Rural Health
Resources by Type: Document
Differences in Select Measures of Health Care Access, Utilization, and Financial Burden by Urbanicity, 2017
Examines healthcare access, utilization, and financial burden among adults aged 18-64 living in large metropolitan statistical areas (MSAs), small MSAs, and nonmetro (rural) areas. Includes both unadjusted data and data adjusted to focus on the effects of urbanicity by accounting for potential sociodemographic or health characteristics that might impact access.
Author(s): Emily P. Terlizzi, Robin A. Cohen
Date: 12/2019
Sponsoring organization: National Center for Health Statistics
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Examines healthcare access, utilization, and financial burden among adults aged 18-64 living in large metropolitan statistical areas (MSAs), small MSAs, and nonmetro (rural) areas. Includes both unadjusted data and data adjusted to focus on the effects of urbanicity by accounting for potential sociodemographic or health characteristics that might impact access.
Author(s): Emily P. Terlizzi, Robin A. Cohen
Date: 12/2019
Sponsoring organization: National Center for Health Statistics
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Veterans Health Care: Services for Substance Use Disorders, and Efforts to Address Access Issues in Rural Areas
Identifies and compares the differences in the number of veterans, and the expenditures for veterans receiving substance use disorder (SUD) services, and specialty SUD services in rural and urban areas. Veterans Health Administration (VHA) policies were reviewed, interviews were conducted with agency officials, and Department of Veterans Affairs (VA) data from 2014 to 2018 was analyzed to develop the report.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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Identifies and compares the differences in the number of veterans, and the expenditures for veterans receiving substance use disorder (SUD) services, and specialty SUD services in rural and urban areas. Veterans Health Administration (VHA) policies were reviewed, interviews were conducted with agency officials, and Department of Veterans Affairs (VA) data from 2014 to 2018 was analyzed to develop the report.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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A Health Equity Approach to Obesity Efforts: Proceedings of a Workshop
Proceedings of a workshop focused on health equity in demographic groups with a higher risk of obesity and how to address those issues in obesity treatment and prevention efforts. Covers disparities in obesity prevalence, including for rural areas and American Indian/Alaska Natives, social determinants of health, community and public health approaches for preventing and treating obesity, and effective healthcare interventions.
Additional links: Read Online: Full Proceedings, Read Online: Summary, June 2019
Author(s): Roundtable on Obesity Solutions
Date: 12/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Proceedings of a workshop focused on health equity in demographic groups with a higher risk of obesity and how to address those issues in obesity treatment and prevention efforts. Covers disparities in obesity prevalence, including for rural areas and American Indian/Alaska Natives, social determinants of health, community and public health approaches for preventing and treating obesity, and effective healthcare interventions.
Additional links: Read Online: Full Proceedings, Read Online: Summary, June 2019
Author(s): Roundtable on Obesity Solutions
Date: 12/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions
Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Declines In Pediatric Mortality Fall Short For Rural US Children
Examines pediatric mortality rates from 1999-2017 and related factors of race/ethnicity and rurality. Provides data according to age, race/ethnicity, cause-specific mortality, and rural versus urban county.
Author(s): Janice Probst, Whitney Zahnd, Charity Breneman
Citation: Health Affairs, 38, 12
Date: 11/2019
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Examines pediatric mortality rates from 1999-2017 and related factors of race/ethnicity and rurality. Provides data according to age, race/ethnicity, cause-specific mortality, and rural versus urban county.
Author(s): Janice Probst, Whitney Zahnd, Charity Breneman
Citation: Health Affairs, 38, 12
Date: 11/2019
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It's Time to Connect Rural Health Equity with Community and Economic Development
Discusses research on the relationship of health equity with rural and economic development. Presents resources demonstrating innovative projects to help people in rural communities live healthy lives.
Author(s): Katharine Ferguson, Katrina Badger
Date: 11/2019
Sponsoring organization: Robert Wood Johnson Foundation
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Discusses research on the relationship of health equity with rural and economic development. Presents resources demonstrating innovative projects to help people in rural communities live healthy lives.
