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Rural Health
Resources by Topic: Rural-urban differences

Rural Health on Life Support - The State of America's Rural Health Systems
Podcast episode discussing the rural health landscape and how policies affect rural healthcare systems and service delivery. Covers rural hospital closures, payment policy, workforce concerns, emergency medical services (EMS), the Rural Emergency Hospital designation, and more.
Date: 06/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Disability Rates Higher in Rural Areas Than Urban Areas
Examines urban and rural differences in disability rates nationally and by region, based on data from the American Community Survey.
Author(s): Katrina Crankshaw
Date: 06/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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Monthly Excess Mortality Across Counties in the United States During the COVID-19 Pandemic, March 2020 to February 2022
Analyzes all-cause excess mortality between March 2020 and February 2022 by county and month to show trends in mortality by date and location. Highlights patterns seen over time between metropolitan and nonmetropolitan areas. Discusses the impact of COVID-19 vaccination on the trends.
Author(s): Eugenio Paglino, Dielle J. Lundberg, Zhenwei Zhou, et al.
Citation: Science Advances 9(25)
Date: 06/2023
Type: Document
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Obstetric Volume and Severe Maternal Morbidity Among Low-Risk and Higher-Risk Patients Giving Birth at Rural and Urban US Hospitals
Compares births in rural and urban counties in California, Michigan, Pennsylvania, and South Carolina to identify associations between obstetric volume and morbidity in low and high risk patients. Discusses suggestions for improving morbidity rates.
Author(s): Katy Backes Kozhimannil, Stephanie Leonard, Sara C. Handley, et al.
Citation: JAMA Network Open, 4(6)
Date: 06/2023
Type: Document
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The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Differences in the Merit-Based Incentive Payment System (MIPS) Performance of Clinicians in Metropolitan and Nonmetropolitan Counties in 2018
Provides a brief overview of the Merit-Based Incentive Payment System (MIPS) and describes rural clinician performance in MIPS in 2018. Compares rural and urban MIPS performance scores, payment adjustments, and risk-adjusted standardized Medicare Spending per Beneficiary (MSPB). Also compares rural and urban MIPS performance by practice size and the proportion of racial/ethnic minorities served. Presents the most frequently reported MIPS measures by urban and rural practices.
Date: 06/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Access to Care among Medicare Beneficiaries Aged 65 and Over Living with High-Impact Chronic Pain
Examines access to care and its association with high-impact chronic pain among Medicare recipients over 65 and not living in a long-term care facility between 2018 and 2020. Includes data breakdown between metro area and non-metro area residents. Discusses delay in seeking medical care due to cost and general access to care.
Author(s): Jared Sawyer, Laura Stoff, Carrie Goetsch, et al.
Date: 06/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Progress and Ongoing Challenges to Electronic Public Health Reporting Among Non-Federal Acute Care Hospitals
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2022. Discusses challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Appendix Table A4 contains data on the number of hospitals surveyed that reported at least one reporting challenge by state.
Author(s): Chelsea Richwine
Date: 06/2023
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Minnesota Hospital Association 2023 Workforce Report
Provides an overview of Minnesota's healthcare workforce from 2019 to 2023, with interactive information on vacancies, hiring rates, and workforce demographics, including metro-area versus non-metro-area diversity rates in healthcare workers.
Date: 06/2023
Type: Website
Sponsoring organization: Minnesota Hospital Association
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2023
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 7 presents a report on the use, payment, and quality of telehealth services that Medicare pays for separately under the physician fee schedule (PFS). Also includes chapters on the cost of drugs covered under Medicare Part B, postsale rebates for prescription drugs in Medicare Part D, standardized benefits in Medicare Advantage plans, future directions for Medicare Advantage payment policy, disparities in outcomes for beneficiaries with different social risks, Medicare behavioral health services, the alignment of fee-for-service payment rates across ambulatory settings, and the evaluation of a post-acute care prospective payment system prototype.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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