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Rural Health
Resources by Type: Document

The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014–2018
Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
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Estimated County-Level Prevalence of Selected Underlying Medical Conditions Associated with Increased Risk for Severe COVID-19 Illness — United States, 2018
Reports on the estimated number and proportion of people with certain underlying medical conditions that put them at risk for severe COVID-19. Provides county-level maps with data on adults with any of these conditions: chronic respiratory conditions, heart disease, diabetes, chronic kidney disease, or obesity. Also discusses the prevalence of underlying conditions in rural counties.
Author(s): Hilda Razzaghi, Yan Wang, Hua Lu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(29), 945-950
Date: 07/2020
Sponsoring organization: Centers for Disease Control and Prevention
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American Communities Experience Deaths of Despair at Uneven Rates
Analyzes nationally representative data from 2014-2018 on deaths of despair (DoD), or deaths resulting from substance use or suicide. Includes county-level statistics on DoD, with information broken down by rurality.
Author(s): Dante Chinni
Date: 07/2020
Sponsoring organization: American Communities Project
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Changes in Care-Seeking after Rural Hospitals Merge
Describes changes to inpatient services in 15 rural hospitals in the 15 months before and after the hospitals' merger with another hospital or health system from 2014-2016. Features statistics on changes in visit type and percent bypass by diagnostic category and discharge date relative to merger.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, George Pink, Mark Holmes
Date: 07/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Engaging With Communities - Lessons (Re)Learned From COVID-19
Discusses health status in the U.S. and offers recommendations for community engagement and partnerships in public health to achieve and maintain improved health outcomes. Offers examples of community, local health department, and other partner's efforts to respond to COVID-19, including activities implemented in tribal and rural settings.
Author(s): Lloyd Michener, Sergio Aguilar-Gaxiola, Philip Alberti, et al.
Citation: Preventing Chronic Disease, 17
Date: 07/2020
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America at a Glance: COVID-19 and Disability in Rural Areas
Summarizes results of a survey conducted between April-May 2020 exploring rural and urban differences in COVID-19 health risks, adherence to public health recommendations, and trust in different information sources among individuals with disabilities. Includes recommendations for how to better communicate health information to at-risk populations.
Date: 07/2020
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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The Influence of Telehealth for Better Health Across Communities
Describes the use of Extension for Community Healthcare Outcomes (ECHO), a videoconferencing peer learning application used by healthcare providers in predominantly rural areas of Missouri for the treatment of COVID-19–positive patients with chronic diseases such as diabetes, COPD, and hypertension. Discusses implications for public health and ways to optimize health system performance.
Author(s): Jane A. McElroy, Tamara M. Day, Mirna Becevic
Citation: Preventing Chronic Disease, 17
Date: 07/2020
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Population Point Prevalence of SARS-CoV-2 Infection Based on a Statewide Random Sample — Indiana, April 25–29, 2020
Reports on estimated prevalence of current or previous SARS-CoV-2 infection in late April 2020 among Indiana residents 12 years of age and older. Includes data for urban, rural/mixed, and rural areas.
Additional links: Erratum
Author(s): Nir Menachemi, Constantin T. Yiannoutsos, Brian E. Dixon, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(29), 960-964
Date: 07/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Second Annual Report
Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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