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Rural Health
Resources by Type: Document

Electricity Grid: Opportunities Exist for DOE to Better Support Utilities in Improving Resilience to Hurricanes
Examines the measures utilities selected states have adopted since 2012 to enhance grid resilience following major hurricanes, and the challenges utilities face in funding these measures. Describes federal efforts to enhance grid resilience to hurricanes, and challenges unique to rural utilities.
Date: 03/2021
Sponsoring organization: Government Accountability Office
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The Distribution of the General Surgery Workforce in Rural and Urban America in 2019
Explores regional, rural-urban, and intra-rural differences in the supply of general surgeons, using 2019 data. Compares the 2019 findings to results of a similar analysis using 2001 data. Intended to give policymakers, workforce analysts, and medical educators an up-to-date picture of current and long-term trends in supply and distribution of the rural and urban general surgeon workforce. Features statistics with breakdowns by urban, rural, large rural, and small rural locations.
Author(s): Eric H. Larson, C. Holly A. Andrilla, John Kearney, Lisa A. Garberson, Davis G. Patterson
Date: 03/2021
Sponsoring organization: WWAMI Rural Health Research Center
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The Effect of Medicare Payment Standardization Methods on the Perceived Cost of Post-Acute Swing Bed Care in Critical Access Hospitals
Discusses the different payment systems the Centers for Medicare and Medicaid Services (CMS) uses to reimburse for post-acute care in Critical Access Hospitals (CAHs), prospective payment system (IPPS) hospitals, and skilled nursing facilities (SNFs). Describes how the payment standardization methods may influence post-acute care discharge patterns and access to care for rural residents. Examines the effects of these payment methods on the perceived cost of CAH swing bed care as it relates to the Medicare Spending per Beneficiary performance measure.
Author(s): Tyler Malone, Denise Kirk, Kristin Reiter
Date: 03/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Trends in Heart Failure-Related Cardiovascular Mortality in Rural Versus Urban United States Counties, 2011–2018: A Cross-Sectional Study
Study comparing rates of cardiovascular disease in rural and urban areas at the county level. Analyzes CDC WONDER data on heart failure deaths related to cardiovascular disease between 2011 and 2018, comparing population demographics, socioeconomic characteristics, risk factor prevalence, and physician density. Discusses issues of access to care in rural areas with high rates of heart failure.
Author(s): Jacob B. Pierce, Nilay S. Shah, Lucia C. Petito, et al.
Citation: PLoS One, 16(3), e0246813
Date: 03/2021
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Extreme Weather Events - Perspectives & Safety Impacts in Agriculture
Highlights the experiences of agricultural workers and employers on the effect of extreme weather on the health and wellness of agricultural workers. Discusses the challenges and precautions of working in extreme heat, dust, and wildfires, among other elements.
Date: 03/2021
Sponsoring organization: Western Center for Agricultural Health and Safety
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An Emergent Network for the Diffusion of Innovations Among Local Health Departments at the Onset of the COVID-19 Pandemic
Study examining communication networks among 329 local health departments as a way to assess the impacts of communication networks on community health innovation. Analyzes data from surveys of local health department leadership, comparing responses from leaders in urban and rural areas. Discusses the sharing of information about new public health initiatives, policies, and evidence-based practices.
Author(s): Minwoong Chung, Debra Dekker, Chelsea Gridley-Smith, James W. Dearing
Citation: Preventing Chronic Disease, 18, 200536
Date: 03/2021
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The Consolidated Appropriations Act, 2021: Broadband Provisions - In Brief
Provides an overview of broadband-related provisions of the Consolidated Appropriations Act, 2021. Discusses the COVID-19 Telehealth Program and the Emergency Broadband Benefit Program. Highlights new grant programs to support broadband connectivity on tribal lands and broadband infrastructure deployment to areas lacking broadband.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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CAH Partnerships During the COVID-19 Pandemic
Presents findings from a survey of Critical Access Hospitals (CAHs) in eight states on how they partnered with communities and public health agencies in response to the COVID-19 pandemic. Discusses the type of support CAHs received from their State Flex Program (SFP).
Author(s): Madeleine Pick, Megan Lahr, Keelia Silvis, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Sources of Insurance Coverage in Nonmetropolitan Areas: The Role of Public and Private Insurance Since 2009
Describes regional variation in insurance coverage rates, using the American Community Survey 5-year estimates from 2009-2013 and 2013-2017 to compare types of health insurance coverage for people less than 65 years of age. Features statistics including share of nonmetropolitan nonelderly population per region, health insurance rates for nonelderly with breakdowns by metropolitan and nonmetropolitan areas, and source of health insurance for nonelderly by region.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, Timothy D. McBride, Keith J. Mueller
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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