Rural Health
Resources by Type: Document
MedPAC Report to the Congress: Regional Variation in Medicare Part A, Part B, and Part D Spending and Service Use
Compares Medicare spending and service use based on geographic location, including across metropolitan and nonmetropolitan areas. Seeks to identify factors that influence regional variation and determine if higher service use and/or spending results in higher quality care and outcomes. Utilizes updated data to build on findings that were published in the January 2011 Report to the Congress: Regional Variation in Medicare Service Use. Data is adjusted to account for differences in payment rates to certain providers, such as Critical Access Hospitals.
Date: 09/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Compares Medicare spending and service use based on geographic location, including across metropolitan and nonmetropolitan areas. Seeks to identify factors that influence regional variation and determine if higher service use and/or spending results in higher quality care and outcomes. Utilizes updated data to build on findings that were published in the January 2011 Report to the Congress: Regional Variation in Medicare Service Use. Data is adjusted to account for differences in payment rates to certain providers, such as Critical Access Hospitals.
Date: 09/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Barriers and Facilitators to Implementation of VA Home-based Primary Care on American Indian Reservations: A Qualitative Multi-case Study
Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
Type: Document
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Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
Type: Document
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The Appalachia Initiative: A Bipartisan Approach for the 21st Century
Reports on the current challenges facing Appalachia. Breaks down data by education and workforce, entrepreneurism and job creation, energy and infrastructure, and rural health. Looks specifically at mortality rates, obesity and diabetes prevalence, and drug overdose death rates.
Date: 09/2017
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Reports on the current challenges facing Appalachia. Breaks down data by education and workforce, entrepreneurism and job creation, energy and infrastructure, and rural health. Looks specifically at mortality rates, obesity and diabetes prevalence, and drug overdose death rates.
Date: 09/2017
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Longitudinal Analysis of Nut-Inclusive Diets and Body Mass Index Among Overweight and Obese African American Women Living in Rural Alabama and Mississippi, 2011-2013
Results of a weight loss intervention among 383 overweight women in 8 rural Alabama and Mississippi counties, evaluating the association between intake of nuts and other select food groups with participants' body mass index (BMI) over a 24-month period. Features data on participants' income, education, rates of consumption of various foods, and more.
Author(s): Samara R. Sterling, Brenda Bertrand, Suzanne Judd, et al.
Citation: Preventing Chronic Disease, 14, 160595
Date: 09/2017
Type: Document
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Results of a weight loss intervention among 383 overweight women in 8 rural Alabama and Mississippi counties, evaluating the association between intake of nuts and other select food groups with participants' body mass index (BMI) over a 24-month period. Features data on participants' income, education, rates of consumption of various foods, and more.
Author(s): Samara R. Sterling, Brenda Bertrand, Suzanne Judd, et al.
Citation: Preventing Chronic Disease, 14, 160595
Date: 09/2017
Type: Document
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Rural and Urban Differences in Passenger-Vehicle–Occupant Deaths and Seat Belt Use Among Adults — United States, 2014
Examines motor-vehicle crash deaths and seat belt use by level of rurality. Includes regional rural-urban data on death rates and type of state seat belt enforcement law (primary or secondary). Also provides data on unrestrained passenger-vehicle occupants in fatal crashes by level of rurality. For self-reported seat belt use, includes demographic data for metropolitan and nonmetro counties.
Author(s): Laurie F. Beck, Jonathan Downs, Mark R. Stevens, Erin K. Sauber-Schatz
Citation: MMWR Surveillance Summaries, 66(17), 1-13
Date: 09/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Examines motor-vehicle crash deaths and seat belt use by level of rurality. Includes regional rural-urban data on death rates and type of state seat belt enforcement law (primary or secondary). Also provides data on unrestrained passenger-vehicle occupants in fatal crashes by level of rurality. For self-reported seat belt use, includes demographic data for metropolitan and nonmetro counties.
Author(s): Laurie F. Beck, Jonathan Downs, Mark R. Stevens, Erin K. Sauber-Schatz
Citation: MMWR Surveillance Summaries, 66(17), 1-13
Date: 09/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Confronting Adverse Childhood Experiences to Improve Rural Kids' Lifelong Health
Highlights a western North Carolina school district and a Native American tribe in Wisconsin that are working to address adverse childhood experiences (ACEs). Provides an overview of the impact ACEs have on health and provides data on ACE exposure among rural adults.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights a western North Carolina school district and a Native American tribe in Wisconsin that are working to address adverse childhood experiences (ACEs). Provides an overview of the impact ACEs have on health and provides data on ACE exposure among rural adults.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Differences in Characteristics Among Households With and Without Obese Children: Findings From USDA's FoodAPS
Examines characteristics of households with at least one obese child and without any obese children. Table 2 compares rural and urban household financial well-being, as it relates to obesity. Table 3 examines the food environment for rural households with and without obese children.
Author(s): Young Jo
Date: 09/2017
Type: Document
Sponsoring organization: USDA Economic Research Service
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Examines characteristics of households with at least one obese child and without any obese children. Table 2 compares rural and urban household financial well-being, as it relates to obesity. Table 3 examines the food environment for rural households with and without obese children.
Author(s): Young Jo
Date: 09/2017
Type: Document
Sponsoring organization: USDA Economic Research Service
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"Taking the Bull by the Horns": Four Principles to Align Public Health, Primary Care, and Community Efforts to Improve Rural Cancer Control
Commentary on the CDC MMWR report, Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties — United States. Discusses factors contributing to rural cancer disparities and identifies opportunities to improve rural cancer control.
Author(s): Stephanie B. Wheeler, Melinda M. Davis
Citation: Journal of Rural Health, 33(4), 345-349
Date: 09/2017
Type: Document
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Commentary on the CDC MMWR report, Invasive Cancer Incidence, 2004-2013, and Deaths, 2006-2015, in Nonmetropolitan and Metropolitan Counties — United States. Discusses factors contributing to rural cancer disparities and identifies opportunities to improve rural cancer control.
Author(s): Stephanie B. Wheeler, Melinda M. Davis
Citation: Journal of Rural Health, 33(4), 345-349
Date: 09/2017
Type: Document
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report
Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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2016 Child Poverty Rate Sees Largest Decline Since Before Great Recession: Poverty Persists as Challenge for the United States
Data snapshot showing trends in the U.S. child poverty rate between 2007 and 2016, organized by city, rural, or suburban location. Also includes an aggregate rate for all locations. Linked appendix provides state-by-state and regional (Northeast, Midwest, South, West) rates.
Additional links: Appendix Table
Author(s): Marybeth J. Mattingly, Andrew Schaefer, Jessica A. Carson
Date: 09/2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Data snapshot showing trends in the U.S. child poverty rate between 2007 and 2016, organized by city, rural, or suburban location. Also includes an aggregate rate for all locations. Linked appendix provides state-by-state and regional (Northeast, Midwest, South, West) rates.
Additional links: Appendix Table
Author(s): Marybeth J. Mattingly, Andrew Schaefer, Jessica A. Carson
Date: 09/2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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