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Rural Health
Resources by Type: Document

A Cluster Randomized Controlled Trial for a Multi-Level, Clinic-Based Smoking Cessation Program with Women in Appalachian Communities: Study Protocol for the "Break Free" Program
Results of a study to increase smoking cessation among women living in rural Appalachia, by embedding a smoking cessation program within a larger cervical cancer prevention program. Uses data from focus groups comprising 510 women from West Virginia, Ohio, Kentucky, and Virginia.
Author(s): Joanne G. Patterson, Tia N. Borger, Jessica L. Burris, et al.
Citation: Addiction Science & Clinical Practice, 17(11)
Date: 02/2022
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Medicaid and Counties: Understanding the Program and Why It Matters to Counties
Discusses the importance of Medicaid in county-level healthcare. Describes the role Medicaid plays in financing and delivering healthcare for children, the elderly, the disabled, and rural residents. Highlights the impact of COVID-19 on the Medicaid program and challenges for county governments.
Date: 02/2022
Sponsoring organization: National Association of Counties
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Quantifying Rural Disparity in Healthcare Utilization in the United States: Analysis of a Large Midwestern Healthcare System
Analyzes patient utilization of rural versus urban outpatient clinics. Explores electronic health record data from 474,674 adult patients from June 2018 to March 2019 across variables such as age, sex, race, ethnicity, smoking status, and health status. Includes statistics and discussion of clinic utilization in relation to rural healthcare disparities.
Author(s): Akua Nuako, Jingxia Liu, Giang Pham, et al.
Citation: PLoS ONE, 17(2)
Date: 02/2022
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Healthcare Experiences of Uninsured and Under-Insured American Indian Women in the United States
Explores experiences of American Indian women who do not receive healthcare services through the Indian Health Service. Discusses the different ways American Indian women pay for healthcare based on information gained from 31 semi-structured interviews.
Author(s): Jessica L. Liddell, Jenn M. Lilly
Citation: Global Health Research and Policy, 7, 5
Date: 02/2022
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Analysis of Vaccination Rates and New COVID-19 Infections by US County, July-August 2021
Research letter examining COVID-19 infection and vaccination rates during the third wave of the pandemic in July-August 2021. Offers county-level data maps and highlights differences in rural and urban vaccination rates and impacts of the wave on counties with lower vaccination rates.
Author(s): Diego F. Cuadros, DeWolfe Miller, Susanne Awad, Philip Coule, Neil J. MacKinnon
Citation: JAMA Network Open, 5(2), e2147915
Date: 02/2022
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Social Determinants of Mortality of COVID-19 and Opioid Overdose in American Rural and Urban Counties
Highlights a study on the social determinants of health that correlate with high COVID-19 and opioid overdose mortality in rural and urban counties. Breaks down county data by median income, unemployment, and healthcare workforce, among other factors.
Author(s): Yuhui Zhu, Zhe Fei, Larissa J. Mooney, et al.
Citation: Journal of Addiction Medicine, 16(1), e52-e55
Date: 02/2022
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Colorectal Cancer Community Engagement: A Qualitative Exploration of American Indian Voices from North Dakota
Presents a study on the barriers and facilitators of colorectal cancer screening for American Indian (AI) communities in North Dakota. Bases conclusions on interviews with AI adults between 30 and 75 years of age.
Author(s): Nicole Redvers, Mia Wilkinson, Courtney Fischer
Citation: BMC Cancer, 22, 158
Date: 02/2022
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Outpatient Telehealth Use Soared Early in the COVID-19 Pandemic but Has since Receded
Brief examining outpatient telehealth visits from March 2019 to August 2021 based on a data set that includes over 126 million patients from 889 hospitals and 19,320 clinics nationwide. Covers changes in telehealth use during the pandemic, telehealth use by age group and sex, rural and urban rates of telehealth use, and telehealth use for management of chronic conditions. Discusses impacts on healthcare access, cost, quality, and outcomes, as well as policy implications.
Author(s): Justin Lo, Matthew Rae, Krutika Ann, Cynthia Cox
Date: 02/2022
Sponsoring organizations: KFF, Peterson Center on Healthcare
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How States Can Expand Health Care Access in Rural Communities
Discusses policy options states could use to increase access to care and the supply of healthcare providers in rural areas. Covers financial assistance programs for medical and dental education; malpractice reform; scope of practice changes for advanced practice registered nurses, physician assistants, and dental health aide therapists; telemedicine parity; and mobile clinics.
Date: 02/2022
Sponsoring organization: Center for American Progress
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Estimating Mortality from Coal Workers' Pneumoconiosis Among Medicare Beneficiaries with Pneumoconiosis Using Binary Regressions for Spatially Sparse Data
Results of a study to estimate the excess risk associated with mortality from various pneumoconioses among Medicare beneficiaries and to assess how the combined individual and county‐level factors contribute to the increased mortality risk of coal workers' pneumoconiosis. Uses data from 2011-2014 and features statistics with breakdowns by rural and non-rural locations.
Author(s): Rajib Paul, Oluwaseun Adeyemi, Ahmed A. Arif
Citation: American Journal of Industrial Medicine, 2022, 1-6
Date: 02/2022
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