Rural Health
Resources by Topic: Rural-urban differences
Prevent or Treat: Availability of Diabetes Self-Management Education and Dialysis in High Need Rural Counties
Discusses availability of diabetes self-management education (DSME) and dialysis to treat end stage kidney disease in rural areas. Features county-level maps showing estimated proportion of the adult population with diabetes, counties with at least one DSME program, and DSME availability and county diabetes prevalence. Includes statistics on relationship between DSME availability within a county and estimated percent of adults with diabetes by rurality, as of 2022.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel Benavidez, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Discusses availability of diabetes self-management education (DSME) and dialysis to treat end stage kidney disease in rural areas. Features county-level maps showing estimated proportion of the adult population with diabetes, counties with at least one DSME program, and DSME availability and county diabetes prevalence. Includes statistics on relationship between DSME availability within a county and estimated percent of adults with diabetes by rurality, as of 2022.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel Benavidez, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Utilizing the USDA's National Household Food Acquisition and Purchase Survey to Calculate a Household-Level Food Environment Measure
Offers the Food Retail Environment Healthfulness Quality measure, a calculation measuring a household's exposure to healthy food retail spaces. Uses the measure to show rural and urban comparisons of distance to healthy food options in addition to demographic analysis.
Author(s): Michele Ver Ploeg, Benjamin Scharadin, Lauren Miller, Jeffrey Gonzalez, Rodney Odom
Date: 03/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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Offers the Food Retail Environment Healthfulness Quality measure, a calculation measuring a household's exposure to healthy food retail spaces. Uses the measure to show rural and urban comparisons of distance to healthy food options in addition to demographic analysis.
Author(s): Michele Ver Ploeg, Benjamin Scharadin, Lauren Miller, Jeffrey Gonzalez, Rodney Odom
Date: 03/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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Partnerships to Address Social Needs Across Metropolitan and Non-Metropolitan Prospective Payment System Hospitals and Critical Access Hospitals
Explores the extent to which hospitals partner with community organizations to address population and/or community health needs. Analyzes data from the 2021 American Hospital Association Social Determinants of Health (SDOH) Supplement to describe the number and types of hospital partnerships with community-based organizations. Compares results by hospital type - metropolitan prospective payment system (PPS), Critical Access Hospital (CAH), and non-metropolitan PPS - and by U.S. Census region, ownership status, and accountable care organization (ACO) participation.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Kristin D. Wilson, Keith J. Mueller
Date: 03/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores the extent to which hospitals partner with community organizations to address population and/or community health needs. Analyzes data from the 2021 American Hospital Association Social Determinants of Health (SDOH) Supplement to describe the number and types of hospital partnerships with community-based organizations. Compares results by hospital type - metropolitan prospective payment system (PPS), Critical Access Hospital (CAH), and non-metropolitan PPS - and by U.S. Census region, ownership status, and accountable care organization (ACO) participation.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Kristin D. Wilson, Keith J. Mueller
Date: 03/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reaching the Unheard: Overcoming Challenges in Health Research with Hard-to-Reach Populations
Analyzes strategies to engage hard-to-reach populations in health research. Discusses two case studies focused on specific issues in health research: breast cancer screening among rural and urban Mexican women in Illinois and mental health needs of Afghan refugees in Oklahoma. Provides reflection on issues such as cultural competency, language used in research, cultural identity and representation of research staff, choosing appropriate research sites, and more.
Author(s): Venera Bekteshi, Munjireen Sifat, Darla E. Kendzor
Citation: International Journal for Equity in Health, 23, 61
Date: 03/2024
Type: Document
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Analyzes strategies to engage hard-to-reach populations in health research. Discusses two case studies focused on specific issues in health research: breast cancer screening among rural and urban Mexican women in Illinois and mental health needs of Afghan refugees in Oklahoma. Provides reflection on issues such as cultural competency, language used in research, cultural identity and representation of research staff, choosing appropriate research sites, and more.
Author(s): Venera Bekteshi, Munjireen Sifat, Darla E. Kendzor
Citation: International Journal for Equity in Health, 23, 61
Date: 03/2024
Type: Document
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Effects of the Communities that Heal (CTH) Intervention on Perceived Opioid-Related Community Stigma in the HEALing Communities Study: Results of a Multi-Site, Community-Level, Cluster-Randomized Trial
Examines levels of community stigma toward naloxone use, medication for opioid use disorder (MOUD), and people treated for opioid use disorder (OUD), as related to different periods during the Communities that Heal (CTH) intervention. Analyzes survey data from 66 communities across 4 states by rural-urban status regarding their perceptions of OUD. Discusses implications of the intervention for rural communities addressing OUD and stigma.
