Rural Health
Resources by Topic: Rural-urban differences
Access to Preferred Skilled Nursing Facilities: Transitional Care Pathways for Patients with Alzheimer's Disease and Related Dementias
Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research, 59(2)
Date: 04/2024
Type: Document
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Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research, 59(2)
Date: 04/2024
Type: Document
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Rural/Urban Differences in Rates and Predictors of Intimate Partner Violence and Abuse Screening among Pregnant and Postpartum United States Residents
Examines rates, predictors, and screening of perinatal intimate partner violence (IPV) victims after giving birth. Utilizes national data from the 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) to analyze rural versus urban IPV according to demographic variables, comorbidities, screening rates, and more.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Health Services Research, 59(2), e14212
Date: 04/2024
Type: Document
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Examines rates, predictors, and screening of perinatal intimate partner violence (IPV) victims after giving birth. Utilizes national data from the 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) to analyze rural versus urban IPV according to demographic variables, comorbidities, screening rates, and more.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Health Services Research, 59(2), e14212
Date: 04/2024
Type: Document
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Survival Disparities in Rural Versus Urban Patients with Pancreatic Neuroendocrine Tumor: A Multi-Institutional Study from the US Neuroendocrine Tumor Study Group
Compares overall survival of 1176 rural and urban patients who underwent pancreatic neoendocrine tumor (PNET) resection between 2000 and 2016, utilizing US Neuroendocrine Tumor Study Group data. Includes data on tumor pathology and patient management factors. Discusses barriers to care after PNET diagnosis for rural populations.
Author(s): Muhammad Bilal Mirza, Jordan J. Baechle, Paula Marincola Smith, et al.
Citation: The American Journal of Surgery, 233, 125-131
Date: 03/2024
Type: Document
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Compares overall survival of 1176 rural and urban patients who underwent pancreatic neoendocrine tumor (PNET) resection between 2000 and 2016, utilizing US Neuroendocrine Tumor Study Group data. Includes data on tumor pathology and patient management factors. Discusses barriers to care after PNET diagnosis for rural populations.
Author(s): Muhammad Bilal Mirza, Jordan J. Baechle, Paula Marincola Smith, et al.
Citation: The American Journal of Surgery, 233, 125-131
Date: 03/2024
Type: Document
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Disparities in Continuous Glucose Monitor Use Between Children With Type 1 Diabetes Living in Urban and Rural Areas
Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
Type: Document
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Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
Type: Document
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Urban Relatives Ameliorate Survival Disparities for Genitourinary Cancer in Rural Patients
Compares genitourinary cancer survival rates of 24,746 rural patients with and without urban relatives from 1968-2018 Utah Population Database data. Discusses how family supports may influence access to care in rural areas.
Author(s): Mouneeb Choudry, Kassandra Dindinger-Hill, Jacob Ambrose, et al.
Citation: Cancer Medicine, 13(5), e7058
Date: 03/2024
Type: Document
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Compares genitourinary cancer survival rates of 24,746 rural patients with and without urban relatives from 1968-2018 Utah Population Database data. Discusses how family supports may influence access to care in rural areas.
Author(s): Mouneeb Choudry, Kassandra Dindinger-Hill, Jacob Ambrose, et al.
Citation: Cancer Medicine, 13(5), e7058
Date: 03/2024
Type: Document
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Primary Care Spending in Medicare Fee-for-Service: An Illustrative Analysis Using Alternative Definitions of Primary Care
Discusses the importance of primary care to promote positive health outcomes and how reimbursement rates illustrate what healthcare areas are given priority. Utilizes Medicare fee-for-service data to estimate primary care spending and provides data breakdowns according to sex, race, age, insurance status, rural versus urban location, and more.
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Discusses the importance of primary care to promote positive health outcomes and how reimbursement rates illustrate what healthcare areas are given priority. Utilizes Medicare fee-for-service data to estimate primary care spending and provides data breakdowns according to sex, race, age, insurance status, rural versus urban location, and more.
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Health Research Recap: Quality Star Ratings: Hospitals, Skilled Nursing Facilities, and Home Health Agencies
Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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LGBTQ+ Health: Rural vs Urban Inequities
Provides a summary of recent research on rural versus urban disparities in LGBTQI+ health outcomes. Includes data on chronic conditions, mental health, and social and familial support.
Author(s): Jessica Rosencrans
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Provides a summary of recent research on rural versus urban disparities in LGBTQI+ health outcomes. Includes data on chronic conditions, mental health, and social and familial support.
Author(s): Jessica Rosencrans
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Utilizing Public Transportation to End Food Insecurity in Rural and Small Urban Areas by Providing Better Access: A Case Study of Rural Counties in North Dakota
Analyzes the impact of public transportation in addressing food insecurity in rural and urban areas of North Dakota. Provides county and ZIP-code level sociodemographic data on population changes, food insecurity, poverty, and more. Includes discussion about causes of food insecurity in rural areas.
Author(s): Dilip Mistry, Jill Hough
Date: 03/2024
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Analyzes the impact of public transportation in addressing food insecurity in rural and urban areas of North Dakota. Provides county and ZIP-code level sociodemographic data on population changes, food insecurity, poverty, and more. Includes discussion about causes of food insecurity in rural areas.
Author(s): Dilip Mistry, Jill Hough
Date: 03/2024
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Pre-COVID-19 Hospital Quality and Hospital Response to Covid-19: Examining Associations Between Risk-adjusted Mortality for Patients Hospitalised with COVID-19 and Pre-COVID-19 Hospital Quality
Examines whether pre-pandemic hospital quality was associated with in-hospital and 30-day mortality rates among Medicare patients hospitalized with COVID-19 from April 1, 2020, through September 30, 2021. Explores the relationship between COVID-19 outcomes and hospital COVID-19 burden. Compares pre-pandemic hospital quality and COVID-19 outcomes by hospital characteristics, including urban/rural location and Critical Access Hospital status.
Author(s): Doris Peter, Shu-Xia Li, Yongfei Wang, et al.
Citation: BMJ Open, 14(3), e077394
Date: 03/2024
Type: Document
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Examines whether pre-pandemic hospital quality was associated with in-hospital and 30-day mortality rates among Medicare patients hospitalized with COVID-19 from April 1, 2020, through September 30, 2021. Explores the relationship between COVID-19 outcomes and hospital COVID-19 burden. Compares pre-pandemic hospital quality and COVID-19 outcomes by hospital characteristics, including urban/rural location and Critical Access Hospital status.
Author(s): Doris Peter, Shu-Xia Li, Yongfei Wang, et al.
Citation: BMJ Open, 14(3), e077394
Date: 03/2024
Type: Document
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