Rural Health
Resources by Topic: Rural-urban differences
Trends in Emergency Department, Primary Care, and Behavioral Health Use for Pediatric Mental Health Conditions in Virginia Before and During the COVID-19 Pandemic
Examines the relationship between access to primary and behavioral care and pediatric emergency department (ED) visits. Utilizes 2016-2021 data from the Virginia All-Payers Claims Database to analyze pediatric ED visits, mental health ED visits, ED visits for suicidality, and 2016 versus 2021 ED visits by various sociodemographic factors, including rural location.
Author(s): Jennifer L. Gilbert, Bergen B. Nelson, Jacqueline Britz, et al.
Citation: BMC Primary Care, 26, 54
Date: 02/2025
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Examines the relationship between access to primary and behavioral care and pediatric emergency department (ED) visits. Utilizes 2016-2021 data from the Virginia All-Payers Claims Database to analyze pediatric ED visits, mental health ED visits, ED visits for suicidality, and 2016 versus 2021 ED visits by various sociodemographic factors, including rural location.
Author(s): Jennifer L. Gilbert, Bergen B. Nelson, Jacqueline Britz, et al.
Citation: BMC Primary Care, 26, 54
Date: 02/2025
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Rural Households Accounted for Nearly One-Sixth of U.S. Food-Insecure Households in 2023
Charts depicting the share of food insecurity in 2023 by residence area type.
Date: 02/2025
Sponsoring organization: USDA Economic Research Service
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Charts depicting the share of food insecurity in 2023 by residence area type.
Date: 02/2025
Sponsoring organization: USDA Economic Research Service
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A Fast Approach for Analyzing Spatio-Temporal Patterns in Ischemic Heart Disease Mortality Across US Counties (1999–2021)
Examines spatio-temporal patterns and county-level trends of ischemic heart disease (IHD) mortality in the United States from 1999 to 2021. Includes county-level U.S. maps presenting IHD trends as well as discussion of geographic and rural versus urban IHD disparities.
Author(s): A. Urdangarin, T. Goicoa, P. Congdon, M.D. Ugarte
Citation: Spatial and Spatio-Temporal Epidemiology, 52, 100700
Date: 02/2025
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Examines spatio-temporal patterns and county-level trends of ischemic heart disease (IHD) mortality in the United States from 1999 to 2021. Includes county-level U.S. maps presenting IHD trends as well as discussion of geographic and rural versus urban IHD disparities.
Author(s): A. Urdangarin, T. Goicoa, P. Congdon, M.D. Ugarte
Citation: Spatial and Spatio-Temporal Epidemiology, 52, 100700
Date: 02/2025
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Medicaid-Covered Health Care Visits During the Postpartum Year: Variation by Enrollee Characteristics and State
Examines 2018 Medicaid claims data in 46 states to evaluate the impact of extending postpartum coverage from 60 days to 1 year. Offers comparisons by state Affordable Care Act Medicaid expansion status and rural or urban residence, among other variables. Discusses access to healthcare disparities.
Author(s): Laura Barrie Smith, Claire O'Brien, Keqin Wei, Timothy A. Waidmann, Genevieve M. Kenney
Citation: Health Affairs Scholar, 3(2)
Date: 02/2025
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Examines 2018 Medicaid claims data in 46 states to evaluate the impact of extending postpartum coverage from 60 days to 1 year. Offers comparisons by state Affordable Care Act Medicaid expansion status and rural or urban residence, among other variables. Discusses access to healthcare disparities.
Author(s): Laura Barrie Smith, Claire O'Brien, Keqin Wei, Timothy A. Waidmann, Genevieve M. Kenney
Citation: Health Affairs Scholar, 3(2)
Date: 02/2025
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Trends in Travel Time to Obtain Surgical Care for Rural Patients
Research letter analyzing travel time to surgical care in rural areas between 2010 and 2020, utilizing Medicare Provider Analysis and Review data. Includes data comparing annual change by surgical procedure type among rural and nonrural beneficiaries.
Author(s): Cody Lendon Mullens, Reagan A. Collins, Nicholas Kunnath, Janice C. Probst, Andrew M. Ibrahim
Citation: JAMA
Date: 02/2025
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Research letter analyzing travel time to surgical care in rural areas between 2010 and 2020, utilizing Medicare Provider Analysis and Review data. Includes data comparing annual change by surgical procedure type among rural and nonrural beneficiaries.
Author(s): Cody Lendon Mullens, Reagan A. Collins, Nicholas Kunnath, Janice C. Probst, Andrew M. Ibrahim
Citation: JAMA
Date: 02/2025
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Medicare Advantage Penetration and the Financial Distress of Rural Hospitals
Examines county-level Medicare Advantage (MA) penetration rates and the financial impact on rural hospitals. Utilizes 2014-2020 American Hospital Association data to analyze Medicare and non-Medicare inpatient days paid by the plans, with data breakdowns according to patient demographics, rural versus urban location, timing of inpatient stay, and more.
Author(s): Guido Cataife, Siying Liu
Citation: Health Economics Review, 15, 9
Date: 02/2025
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Examines county-level Medicare Advantage (MA) penetration rates and the financial impact on rural hospitals. Utilizes 2014-2020 American Hospital Association data to analyze Medicare and non-Medicare inpatient days paid by the plans, with data breakdowns according to patient demographics, rural versus urban location, timing of inpatient stay, and more.
Author(s): Guido Cataife, Siying Liu
Citation: Health Economics Review, 15, 9
Date: 02/2025
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An Ecological Study of COVID-19 Outcomes among Florida Counties
Examines variations in COVID-19 case rate, mortality rate, and case fatality rate (CFR) across Florida counties. Provides county-level data as well as rural versus urban comparisons of COVID-19 impacts during pandemic waves.
Author(s): Sobur Ali, Taj Azarian
Citation: BMC Public Health, 25, 579
Date: 02/2025
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Examines variations in COVID-19 case rate, mortality rate, and case fatality rate (CFR) across Florida counties. Provides county-level data as well as rural versus urban comparisons of COVID-19 impacts during pandemic waves.
Author(s): Sobur Ali, Taj Azarian
Citation: BMC Public Health, 25, 579
Date: 02/2025
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Disparities in Substance Use Disorder Telehealth Services
Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care and Deteriorating Population Health Status
Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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What Explains the Growth in Hospital Assets from 2000 Through 2019? A Decomposition Analysis
Analyzes data from the Centers for Medicare and Medicaid Services and the American Hospital Association to understand factors impacting changes to total hospital assets between 2000 and 2019. Includes data breakdown by hospital urbanicity.
Author(s): Stephanie Teeple, Caroline Andy, William L. Schpero, Paula Chatterjee
Citation: Health Affairs Scholar, 3(2)
Date: 02/2025
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Analyzes data from the Centers for Medicare and Medicaid Services and the American Hospital Association to understand factors impacting changes to total hospital assets between 2000 and 2019. Includes data breakdown by hospital urbanicity.
Author(s): Stephanie Teeple, Caroline Andy, William L. Schpero, Paula Chatterjee
Citation: Health Affairs Scholar, 3(2)
Date: 02/2025
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