Rural Health
Resources by Topic: Rural-urban differences
Associations Between COVID-19 Therapies and Outcomes in Rural and Urban America: A Multisite, Temporal Analysis from the Alpha to Omicron SARS-CoV-2 Variants
Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health
Date: 07/2024
Type: Document
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Examines COVID-19 treatment, health outcomes, and mortality disparities in rural and urban areas of the United States. Analyzes 2021-2023 National COVID Cohort Collaborative (N3C) data from 3,018,646 patients to break down COVID-19 disparities according to patient demographics, vaccine status, comorbidities, U.S. Census region, and adverse inpatient events, as well as urban, urban-adjacent, or nonurban-adjacent location.
Author(s): A. Jerrod Anzalone, William H. Beasley, Kimberly Murray, et al.
Citation: Journal of Rural Health
Date: 07/2024
Type: Document
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Traffic Safety Facts, 2022 Data: Large Trucks
National data on fatal and nonfatal traffic crashes involving commercial and noncommercial trucks weighing more than 10,000 pounds. Features statistics from 2013-2022 with breakdowns by involvement rate per 100,000 registered trucks, crash characteristics, estimated proportion of alcohol-impaired drivers, previous 5-year driving records of drivers in fatal crashes, time of day and week, state, and rural or urban location.
Date: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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National data on fatal and nonfatal traffic crashes involving commercial and noncommercial trucks weighing more than 10,000 pounds. Features statistics from 2013-2022 with breakdowns by involvement rate per 100,000 registered trucks, crash characteristics, estimated proportion of alcohol-impaired drivers, previous 5-year driving records of drivers in fatal crashes, time of day and week, state, and rural or urban location.
Date: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Traffic Safety Facts, 2022 Data: Passenger Vehicles
National data on traffic crashes involving passenger vehicles. Features statistics from 2021 and 2022 with breakdowns by vehicle type, time of day, fatalities, state, and rural or urban locations.
Date: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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National data on traffic crashes involving passenger vehicles. Features statistics from 2021 and 2022 with breakdowns by vehicle type, time of day, fatalities, state, and rural or urban locations.
Date: 07/2024
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Assessing How Alcohol Use Patterns Relate to Obesity among American Adolescents from Rural and Urban Areas: Five Years of Pooled Data
Analyzes the association between alcohol use and obesity among rural and urban adolescents aged 12-17. Utilizes 2015-2019 National Survey on Drug Use and Health data.
Author(s): Christian E. Vazquez, Fawn A. Brown, Faheem Ohri, Philip Baiden
Citation: PLoS ONE, 19(6), e0305638
Date: 06/2024
Type: Document
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Analyzes the association between alcohol use and obesity among rural and urban adolescents aged 12-17. Utilizes 2015-2019 National Survey on Drug Use and Health data.
Author(s): Christian E. Vazquez, Fawn A. Brown, Faheem Ohri, Philip Baiden
Citation: PLoS ONE, 19(6), e0305638
Date: 06/2024
Type: Document
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Healthcare in Illinois: A County-Level Index of 'Readiness for AI' in Healthcare
Provides background on the impact of artificial intelligence (AI) in healthcare and its potential usefulness in Illinois. Includes metro versus nonmetro data on hospital medical device spending as well as counties with low/high AI readiness.
Author(s): Adee Athiyaman
Date: 06/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Provides background on the impact of artificial intelligence (AI) in healthcare and its potential usefulness in Illinois. Includes metro versus nonmetro data on hospital medical device spending as well as counties with low/high AI readiness.
Author(s): Adee Athiyaman
Date: 06/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Engagement Among Diverse Patient Backgrounds in a Remote Symptom Monitoring Program
Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Analyzes factors affecting engagement in a remote symptom monitoring (RSM) program among 1,998 patients who received treatment at Alabama cancer centers between May 2021 and May 2023. Includes data on likelihood of being approached for involvement in RSM and rates of program enrollment, adherence, and withdrawal. Factors considered include race (Black, White, or other), rural versus urban residence, and neighborhood disadvantage.
Author(s): Gabrielle B. Rocque, Nicole E. Caston, Keyonsis Hildreth, et al.
Citation: JCO Oncology Practice
Date: 06/2024
Type: Document
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Congruence Between County Dental Health Provider Shortage Area Designations and the Social Vulnerability Index
Provides visual comparisons of the relationship between Dental Health Provider Shortage Areas (HPSAs) and the Centers for Disease Control and Prevention's 2020 Social Vulnerability Index (SVI) designations on county-level U.S. maps. Includes table showing median county-level SVI score by HPSA designation, broken down by metro, nonmetro, and all county.
Author(s): Gabriel A. Benavidez, Elizabeth Crouch, Joni Nelson, Amy Martin
Citation: Preventing Chronic Disease, 21
Date: 06/2024
Type: Document
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Provides visual comparisons of the relationship between Dental Health Provider Shortage Areas (HPSAs) and the Centers for Disease Control and Prevention's 2020 Social Vulnerability Index (SVI) designations on county-level U.S. maps. Includes table showing median county-level SVI score by HPSA designation, broken down by metro, nonmetro, and all county.
Author(s): Gabriel A. Benavidez, Elizabeth Crouch, Joni Nelson, Amy Martin
Citation: Preventing Chronic Disease, 21
Date: 06/2024
Type: Document
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Nurse Staffing Estimates in US Nursing Homes, May 2024
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) April 2024 final rule that established minimum nurse staffing requirements for nursing homes. Analyzes May 2024 data from Nursing Home Care Compare to examine current staffing levels in U.S. nursing homes relative to specific minimum staffing requirements in the final rule. Includes an illustrative example of a 100-bed facility to explore how many nurse staff would need to be added per shift during the final rule's implementation phase to meet or exceed the final rule's minimum requirements. Presents data by facility characteristics, including ownership type, rural or urban location, and bed size.
Author(s): Martin Blanco, Iara Oliveira, Marie Squillace, Damian Da Costa
Date: 06/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) April 2024 final rule that established minimum nurse staffing requirements for nursing homes. Analyzes May 2024 data from Nursing Home Care Compare to examine current staffing levels in U.S. nursing homes relative to specific minimum staffing requirements in the final rule. Includes an illustrative example of a 100-bed facility to explore how many nurse staff would need to be added per shift during the final rule's implementation phase to meet or exceed the final rule's minimum requirements. Presents data by facility characteristics, including ownership type, rural or urban location, and bed size.
Author(s): Martin Blanco, Iara Oliveira, Marie Squillace, Damian Da Costa
Date: 06/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report
Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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