Author(s): Alissa Davis, Hannah K. Knudsen, Daniel M. Walker, et al.
Citation: The Lancet Regional Health - Americas, 32
Date: 03/2024
Type: Document
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Examines levels of community stigma toward naloxone use, medication for opioid use disorder (MOUD), and people treated for opioid use disorder (OUD), as related to different periods during the Communities that Heal (CTH) intervention. Analyzes survey data from 66 communities across 4 states by rural-urban status regarding their perceptions of OUD. Discusses implications of the intervention for rural communities addressing OUD and stigma.
Author(s): Alissa Davis, Hannah K. Knudsen, Daniel M. Walker, et al.
Citation: The Lancet Regional Health - Americas, 32
Date: 03/2024
Type: Document
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Evaluation of the USDA Summer EBT Demonstrations: Lessons Learned From More Than a Decade of Research
Reports results of the Summer EBT (Electronic Benefits Transfer) demonstration project, 2015-2018 and 2019-2022. Describes Summer EBT use patterns, nutritional value, and effect on childhood food insecurity. Identifies strategies for better program planning, implementation, and administration. Discusses program operation and challenges in tribal organizations and rural communities.
Additional links: 2015-2018 Evaluation, 2019-2022 Evaluation, Summary
Author(s): René Nutter, Ayesha Enver, Maria Boyle, et al.
Date: 03/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Reports results of the Summer EBT (Electronic Benefits Transfer) demonstration project, 2015-2018 and 2019-2022. Describes Summer EBT use patterns, nutritional value, and effect on childhood food insecurity. Identifies strategies for better program planning, implementation, and administration. Discusses program operation and challenges in tribal organizations and rural communities.
Additional links: 2015-2018 Evaluation, 2019-2022 Evaluation, Summary
Author(s): René Nutter, Ayesha Enver, Maria Boyle, et al.
Date: 03/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Report to Congress on Medicaid and CHIP, March 2024
Reports on three aspects of Medicaid of interest to Congress: 1) improving the Medicaid beneficiary experience through Medical Care Advisory Committees (MCACs) and federal government actions to aid states, 2) increasing the transparency and improving the monitoring of the denials and appeals process in Medicaid managed care, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid of interest to Congress: 1) improving the Medicaid beneficiary experience through Medical Care Advisory Committees (MCACs) and federal government actions to aid states, 2) increasing the transparency and improving the monitoring of the denials and appeals process in Medicaid managed care, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Examining the Burden of Public Stigma Associated With Mental Illness in the Rural U.S.
Webinar recording from March 12, 2024, in which speakers discuss a study examining stigma associated with mental illness in rural and nonrural communities, using a nationally representative panel-based survey. Includes discussion of their study examining rural suicide mortality rates.
Additional links: Slide Deck, Transcript
Date: 03/2024
Type: Video/Multimedia
Sponsoring organizations: East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis, Rural Health Equity Research Center, Rural Health Research Gateway
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Webinar recording from March 12, 2024, in which speakers discuss a study examining stigma associated with mental illness in rural and nonrural communities, using a nationally representative panel-based survey. Includes discussion of their study examining rural suicide mortality rates.
Additional links: Slide Deck, Transcript
Date: 03/2024
Type: Video/Multimedia
Sponsoring organizations: East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis, Rural Health Equity Research Center, Rural Health Research Gateway
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MedPAC Report to the Congress: Medicare Payment Policy: Skilled Nursing Facility Services: Chapter 6
Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban and rural freestanding SNFs in 2022.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban and rural freestanding SNFs in 2022.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy: Home Health Care Services: Chapter 7
Discusses payment adequacy for home health care services. Features statistics on Medicare margins for home health agencies between 2019-2022 with breakdowns by urban and rural areas and the number of home health periods provided to rural beneficiaries.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Discusses payment adequacy for home health care services. Features statistics on Medicare margins for home health agencies between 2019-2022 with breakdowns by urban and rural areas and the number of home health periods provided to rural beneficiaries.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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