Rural Health
Resources by Type: Document
The State of Senior Hunger in America in 2021: An Annual Report
Discusses food insecurity rates among Americans age 60 or older. Includes demographics and characteristics of seniors lacking sufficient access to food, and provides trends and state-level information on food insecurity. Features data breakdowns by metropolitan and nonmetropolitan settings.
Author(s): James P. Ziliak, Craig Gundersen
Date: 04/2023
Sponsoring organization: Feeding America
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Discusses food insecurity rates among Americans age 60 or older. Includes demographics and characteristics of seniors lacking sufficient access to food, and provides trends and state-level information on food insecurity. Features data breakdowns by metropolitan and nonmetropolitan settings.
Author(s): James P. Ziliak, Craig Gundersen
Date: 04/2023
Sponsoring organization: Feeding America
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Association of Rurality and Identifying as Black with Receipt of Specialty Care Among Patients Hospitalized with a Diabetic Foot Ulcer: A Medicare Cohort Study
Examines if rural, Black patients with diabetes receive specialty care at the same rate as the larger, aggregated population of diabetes patients. Analyzes 124,487 Medicare beneficiaries hospitalized with diabetic foot ulcers from 2013 to 2014. Includes data broken down by rural versus urban, race/ethnicity, and characteristics and severity of disease.
Author(s): Lindsay Taylor, Ronald Gangnon, W. Ryan Powell, et al.
Citation: BMJ Open Diabetes Research & Care, 11(2), e003185
Date: 04/2023
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Examines if rural, Black patients with diabetes receive specialty care at the same rate as the larger, aggregated population of diabetes patients. Analyzes 124,487 Medicare beneficiaries hospitalized with diabetic foot ulcers from 2013 to 2014. Includes data broken down by rural versus urban, race/ethnicity, and characteristics and severity of disease.
Author(s): Lindsay Taylor, Ronald Gangnon, W. Ryan Powell, et al.
Citation: BMJ Open Diabetes Research & Care, 11(2), e003185
Date: 04/2023
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The Opioid Crisis: Impact on Native American Communities
Describes the opioid crisis impact on Non-Hispanic Native American communities since 2000. Compares deaths for Native Americans with the general U.S. population and the general New Mexican population. Also shows impact of different types of opioids and deaths for Non-Hispanic Native Americans by sex and age in 2021 as well as drug use among Native American high school students in New Mexico in 2021 by drug type.
Date: 04/2023
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Describes the opioid crisis impact on Non-Hispanic Native American communities since 2000. Compares deaths for Native Americans with the general U.S. population and the general New Mexican population. Also shows impact of different types of opioids and deaths for Non-Hispanic Native Americans by sex and age in 2021 as well as drug use among Native American high school students in New Mexico in 2021 by drug type.
Date: 04/2023
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Medicaid: Characteristics of and Expenditures for Adults with Intellectual or Developmental Disabilities
Describes the health and demographic characteristics of adults with intellectual or developmental disabilities (I/DD) enrolled in Medicaid home- and community-based programs in 2019 in six states: Colorado, Florida, Georgia, Indiana, Oklahoma, and South Dakota. Examines average per-beneficiary healthcare expenditures for I/DD beneficiaries in these states. Highlights the percentage of I/DD beneficiaries in rural areas of each state.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Describes the health and demographic characteristics of adults with intellectual or developmental disabilities (I/DD) enrolled in Medicaid home- and community-based programs in 2019 in six states: Colorado, Florida, Georgia, Indiana, Oklahoma, and South Dakota. Examines average per-beneficiary healthcare expenditures for I/DD beneficiaries in these states. Highlights the percentage of I/DD beneficiaries in rural areas of each state.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Location, Age, and Race Matter: A Path Model of Emotional Distress in the U.S. During COVID-19
Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
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Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
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A Match Made in Rural: Interpreting Match Rates and Exploring Best Practices
Documents patterns in match rates for rural versus urban residency programs, compares rural residency match rates with program characteristics for match years 2009-2013, examines the association of match rates with program outcomes for graduates in years 2013-2015, and explores recruitment strategies using residency coordinator interviews.
Author(s): Randall Longenecker, Natalia V. Oster, Lars Peterson, et al.
Citation: Family Medicine, 55(7), 426-432
Date: 04/2023
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Documents patterns in match rates for rural versus urban residency programs, compares rural residency match rates with program characteristics for match years 2009-2013, examines the association of match rates with program outcomes for graduates in years 2013-2015, and explores recruitment strategies using residency coordinator interviews.
Author(s): Randall Longenecker, Natalia V. Oster, Lars Peterson, et al.
Citation: Family Medicine, 55(7), 426-432
Date: 04/2023
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Rural Definitions Used for Eligibility Requirements in USDA Rural Development Programs
Provides an overview of the definitions of rural that are used to determine eligibility for U.S. Department of Agriculture (USDA) Rural Development (RD) programs. Identifies issues that Congress may want to consider related to these definitions and community eligibility.
Date: 04/2023
Sponsoring organization: Congressional Research Service
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Provides an overview of the definitions of rural that are used to determine eligibility for U.S. Department of Agriculture (USDA) Rural Development (RD) programs. Identifies issues that Congress may want to consider related to these definitions and community eligibility.
Date: 04/2023
Sponsoring organization: Congressional Research Service
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April 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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April 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Biopsychosocial Contexts of Timely and Adequate Prenatal Care Utilization among Women with Criminal Legal Involvement and Opioid Use Disorder
Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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Examines utilization patterns of rural pregnant women with criminal legal involvement and opioid use disorder (CL-OUD) and adequate prenatal care utilization (APNCU). Analyzes medical records from 317 women with CL-OUD between 2015 and 2022 according to several social, health, and demographic factors, including rural versus non-rural prenatal location.
Author(s): Milan F. Satcher, Martha L. Bruce, Daisy J. Goodman, Sarah E. Lord
Citation: BMC Public Health, 23, 729
Date: 04/2023
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