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Rural Health
Resources by Topic: Social determinants of health

Health is Primary: Charting a Path to Equity and Sustainability
Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Executive Summary, Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Culture is Prevention: A Strength Based, Culturally Grounded Journey Toward Prevention, Intervention, and Healing
Provides an overview on the Administration for Children and Families' (ACF) plan to address the crisis of missing or murdered indigenous people (MMIP). Discusses historical context and the social determinants of health (SDOH) that impact Native American/Alaska Native (AI/AN) populations. Outlines culturally aware practices to support the public health pillars of prevention, intervention, healing, and delivery of ACF programs.
Date: 10/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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RCORP - Neonatal Abstinence Syndrome II Grantee Directory: 2023 Cohort
Provides contact information and initial project information for 41 initiatives funded under the Rural Communities Opioid Response Program - Neonatal Abstinence Syndrome grant program for 2023. Projects focus on reducing the incidence and impact of Neonatal Abstinence Syndrome in rural communities by improving systems of care, family supports, and social determinants of health.
Date: 10/2023
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, JBS International, Inc.
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A Place to Thrive: Creating Opportunities to Age Well in North Carolina
Reports on North Carolina's aging population, and provides recommendations and strategies for improved health and livability for an aging population. Key topics include social and economic factors affecting older adults, the culture of aging, services and programs that support aging in place, and workforce supporting older adults' needs. Mentions rural population throughout as a disproportionately affected group.
Date: 10/2023
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Partnering with Faith-Based Organizations to Improve Health and Equity
Provides a discussion among faith-based leaders in Wisconsin and Minnesota regarding their work collaborating with public health partners to promote social, economic, and racial justice. Includes strategies specific to rural areas and churches that assist in bridging cultural divides and creating impactful health policy for all citizens.
Additional links: Presentation Slides, Presenter Biographies, Resource Guide
Date: 10/2023
Type: Video/Multimedia
Sponsoring organization: County Health Rankings & Roadmaps
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North Carolina State Health Improvement Plan 2023
Describes North Carolina's 2023 plan for population health improvement. Provides data on selected health indicators, makes comparisons to 2030 targets, and identifies trends over time for selected demographics. Identifies factors contributing to health disparities and negative health outcomes, and sets priorities. Includes consideration of rural and underserved populations throughout.
Date: 10/2023
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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Rural Health: Addressing Barriers to Care
An infographic that presents data on rural versus urban health disparities and barriers to healthcare in rural America. Includes interactive data on percentage of rural residents by state, rural life expectancy and chronic health conditions, hospital closures and lack of access to healthcare, rural workforce shortages, and more. Provides strategies to improve rural access to healthcare.
Author(s): Carrie Cochran-McClain
Date: 10/2023
Type: Document
Sponsoring organizations: National Institute for Health Care Management, National Rural Health Association
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Health Panel Comment Letter – Encouraging Rural Participation in Population-Based Total Cost of Care Models
Offers comments in response to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) Request for Information regarding rural participation in population-based total cost of care models. Covers considerations for determining the most relevant definition of rural, barriers that impact rural providers' participation in alternative payment models (APMs), service delivery models and resources that are effective in encouraging value-based care (VBC) transformation in rural areas, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Household Food Security in the United States in 2022
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2022. Includes food insecurity statistics for metropolitan and nonmetropolitan areas. Discusses the effects of the COVID-19 pandemic on nutrition programs usage.
Additional links: Recorded Webinar, Report Summary, Statistical Supplement
Author(s): Matthew P. Rabbitt, Laura J. Hales, Michael P. Burke, Alisha Coleman-Jensen
Date: 10/2023
Type: Document
Sponsoring organization: USDA Economic Research Service
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Rural-Urban Disparities in Health Outcomes, Clinical Care, Health Behaviors, and Social Determinants of Health and an Action-Oriented, Dynamic Tool for Visualizing Them
Examines county-level disparities in rural and urban health outcomes and presents a health equity dashboard depicting the disparities. Utilizes 2015 and 2019 County Health Rankings datasets to analyze measures such as health outcomes, clinical care, health behaviors, physical environment, and social and economic factors according to urban, suburban, and rural location.
Author(s): William B. Weeks, Ji E. Chang, José A. Pagán, et al.
Citation: PLOS Global Public Health, 3(10)
Date: 10/2023
Type: Document
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