Rural Health
Resources by Topic: Rural-urban differences
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 beneficiary characteristics, including rural versus urban location.
Date: 03/2024
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 beneficiary characteristics, including rural versus urban location.
Date: 03/2024
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
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
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
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
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
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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
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A Lack of Behavioral Health Providers in Medicare and Medicaid Impedes Enrollees' Access to Care
Examines the availability of behavioral health providers who actively serve Medicare or Medicaid enrollees in 20 counties, 10 urban and 10 rural, across 10 states in 2021. Explores the extent to which traditional Medicare, Medicare Advantage, and Medicaid enrollees received behavioral health services and whether they used telehealth or in-person services. Offers recommendations to encourage more behavioral health providers to serve these enrollees and expand coverage to additional behavioral health provider types. Includes rural and urban comparisons throughout.
Additional links: Report Highlights
Date: 03/2024
Sponsoring organization: Office of Inspector General (HHS)
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Examines the availability of behavioral health providers who actively serve Medicare or Medicaid enrollees in 20 counties, 10 urban and 10 rural, across 10 states in 2021. Explores the extent to which traditional Medicare, Medicare Advantage, and Medicaid enrollees received behavioral health services and whether they used telehealth or in-person services. Offers recommendations to encourage more behavioral health providers to serve these enrollees and expand coverage to additional behavioral health provider types. Includes rural and urban comparisons throughout.
Additional links: Report Highlights
Date: 03/2024
Sponsoring organization: Office of Inspector General (HHS)
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Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection
Discusses disparities in stroke deaths and opportunities for cardiovascular health improvement. Provides data on racial and ethnic, regional, and rural stroke disparities, and identifies approaches to stroke risk reduction in Black and rural populations.
Author(s): George Howard
Citation: Journal of the American Heart Association, 13(7), e031309
Date: 03/2024
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Discusses disparities in stroke deaths and opportunities for cardiovascular health improvement. Provides data on racial and ethnic, regional, and rural stroke disparities, and identifies approaches to stroke risk reduction in Black and rural populations.
Author(s): George Howard
Citation: Journal of the American Heart Association, 13(7), e031309
Date: 03/2024
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Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study
Examines the factors that impact the likelihood of primary care physicians and nurse practitioners providing medication-assisted treatment (MAT) for opioid use disorder. Utilizes license renewal data to observe MAT treatment by primary care providers, with breakdowns according to demographics, medical specialty and setting, Medicaid and/or sliding fee use, and rurality.
Author(s): Hannah L. Maxey, Sierra X. Vaughn, Analise Dickinson, Robin Newhouse
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 03/2024
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Examines the factors that impact the likelihood of primary care physicians and nurse practitioners providing medication-assisted treatment (MAT) for opioid use disorder. Utilizes license renewal data to observe MAT treatment by primary care providers, with breakdowns according to demographics, medical specialty and setting, Medicaid and/or sliding fee use, and rurality.
Author(s): Hannah L. Maxey, Sierra X. Vaughn, Analise Dickinson, Robin Newhouse
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 03/2024
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2022 National Sample Survey of Registered Nurses Snapshot
Provides demographic, training and education, employment, COVID-19 impact, and workforce projection data for registered nurses (RNs) in the U.S.
Date: 03/2024
Sponsoring organization: Health Resources and Services Administration
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Provides demographic, training and education, employment, COVID-19 impact, and workforce projection data for registered nurses (RNs) in the U.S.
Date: 03/2024
Sponsoring organization: Health Resources and Services Administration
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Maternal Mortality in Illinois Counties by Race, 2000-2023
Provides maternal mortality rates for the Midwest, the U.S., and the state of Illinois, with state data broken down by county, metro versus nonmetro, and demographics.
Author(s): Adee Athiyaman
Date: 03/2024
Sponsoring organization: Illinois Institute for Rural Affairs
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Provides maternal mortality rates for the Midwest, the U.S., and the state of Illinois, with state data broken down by county, metro versus nonmetro, and demographics.
Author(s): Adee Athiyaman
Date: 03/2024
Sponsoring organization: Illinois Institute for Rural Affairs
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Health Care Contact Days Among Older Cancer Survivors
Analyzes factors associated with healthcare contact days among older adult cancer survivors using the 2019 Medicare Current Beneficiary Survey (MCBS) and linked Medicare claims data. Evaluates the effect of demographics, self-rated health, care-seeking behaviors, rural status, and more.
Author(s): Arjun Gupta, Emma D. Chant, Supriya Mohile, et al.
Citation: JCO Oncology Practice
Date: 03/2024
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Analyzes factors associated with healthcare contact days among older adult cancer survivors using the 2019 Medicare Current Beneficiary Survey (MCBS) and linked Medicare claims data. Evaluates the effect of demographics, self-rated health, care-seeking behaviors, rural status, and more.
Author(s): Arjun Gupta, Emma D. Chant, Supriya Mohile, et al.
Citation: JCO Oncology Practice
Date: 03/2024
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