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Rural Health
Resources by Topic: Rural-urban differences

The Rural Implications of Geographic Rating of Health Insurance Premiums
Examines how and to what extent states allow health plans to vary premiums by geographic rating area. Discusses strategies that federal and state policymakers might use to help ensure that premium variations based on geography (like rural vs. urban) are justified.
Author(s): Andrew Coburn, Erika Ziller, Zach Croll, Elizabeth Kilbreth
Date: 05/2012
Type: Document
Sponsoring organization: State Health Access Reform Evaluation
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Hospital Stays with Cardiac Stents, 2009
Provides data on hospitalizations involving cardiac stents. Table 1 lists cardiac stent insertion procedures by location of patient residence, for rural and urban areas.
Author(s): David I. Auerbach, Jared Lane Maeda, Claudia Steiner
Date: 04/2012
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Understanding Advanced Practice Registered Nurse Distribution in Urban and Rural Areas of the United States Using National Provider Identifier Data
Examines the distribution of Advanced Practice Registered Nurses (APRNs) by state and by urban and rural areas. Describes provider characteristics and highlights states with a higher portion of APRNs in rural areas. Includes nurse practitioners, certified registered nurse anesthetists, certified nurse midwives, and clinical nurse specialists.
Additional links: Policy Brief
Author(s): Susan M. Skillman, Louise Kaplan, Meredith A. Fordyce, Peter D. McMenamin, Mark P. Doescher
Date: 04/2012
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Echocardiogram Utilization Among Rural and Urban Veterans
Reports on a study of echocardiogram usage of veterans in urban, rural, and highly rural areas of the U.S. Analyzes data by sex, race, and comorbidity and looks at the distance of rural veterans to the nearest VA Medical Center (VAMC).
Author(s): Kingston Okrah, Mary Vaughan-Sarrazin, Peter Kaboli, Peter Cram
Citation: Journal of Rural Health, 28(2), 211-220
Date: 03/2012
Type: Document
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Suicide Among Patients in the Veterans Affairs Health System: Rural-Urban Differences in Rates, Risks, and Methods
Examines rural and urban differences in suicide rates, risks, and methods in veterans. Provides characteristic data for veterans by gender, age, psychiatric condition, risk days, distance to Veterans Affairs mental healthcare, and more.
Author(s): John F. McCarthy, Frederic C. Blow, Rosalinda V. Ignacio, et al.
Citation: American Journal of Public Health, 102(Suppl 1), S111–S117
Date: 03/2012
Type: Document
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Adolescent Alcohol Use: Do Risk and Protective Factors Explain Rural-Urban Differences?
Examines alcohol use among rural and urban adolescents between the ages of 12 and 17. Controls for a broad range of key risk and protective factors and compares rural/urban differences.
Additional links: Policy Brief
Author(s): John A. Gale, Jennifer D. Lenardson, David Lambert, David Hartley
Date: 03/2012
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Effect of Outpatient Visits and Discharge Destination on Potentially Preventable Readmissions for Congestive Heart Failure and Bacterial Pneumonia
Explores the relationship between potentially preventable hospital readmissions, discharge destination, time to follow-up care, use of outpatient follow-up care and rural versus urban residence of the patient.
Additional links: Policy Brief
Author(s): Marilyn G. Klug, Kyle Muus
Date: 03/2012
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Circumcisions Performed in U.S. Community Hospitals, 2009
Compares circumcision rates in 2005 and 2009 for newborn hospital stays. Table 4 provides data by location of patient residence for urban and rural areas.
Author(s): Jared Lane Maeda, Ramya Chari, Anne Elixhauser
Date: 02/2012
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Quality of Life in Rural and Urban Adults 65 Years and Older: Findings from the National Health and Nutrition Examination Survey
Results of a study examining the quality of life of adults 65 years and older in rural and urban areas. Considered health, social functioning and emotional well-being. Looked at a range of factors that could impact quality of life, including health behaviors and health needs.
Author(s): Marianne Baernholdt, Guofen Yan, Ivora Hinton, et al.
Citation: Journal of Rural Health, 28(4), 339-347
Date: 02/2012
Type: Document
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Determinants of Emergency Response Willingness in the Local Public Health Workforce by Jurisdictional and Scenario Patterns: A Cross-Sectional Survey
Examines 4 urban and 4 rural local health departments' willingness to respond to naturally-occurring and terrorism-related emergency scenarios. Includes data on characteristics and comparison of willingness-to-respond between urban and rural respondents.
Author(s): Daniel J. Barnett, Carol B. Thompson, Nicole A. Errett, et al.
Citation: BMC Public Health, 12, 164
Date: 2012
Type: Document
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