
Type: Document
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Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
Type: Document
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