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Rural Health Information Hub

Community Vitality and Rural Healthcare – Resources

Selected recent or important resources focusing on Community Vitality and Rural Healthcare.

USDA Road Trip Through Rural America: Q&A with Anne Hazlett
An interview with USDA Assistant to the Secretary for Rural Development Anne Hazlett. Hazlett discusses the role USDA programs play in addressing rural health-related concerns such as broadband access and shares what she has learned from a series of rural roundtables focused on opioid misuse.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2018
Sponsoring organization: Rural Health Information Hub
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Employment Spillover Effects of Rural Inpatient Healthcare Facilities
Provides estimates of rural wages and salaries due to employment at inpatient healthcare facilities, including hospitals, nursing homes, and other residential care facilities, compared to other industries in rural counties from 2001-2015. Covers the spillover effects of additional inpatient facility employment on other employment sectors.
Author(s): Cristina Miller, John Pender, Thomas Hertz
Citation: ERR-241
Date: 12/2017
Sponsoring organization: USDA Economic Research Service
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The Economic Impacts of 26-50 Bed Prospective Pay System (PPS) Hospitals and 51-100 Bed PPS Hospitals on the Local Economies
Estimates the economic impact of different size rural Prospective Payment System (PPS) hospitals on their communities. Uses a sample of 347 rural hospitals from 41 states. Discusses direct impacts, such as employee wages and benefits, as well as secondary benefits such as construction activity and retail spending.
Author(s): Fred C. Eilrich, Cheryl F. St. Clair, Gerald A. Doeksen
Date: 07/2017
Sponsoring organization: National Center for Rural Health Works
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The Economic Impact of Rural Nursing Homes
Discusses the projected national total health expenditures and national nursing home expenditures that are affected by the aging population of the U.S. and increased life expectancies. Identifies how nursing homes contribute economically to the community through wages, salaries and benefits.
Author(s): Cheryl F. St. Clair, Gerald A. Doeksen, Fred C. Eilrich
Date: 07/2017
Sponsoring organization: National Center for Rural Health Works
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Assessment of Factors for Recruiting and Retaining Medical Students to Rural Communities Using the Community Apgar Questionnaire
Describes factors influencing family physician recruitment in rural settings from a survey of 282 third- and fourth-year medical students. Includes data on students intending to practice in rural versus non-rural areas. Utilizes the Community Apgar Questionnaire, which evaluates community factors influencing physician recruitment including geography, economics, facility and community support, scope of practice, and more.
Author(s): Alex J. Reed, David Schmitz, Edward Baker, James Girvan, Theodore McDonald
Citation: Family Medicine 49(2), 132-136
Date: 02/2017
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Measuring Rural Wealth Creation: A Guide for Regional Development Organizations
Presents concepts and samples to create a development plan for measuring progress in rural wealth creation for rural development organizations (RDOs) involved in community and economic development. Specifically identifies 8 forms of capital measures useful to evaluate progress in rural wealth creation including the skills, understanding, physical health and mental wellness of the individuals within the community.
Author(s): Carrie Kissel
Date: 11/2016
Sponsoring organization: National Association of Development Organizations
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Estimate the Economic Impact of a Rural Primary Care Physician
Provides estimates of, and the methodology used to determine, the economic impact of a primary care physician on a rural community. Shows that the economic impact is greater in communities that have a local hospital, where the physician can refer patients and provide inpatient services.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Estimate the Annual Economic Impact of an Independent Rural Health Clinic
Study featuring two scenarios, the first exploring average economic employment and labor income impacts of an independent rural health clinic, and the second looking at the same scenario without direct physician employment.
Author(s): Fred C. Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Rural Economic Development
Policy brief identifying the critical elements for addressing quality of life challenges faced by rural communities. Covers four areas: community development, a diversified economic development plan, educational opportunities, and healthcare workforce development.
Author(s): Alison F. Davis
Date: 02/2015
Sponsoring organization: National Rural Health Association
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Models to Estimate the Economic Impact of a Rural Nurse Practitioner or Physician Assistant
Discusses the advantages of using nurse practitioners and physician assistants for the provision of primary care services to meet the workforce challenges in rural settings and how they contribute economically to the community.
Additional links: Summary
Author(s): Fred C. Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 08/2014
Sponsoring organization: National Center for Rural Health Works
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Last Updated: 3/27/2025