Rural Health
Resources by Type: Document
Lessons from the Pandemic: Relationship Between Patient Visits and Patient Length of Stay in California's Health System
Examines impacts of the COVID-19 pandemic on patient utilization of California hospitals. Analyzes 2019-2021 COVID-19 cases, mortality, patient length of stay (LOS), and more in 56 California counties, with rural versus urban comparisons.
Author(s): David D. Cho, Yu Wang
Citation: Health Research Policy and Systems, 23, 11
Date: 01/2025
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Examines impacts of the COVID-19 pandemic on patient utilization of California hospitals. Analyzes 2019-2021 COVID-19 cases, mortality, patient length of stay (LOS), and more in 56 California counties, with rural versus urban comparisons.
Author(s): David D. Cho, Yu Wang
Citation: Health Research Policy and Systems, 23, 11
Date: 01/2025
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Factors Influencing Evidence-Based Cardiovascular Disease Prevention Programming in Rural African American Communities: A Community-Engaged Concept Mapping Study
Analyzes perspectives on evidence-based cardiovascular disease (CVD) prevention and management programs, utilizing a group concept mapping (GCM) approach with input from 31 community-based, faith, and healthcare organizations serving African Americans in rural North Carolina.
Author(s): Amelia DeFosset, Breanna Deutsch-Williams, Mysha Wynn, et al.
Citation: Implementation Science Communications, 6, 11
Date: 01/2025
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Analyzes perspectives on evidence-based cardiovascular disease (CVD) prevention and management programs, utilizing a group concept mapping (GCM) approach with input from 31 community-based, faith, and healthcare organizations serving African Americans in rural North Carolina.
Author(s): Amelia DeFosset, Breanna Deutsch-Williams, Mysha Wynn, et al.
Citation: Implementation Science Communications, 6, 11
Date: 01/2025
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Financial Stress Associated with Oncology Clinical Trial Participation
Examines accessibility issues and financial stress of 112 patients participating in an oncology clinical trial between 2018 and 2024. Includes demographic information, cancer type, miles traveled, and financial burden of participants, as well as commentary on access issues for those in rural areas.
Author(s): Allison Kolbe, Trinidad Beleche
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines accessibility issues and financial stress of 112 patients participating in an oncology clinical trial between 2018 and 2024. Includes demographic information, cancer type, miles traveled, and financial burden of participants, as well as commentary on access issues for those in rural areas.
Author(s): Allison Kolbe, Trinidad Beleche
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Mobile Health Clinics in a Rural Setting: A Cost Analysis and Time Motion Study of La Clínica in Oregon, United States
Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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2025 National Guidelines for a Behavioral Health Coordinated System of Crisis Care
Offers a framework for behavioral health crisis care systems to reduce the impact substance use and mental illness following 11 principles and 3 essential elements that are comprehensive, accessible, evidence-based, quality, responsive, and equitable. Discusses rural throughout. Includes guidance on developing a behavioral health coordinated system of crisis care.
Additional links: Model Definitions for Behavioral Health Emergency, Crisis, and Crisis-Related Services
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Offers a framework for behavioral health crisis care systems to reduce the impact substance use and mental illness following 11 principles and 3 essential elements that are comprehensive, accessible, evidence-based, quality, responsive, and equitable. Discusses rural throughout. Includes guidance on developing a behavioral health coordinated system of crisis care.
Additional links: Model Definitions for Behavioral Health Emergency, Crisis, and Crisis-Related Services
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Impact of the Medicare Improvements for Patients And Providers Act on Mental Health Service Utilization And Spending among Older Adults
Examines the impact of the Medicare Improvements for Patients and Providers Act (MIPPA) on outpatient mental healthcare utilization. Utilizes 2008-2017 Medicare claims and administrative data to analyze MIPPA in a pre-implementation phase as well as 4 post-implementation phases. Includes data on mental healthcare outpatient visits by age group, race, dual eligibility status, substance use disorder, comorbidities, and urban, large rural, small rural, or isolated rural location.
Author(s): Matt Toth, Brent Gibbons, Abbie Levinson, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of the Medicare Improvements for Patients and Providers Act (MIPPA) on outpatient mental healthcare utilization. Utilizes 2008-2017 Medicare claims and administrative data to analyze MIPPA in a pre-implementation phase as well as 4 post-implementation phases. Includes data on mental healthcare outpatient visits by age group, race, dual eligibility status, substance use disorder, comorbidities, and urban, large rural, small rural, or isolated rural location.
Author(s): Matt Toth, Brent Gibbons, Abbie Levinson, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Postpartum Health Care Use in Medicaid During the COVID-19 Public Health Emergency: Implications for Extending Postpartum Coverage
Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural–Urban Disparities in State-Level Diabetes Prevalence Among US Adults, 2021
Analyzes diabetes disparities among rural and urban populations in 41 states in the U.S. Utilizes 2021 Behavioral Risk Factor Surveillance System data to examine rural versus urban disparities and odds ratios (OR) for diabetes in different states.
Author(s): Olga Khavjou, Zohra Tayebali, Pyone Cho, Kristopher Myers, Ping Zhang
Citation: Preventing Chronic Disease, 21
Date: 01/2025
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Analyzes diabetes disparities among rural and urban populations in 41 states in the U.S. Utilizes 2021 Behavioral Risk Factor Surveillance System data to examine rural versus urban disparities and odds ratios (OR) for diabetes in different states.
Author(s): Olga Khavjou, Zohra Tayebali, Pyone Cho, Kristopher Myers, Ping Zhang
Citation: Preventing Chronic Disease, 21
Date: 01/2025
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Rural Roads to Cognitive Resilience (RRR): A Prospective Cohort Study Protocol
Study protocol to investigate the influence of smoke-related fine particulate matter exposures and social and built environments on social isolation and cognitive function among rural Floridians in areas affected by seasonal agricultural burning. Discusses the significance of health disparities associated with agriculture in predominantly Black and Hispanic communities.
Author(s): Lilah M. Besser, Lisa Wiese, Diane J. Cook, et al.
Citation: PloS ONE, 20(1), e0312660
Date: 01/2025
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Study protocol to investigate the influence of smoke-related fine particulate matter exposures and social and built environments on social isolation and cognitive function among rural Floridians in areas affected by seasonal agricultural burning. Discusses the significance of health disparities associated with agriculture in predominantly Black and Hispanic communities.
Author(s): Lilah M. Besser, Lisa Wiese, Diane J. Cook, et al.
Citation: PloS ONE, 20(1), e0312660
Date: 01/2025
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Translation and Assessment of Encultured Meaning of the Multi-Dimensional Scale of Perceived Social Support in Diné Bizaad (Navajo) Using Community-Based Participatory Action Research Methods
Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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