Author(s): Katharine Ferguson, Katrina Badger
Date: 11/2019
Sponsoring organization: Robert Wood Johnson Foundation
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Mobilising Cross-Sector Collaborations to Improve Population Health in US Rural Communities: A Qualitative Study
Highlights collaborations in rural communities that improve population health, such as health-promoting local contexts, seed initiatives, and hospital visions of shared leadership. Studies 4 rural communities in Iowa and conducts 22 key-informant interviews within the communities.
Author(s): Xi Zhu, Paula Weigel, Jure Baloh, et al.
Citation: BMJ Open, 9(11)
Date: 11/2019
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Highlights collaborations in rural communities that improve population health, such as health-promoting local contexts, seed initiatives, and hospital visions of shared leadership. Studies 4 rural communities in Iowa and conducts 22 key-informant interviews within the communities.
Author(s): Xi Zhu, Paula Weigel, Jure Baloh, et al.
Citation: BMJ Open, 9(11)
Date: 11/2019
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A Model for Assessing Necessary Conditions for Rural Health Care's Mobile Health Readiness: Qualitative Assessment of Clinician-Perceived Barriers
Explores organizational readiness to adopt mobile health (mHealth) technologies such as Fitbit, My Fitness Pal, and Apple iWatch, among others. Reports on interviews with 13 clinicians from different specialty areas and their perceived barriers to adopt mHealth technologies, including unfamiliarity, clinician time, and electronic medical record and data keeping. Identifies a gap between patient usage versus healthcare organization usage of mHealth and presents a needs assessment model to successfully implement mHealth in unique ways to improve rural healthcare delivery.
Author(s): Bryan Weichelt, Casper Bendixsen, Timothy Patrick
Citation: JMIR MHealth UHealth, 7(11)
Date: 11/2019
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Explores organizational readiness to adopt mobile health (mHealth) technologies such as Fitbit, My Fitness Pal, and Apple iWatch, among others. Reports on interviews with 13 clinicians from different specialty areas and their perceived barriers to adopt mHealth technologies, including unfamiliarity, clinician time, and electronic medical record and data keeping. Identifies a gap between patient usage versus healthcare organization usage of mHealth and presents a needs assessment model to successfully implement mHealth in unique ways to improve rural healthcare delivery.
Author(s): Bryan Weichelt, Casper Bendixsen, Timothy Patrick
Citation: JMIR MHealth UHealth, 7(11)
Date: 11/2019
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Improving the Geographical Precision of Rural Chronic Disease Surveillance by Using Emergency Claims Data: A Cross-Sectional Comparison of Survey Versus Claims Data in Sullivan County, New York
Compares mailed survey data with emergency department (ED) claims data in Sullivan County, New York to assess validity of using ED data for improved health surveillance of rural disease prevalence. Includes maps of sub-county level estimates of diabetes, asthma, and hypertension.
Author(s): David C. Lee, Justin M. Feldman, Marcela Osorio, et al.
Citation: BMJ Open, 9(11)
Date: 11/2019
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Compares mailed survey data with emergency department (ED) claims data in Sullivan County, New York to assess validity of using ED data for improved health surveillance of rural disease prevalence. Includes maps of sub-county level estimates of diabetes, asthma, and hypertension.
Author(s): David C. Lee, Justin M. Feldman, Marcela Osorio, et al.
Citation: BMJ Open, 9(11)
Date: 11/2019
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Second Annual Report
Evaluates the first two years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; short- and long-term impacts on beneficiaries; and the potential mechanisms that may explain observed impacts.
Author(s): Greg Peterson, Linda Barterian, Keith Kranker, et al.
Date: 11/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluates the first two years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; short- and long-term impacts on beneficiaries; and the potential mechanisms that may explain observed impacts.
Author(s): Greg Peterson, Linda Barterian, Keith Kranker, et al.
Date: 11/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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