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Rural Health
Resources by Topic: Rural-urban differences

In Focus: Expanding Access to Addiction Treatment Through Primary Care
Discusses the lack of access to treatment for drug addiction and presents models for implementing medication-assisted treatment (MAT) for addiction, including one in a rural community health center. Looks at barriers to expanding MAT in primary care, as well as methods for overcoming those barriers.
Author(s): Martha Hostetter, Sarah Klein
Citation: Transforming Care: Reporting on Health System Improvement
Date: 09/2017
Sponsoring organization: Commonwealth Fund
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MedPAC Report to the Congress: Regional Variation in Medicare Part A, Part B, and Part D Spending and Service Use
Compares Medicare spending and service use based on geographic location, including across metropolitan and nonmetropolitan areas. Seeks to identify factors that influence regional variation and determine if higher service use and/or spending results in higher quality care and outcomes. Utilizes updated data to build on findings that were published in the January 2011 Report to the Congress: Regional Variation in Medicare Service Use. Data is adjusted to account for differences in payment rates to certain providers, such as Critical Access Hospitals.
Date: 09/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Barriers and Facilitators to Implementation of VA Home-based Primary Care on American Indian Reservations: A Qualitative Multi-case Study
Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
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Rural and Urban Differences in Passenger-Vehicle–Occupant Deaths and Seat Belt Use Among Adults — United States, 2014
Examines motor-vehicle crash deaths and seat belt use by level of rurality. Includes regional rural-urban data on death rates and type of state seat belt enforcement law (primary or secondary). Also provides data on unrestrained passenger-vehicle occupants in fatal crashes by level of rurality. For self-reported seat belt use, includes demographic data for metropolitan and nonmetro counties.
Author(s): Laurie F. Beck, Jonathan Downs, Mark R. Stevens, Erin K. Sauber-Schatz
Citation: MMWR Surveillance Summaries, 66(17), 1-13
Date: 09/2017
Sponsoring organization: Centers for Disease Control and Prevention
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The Differences in Characteristics Among Households With and Without Obese Children: Findings From USDA's FoodAPS
Examines characteristics of households with at least one obese child and without any obese children. Table 2 compares rural and urban household financial well-being, as it relates to obesity. Table 3 examines the food environment for rural households with and without obese children.
Author(s): Young Jo
Date: 09/2017
Sponsoring organization: USDA Economic Research Service
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2016 Child Poverty Rate Sees Largest Decline Since Before Great Recession: Poverty Persists as Challenge for the United States
Data snapshot showing trends in the U.S. child poverty rate between 2007 and 2016, organized by city, rural, or suburban location. Also includes an aggregate rate for all locations. Linked appendix provides state-by-state and regional (Northeast, Midwest, South, West) rates.
Additional links: Appendix Table
Author(s): Marybeth J. Mattingly, Andrew Schaefer, Jessica A. Carson
Date: 09/2017
Sponsoring organization: Carsey School of Public Policy
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Trends in Emergency Department Visits, 2006–2014
Presents information on emergency department (ED) visits and trends in the U.S. between 2006 and 2014 based on data from the Healthcare Cost and Utilization Project (HCUP). Covers ED visit frequency by age, sex, metro/nonmetro location, primary payer type, region, diagnosis, and several other indicators.
Author(s): Brian J. Moore, Carol Stocks, Pamela L. Owens
Date: 09/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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The Supplemental Poverty Measure: 2016
Provides estimates of poverty for the official poverty measure and the supplemental poverty measure, which takes into account government programs that support low-income families. Appendix Tables A-1, A-2, and A-8 provide data for metropolitan and non-metropolitan areas.
Author(s): Liana Fox
Date: 09/2017
Sponsoring organization: U.S. Census Bureau
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Health Insurance Coverage in the United States: 2016
Provides statistics on health insurance coverage in 2016 and also focuses on changes between 2015 and 2016, as well as changes between 2013 and 2016. Tables 5 and A-4 list statistics for metropolitan and non-metropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Jessica C. Barnett, Edward R. Berchick
Date: 09/2017
Sponsoring organization: U.S. Census Bureau
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Income and Poverty in the United States: 2016
Reports on income levels and the number of people in poverty for 2015 and 2016, along with the percent change from 2015 to 2016. Includes statistics for metropolitan and non-metropolitan areas (see Table 1 and Table 3). Based on data from the 2017 Current Population Survey Annual Social and Economic Supplement.
Author(s): Jessica L. Semega, Kayla R. Fontenot, Melissa A. Kollar
Date: 09/2017
Sponsoring organization: U.S. Census Bureau
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