Rural Health
Resources by Type: Document

The Relationship Between Rural Setting and Health: Factors that Influence Individuals With or at Risk of CVD - A Summary of the Literature
Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Sponsoring organization: American Heart Association
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Survey Development: Community Involvement in the Design and Implementation Process
Highlights how the Rocky Mountain Tribal Leaders Council Epidemiology Center (RMTEC) worked with one tribal community to develop a health priorities survey. Describes the importance of community involvement in public health activities and planning for American Indian and Alaska Native (AI/AN) populations. Includes practice and policy implications.
Author(s): Allyson Kelley, Christopher Piccione, Aryn Fisher, et al.
Citation: Journal of Public Health Management and Practice, 25(suppl 5), S77-S83
Date: 2019
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Cost-Effectiveness of a Community-Based Cardiovascular Disease Prevention Intervention in Medically Underserved Rural Areas
Details the results of a cost analysis and cost-effectiveness analyses (CEAs) between the Strong Hearts, Healthy Communities (SHHC) program and a control program looking at changes in cardiovascular disease risk factors among overweight or obese women aged 40 and older living in medically underserved rural areas in Montana and New York.
Author(s): Hua Wang, Donald Kenkel, Meredith L. Graham, et al.
Citation: BMC Health Services Research, 19, 315
Date: 2019
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A Three-Year Multifaceted Intervention to Prevent Obesity in Children of Mexican-Heritage
Examines the effects of a community-based intervention to reduce the rate of body mass index (BMI) growth among Mexican-heritage children living in the rural areas of California's central valley.
Author(s): Banafsheh Sadeghi, Lucia L. Kaiser, Meagan M. Hanbury, et al.
Citation: BMC Public Health, 19, 582
Date: 2019
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Health Status and Access to Care among Maine's Low-Income Childless Adults: Implications for State Medicaid Expansion
Examines access to care for low-income adults without children in Maine, along with their health status and demographics. Includes breakdowns by rural residence and a discussion of challenges for rural areas. Offers recommendations to policymakers and others working to implement Maine's Medicaid expansion.
Author(s): Zach Croll, Erika C. Ziller
Date: 2019
Sponsoring organization: Maine Rural Health Research Center
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Leapfrog Never Events Report 2019
Examines hospital adherence to Leapfrog's Never Events Policy, which asks hospitals to commit to 9 actions if a "never event" happens, defined as one of 29 serious reportable events that should never happen listed by the National Quality Forum. Identifies rural/urban hospital performance on the initial 5 actions and expanded 9 Never Events Policy actions for 2014-2018.
Date: 2019
Sponsoring organization: Leapfrog Group
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Review and Evaluation of the Substance Abuse, Mental Health, and Homelessness Grant Formulas
Examines the formulas for distributing state funds under the the Substance Abuse Prevention and Treatment Block Grant, Community Mental Health Services Block Grant, and Projects for Assistance in Transition from Homelessness program as required by the 21st Century Cures Act. Focuses on how well the formulas reflect state service needs, offers recommendations for updating the grant formulas, and considers the potential impact of updates on state funding. Addresses how the current formulas take rural areas into consideration, whether updates are needed, and whether data is available for those updates.
Additional links: Federal Block Grants to States for Mental Health, Substance Abuse, and Homelessness: Research Brief
Author(s): J. Scott Ashwood, Karen Chan Osilla, Maria DeYoreo, et al.
Date: 2019
Sponsoring organization: RAND Corporation
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Systemic Overuse of Health Care in a Commercially Insured US Population, 2010-2015
Examines geographic variation in systemic overuse of health care, using commercial insurance claims data from 375 metropolitan areas and 47 rural regions. Features statistics with breakdowns by overuse indicators, and U.S. maps showing regional variations in overuse.
Author(s): Allison H. Oakes, Hsien-Yen Chang, Jodi B. Segal
Citation: BMC Health Services Research, 19, 280
Date: 2019
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2018 National Survey of Health Attitudes: Description and Top-Line Summary Data
Results of a survey designed to provide insight into how people in the U.S. think about, value, and prioritize health and issues of health equity. Appendix A shows survey results comparing populations by city size, with breakdowns by rural areas, small towns, midsized cities, and large cities, and Appendix B features statistics comparing urban and rural areas.
Additional links: Appendix A: Survey Results Comparing Populations by City Size, Appendix B: Survey Results Comparing Urban and Rural Populations
Author(s): Katherine Grace Carman, Anita Chandra, Sarah Weilant, Carolyn Miller, Margaret Tait
Date: 2019
Sponsoring organizations: RAND Corporation, Robert Wood Johnson Foundation
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Comparing Buprenorphine-Prescribing Physicians Across Nonmetropolitan and Metropolitan Areas in the United States
Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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