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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

The Role of Health Literacy and Communication Habits on Previous Colorectal Cancer Screening among Low-Income and Uninsured Patients
Presents an analysis of a survey of low-income uninsured patients in rural and urban areas who received financial help for a colonoscopy in a primary care clinic to identify any significant relationships between limited health literacy, communication skills, and adherence to colorectal cancer screening guidelines.
Author(s): Chinedum O. Ojinnaka, Jane N. Bolin, David A. McClellan, et al.
Citation: Preventive Medicine Reports, 2, 158-163
Date: 02/2015
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2013 Small Area Health Insurance Estimates (SAHIE): An Overview
Selected data and maps of health insurance coverage based on the 2013 Small Area Health Insurance Estimates. Maps show county-level data on uninsured adults, children, and uninsured by income level. Includes maps showing changes in uninsured rates from 2008 to 2013.
Date: 2015
Sponsoring organization: U.S. Census Bureau
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The Effects of Expanding Public Insurance to Rural Low-Income Childless Adults
Details a study on the effects of the Affordable Care Act (ACA) Medicaid expansion on healthcare usage for rural adults without children in Wisconsin from 2007-2012. Discusses the frequency and type of care sought after participants gained coverage. Records visits in 3 categories: Emergency department visits, hospitalizations, and outpatient visits.
Author(s): Marguerite E. Burns, Laura Dague, Thomas DeLeire, et al.
Citation: Health Services Research, 49(s2), 2173-2187
Date: 12/2014
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Characteristics of Medicaid and Uninsured Hospitalizations, 2012
Provides data on hospital stays in 2012 where the payer was Medicaid or the patient was uninsured. Table 2 provides data on rural versus urban hospitals and Table 3 provides data for patients who were residents of rural areas.
Author(s): Lorena Lopez-Gonzalez, Gary T. Pickens, Raynard Washington, Audrey J. Weiss
Date: 10/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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Uninsurance, Underinsurance, and Health Care Utilization in Mexico by US Border Residents
Examines the relationship between health insurance coverage plans provided in the U.S. and the use of healthcare services accessed in Mexico by residents (immigrants and native-born) who live in the U.S. along the Mexican border.
Author(s): Dejun Su, William Pratt, Jim P. Stimpson, Rebeca Wong, Jose A. Pagán
Citation: Journal of Immigrant and Minority Health, 16(4), 607–612
Date: 08/2014
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Health Insurance Coverage of Low-Income Rural Children Increases and Is More Continuous Following CHIP Implementation
Compares insurance coverage of low-income children before and after the passage of the Children's Health Insurance Program (CHIP), with rural/urban comparisons. Addresses the uninsurance rate and health insurance continuity for low-income children in rural areas over time using data from the Medical Expenditure Panel Survey.
Author(s): Erika C. Ziller
Date: 03/2014
Sponsoring organization: Maine Rural Health Research Center
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Testing to Prevent Colon Cancer: Results from a Rural Community Intervention
Examines the use of a discrete choice experiment (DCE) to learn about how individuals with public or no insurance and low-incomes in rural North Carolina value different aspects of colorectal cancer (CRC) screenings. Includes statistics on DCE participants, such as education, income, employment, insurance, assistance needed with written materials, and agreement on CRC screening attributes.
Author(s): John M. Westfall, Linda Zittleman, Christin Sutter, et al.
Citation: Annals of Family Medicine, 11(6), 500-507
Date: 11/2013
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Changes in the Healthcare Safety Net 1992-2003: Disparities in Access for Uninsured Persons in Florida
Discusses how the closing of safety net hospitals or conversion from a public or nonprofit to a for-profit status and the increase in community health centers affected access to care for urban and rural uninsured in Florida. Provides patient statistics by time period for race/ethnicity, age group, sex, safety net events, and more.
Author(s): Tzy-Mey Kuo, Lee R. Mobley, Gloria J. Bazzoli
Citation: International Journal of Health Services, 43(3), 551-566
Date: 2013
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Health Risk Behaviors in Insured and Uninsured Community Health Center Patients in the Rural US South
Examines the most common risk-taking behaviors of rural patients of Federally Qualified Health Centers (FQHCs) and if risk-taking behaviors vary between insured and uninsured patients.
Author(s): K. Bryant Smalley, Jacob Warren, Jeffrey Klibert
Citation: Rural and Remote Health, 12(4), 2123
Date: 10/2012
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Increasing Access to Oral Health Care for People Living with HIV/AIDS in Rural Oregon
Describes a program, Innovations in Oral Health Care Initiative, that works to expand oral healthcare services to individuals living with HIV/AIDS in rural Oregon through collaboration with a dental hygiene school and a dental case manager to help provide access to services. Includes service delivery activities and descriptive roles for each provider.
Author(s): Jill Jones, Mahyar Mofidi, Helene Bednarsh, Alan Gambrell, Carol R. Tobias
Citation: Public Health Reports, 17(Suppl 2), 65-72
Date: 2012
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