Rural Health
Resources by Type: Document
Tribal Broadband: Few Partnerships Exist and the Rural Utilities Service Needs to Identify and Address Any Funding Barriers Tribes Face
Examines tribal broadband access, federal funding to tribal entities for improving broadband access, and barriers to obtaining such federal funding. Identifies tribal partnership agreements that have increased broadband access and discusses the outcomes. Addresses challenges specific to rural areas and the healthcare benefits of broadband access.
Additional links: Full Report
Date: 09/2018
Sponsoring organization: Government Accountability Office
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Examines tribal broadband access, federal funding to tribal entities for improving broadband access, and barriers to obtaining such federal funding. Identifies tribal partnership agreements that have increased broadband access and discusses the outcomes. Addresses challenges specific to rural areas and the healthcare benefits of broadband access.
Additional links: Full Report
Date: 09/2018
Sponsoring organization: Government Accountability Office
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Rural Hospital Closures: Number and Characteristics of Affected Hospitals and Contributing Factors
Examines rural hospital closures from 2013-2017, including their financial health, hospital characteristics, and the impact on healthcare access. Compares data to 2008-2012 closures and discusses the implications for federal healthcare policies. Addresses the role of Medicare rural hospital designations, new healthcare delivery and payment models, and other rural Health and Human Services (HHS) programs. Identifies the number of rural hospitals that closed for each state.
Additional links: Full Report
Date: 09/2018
Sponsoring organization: Government Accountability Office
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Examines rural hospital closures from 2013-2017, including their financial health, hospital characteristics, and the impact on healthcare access. Compares data to 2008-2012 closures and discusses the implications for federal healthcare policies. Addresses the role of Medicare rural hospital designations, new healthcare delivery and payment models, and other rural Health and Human Services (HHS) programs. Identifies the number of rural hospitals that closed for each state.
Additional links: Full Report
Date: 09/2018
Sponsoring organization: Government Accountability Office
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America's Eating Habits: Food Away From Home
Examines how eating out and the availability of food options affect U.S. diets. Addresses rural/urban differences, socioeconomic factors, and relevant federal programs. Covers school lunch programs, quick-service restaurants, and full-service restaurants, including maps showing restaurant availability and growth by county.
Author(s): Michelle J. Saksena, Abigail M. Okrent, Tobenna D. Anekwe, et al.
Date: 09/2018
Sponsoring organization: USDA Economic Research Service
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Examines how eating out and the availability of food options affect U.S. diets. Addresses rural/urban differences, socioeconomic factors, and relevant federal programs. Covers school lunch programs, quick-service restaurants, and full-service restaurants, including maps showing restaurant availability and growth by county.
Author(s): Michelle J. Saksena, Abigail M. Okrent, Tobenna D. Anekwe, et al.
Date: 09/2018
Sponsoring organization: USDA Economic Research Service
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Any Use and Frequent Use of Opioids among Non-elderly Adults in 2015-2016, by Socioeconomic Characteristics
Details a study on the rate of opioid prescribing for adults under the age of 65 from 2015-2016. Presents data regarding poverty status and whether prescription was filled in a Metropolitan Statistical Area (MSA) or not, among other factors.
Author(s): G. Edward Miller, Asako S. Moriya
Date: 09/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Details a study on the rate of opioid prescribing for adults under the age of 65 from 2015-2016. Presents data regarding poverty status and whether prescription was filled in a Metropolitan Statistical Area (MSA) or not, among other factors.
Author(s): G. Edward Miller, Asako S. Moriya
Date: 09/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Uninsurance and Medicaid/CHIP Participation among Children and Parents: Variation in 2016 and Recent Trends
Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Sponsoring organization: Urban Institute
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Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Sponsoring organization: Urban Institute
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Hospital Mergers and Public Accountability: Tennessee and Virginia Employ a Certificate of Public Advantage
Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Sponsoring organization: Milbank Memorial Fund
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Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Sponsoring organization: Milbank Memorial Fund
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The Indian Health Service Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements
Reports on the Indian Health Service's (IHS) failure to resolve audit recommendations in the allotted time for the 2015 and 2016 fiscal years. Details the number of recommendations resolved and the number past-due after the required 6-month period.
Additional links: Report in Brief
Date: 09/2018
Sponsoring organization: Office of Inspector General (HHS)
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Reports on the Indian Health Service's (IHS) failure to resolve audit recommendations in the allotted time for the 2015 and 2016 fiscal years. Details the number of recommendations resolved and the number past-due after the required 6-month period.
Additional links: Report in Brief
Date: 09/2018
Sponsoring organization: Office of Inspector General (HHS)
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Changing Dynamics of the Drug Overdose Epidemic in the United States from 1979 Through 2016
Features a study on the changes in overdose mortality across the U.S. between 1979-2016. Aims to shed light on the current opioid crisis by placing it within a broader data set incorporating all illicit drug overdose deaths in a longer time frame. Details the specific changes in drug overdose mortality in rural areas.
Author(s): Hawre Jalal, Jeanine M. Buchanich, Mark S. Roberts, et al.
Citation: Science, 361(6408)
Date: 09/2018
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Features a study on the changes in overdose mortality across the U.S. between 1979-2016. Aims to shed light on the current opioid crisis by placing it within a broader data set incorporating all illicit drug overdose deaths in a longer time frame. Details the specific changes in drug overdose mortality in rural areas.
Author(s): Hawre Jalal, Jeanine M. Buchanich, Mark S. Roberts, et al.
Citation: Science, 361(6408)
Date: 09/2018
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Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion.
Additional links: Full Report, Update: State Data on Health Coverage in Small Towns and Rural Areas, 2015/16
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion.
Additional links: Full Report, Update: State Data on Health Coverage in Small Towns and Rural Areas, 2015/16
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Opioid-Affected Births to Rural Residents
Examines rates of diagnosis of maternal opioid use disorder and infant neonatal abstinence syndrome for rural residents at time of childbirth. Includes statistics for delivery location with breakdowns by rural, urban non-teaching, and urban teaching hospitals.
Author(s): Katy Kozhimannil, Tongtan Chantarat, Alexandra Ecklund, Carrie Henning-Smith
Date: 09/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines rates of diagnosis of maternal opioid use disorder and infant neonatal abstinence syndrome for rural residents at time of childbirth. Includes statistics for delivery location with breakdowns by rural, urban non-teaching, and urban teaching hospitals.
Author(s): Katy Kozhimannil, Tongtan Chantarat, Alexandra Ecklund, Carrie Henning-Smith
Date: 09/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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