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Rural Health
Resources by Topic: Social determinants of health

Economic Development and Native Communities: An Interview with Martin Jennings
An interview with Martin Jennings, leader of the Northwest Indian Community Development Center, a native-controlled nonprofit with a focus on wellness and equity for American Indian families in northern Minnesota.
Author(s): Joelle Cook, Martin Jennings
Date: 11/2022
Sponsoring organization: FSG
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Bringing Community Voice into Cross-Sector Data Sharing: Addressing the Health Needs of Children and Youth in Rural South Carolina
A case study that discusses collaboration across multiple organizations involved with the Learning and Action in Policy and Partnerships (LAPP) initiative to improve data sharing related to youth living in rural South Carolina. Discusses how improved data sharing and collaboration can help rural schools and community leaders address students' physical and mental health needs.
Date: 11/2022
Sponsoring organizations: Center for Health Care Strategies, Data Across Sectors for Health
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Health, Work, and Care in Rural America
Report examining rural access to paid leave from work, the economic impacts of limited access to paid leave, and distances to hospital-based and skilled nursing care. Offers a broad view of rural economic and health dynamics, travel burdens to access hospital-based care, and presents policy recommendations to address paid leave as a social determinant of health.
Author(s): Vicki Shabo, Hannah Friedman
Date: 11/2022
Sponsoring organization: New America
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Assessing Effectiveness of Early Childhood Home Visiting Models Implemented with Tribal Populations
Report assesses the efficacy of early childhood home visiting models for tribal populations. Reviews and assesses home visiting literature, information, and implementation procedures to establish best-practices for American Indian and Alaska Native populations.
Author(s): Rachel Bleiweiss-Sande, Emily Sama-Miller, Carla Chavez, Rebecca Coughlin, Andrea Mraz Esposito
Date: 10/2022
Sponsoring organization: Administration for Children and Families
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Assessment of Strategies Used in US Hospitals to Address Social Needs During the COVID-19 Pandemic
Presents findings on efforts to address social determinants of health (SDOH) by rural hospitals, Critical Access Hospitals (CAHs), and safety-net hospitals according to 2020 American Hospital Association survey data. Discusses rates of social needs among patient populations served by rural and urban hospitals and rates of SDOH screening and community partnerships.
Author(s): Jose F. Figueroa, Ciara Duggan, Cristina Toledo-Cornell, et al.
Citation: JAMA Health Forum, 3(10), e223764
Date: 10/2022
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Using Z Codes to Improve Health Equity in Rural Indiana
Describes how Cameron Memorial Community Hospital, a Critical Access Hospital in Indiana, used ICD-10-CM Z codes to detect and address patients' social needs as part of its health equity strategy.
Date: 10/2022
Sponsoring organization: American Hospital Association
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Socioeconomic Factors Affecting Outcomes in Total Knee and Hip Arthroplasty: A Systematic Review on Healthcare Disparities
Examines health disparities in patient access, utilization, and outcomes related to total joint arthroplasty (TJA). Conducts a literature review of 44 studies that discuss socioeconomic factors associated with TJA disparities such as insurance type, socioeconomic status, hospital volume, and rural versus urban geographic location.
Author(s): Paul M. Alvarez, John F. McKeon, Andrew I. Spitzer, et al.
Citation: Arthroplasty, 4, 36
Date: 10/2022
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2022 Missouri Poverty Report
Provides county-level data on poverty and its related impacts in Missouri. Includes information on education, food and nutrition, health and mental health, housing, benefit programs such as Medicaid and the Supplemental Nutrition Assistance Program (SNAP), the impact of COVID-19, and more.
Date: 09/2022
Sponsoring organization: Missouri Community Action Network
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Impact of Social Vulnerability on Comorbid Cancer and Cardiovascular Disease Mortality in the United States
Examines racial and social disparities as related to cancer and cardiovascular disease (CVD) mortality. Utilizes 2015-2019 data from the Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) database to analyze mortality rates and 2014-2018 data from the CDC's Agency for Toxic Substances and Disease Registry to estimate the respective county-level social vulnerability index (SVI). Includes demographic breakdowns of mortality rates according to age, sex, race/ethnicity, and large metropolitan, medium small metropolitan, or micropolitan/noncore (nonmetropolitan) location.
Author(s): Sarju Ganatra, Sourbha S. Dani, Ashish Kumar, et al.
Citation: Journal of American College of Cardiology: CardioOncology, 4(3), 326-337
Date: 09/2022
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Health Panel Comment Letter – Medicare Shared Savings Program Requirements
Comments offered in response to a July 29, 2022, proposed rule regarding changes to the Medicare Shared Savings Program (SSP) to facilitate more widespread participation in Accountable Care Organizations (ACOs). Discusses how changes will impact rural Medicare beneficiaries, as well as challenges to extending ACOs to all rural counties. Covers advanced interest payments, extended time in one-sided risk, changes to calculating benchmarks, proposals to allow low revenue ACOs to realize shared savings at a lower minimum, a health equity adjustment, and social determinants of health measures.
Date: 09/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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