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Rural Health
Resources by Topic: Access

County-Level Availability of Obstetric Care and Economic Implications of Hospital Closures on Obstetric Care
Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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Validation of Remote Height and Weight Assessment in a Rural Randomized Clinical Trial
Examines the efficacy of having rural families take their own height and weight measurements to assess body mass index (BMI). Provides results for 38 families enrolled in the iAmHealthy Schools trial conducted within participating rural elementary schools. Discusses the potential of using remote BMI assessments during the COVID-19 pandemic and for families in hard-to-reach areas.
Author(s): Bethany Forseth, Ann M. Davis, Dana M. Bakula, et al.
Citation: BMC Medical Research Methodology, 22
Date: 07/2022
Type: Document
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Wiping Away the Tears: Addressing Increasing Death in Rural America
Examines rural mortality trends and discusses the impact of the opioid epidemic and COVID-19 pandemic, as well as rural maternal and infant mortality. Describes federally-funded efforts to address rural disparities.
Author(s): Whitney Zahnd
Citation: Rural Monitor
Date: 07/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Racial Inequities in the Availability of Evidence-Based Supports for Maternal and Infant Health in 93 Rural US Counties with Hospital-Based Obstetric Care
Policy brief describing differences between availability of supports for maternal and infant health in rural counties that are majority-Black, Indigenous, People of Color (BIPOC) and those in majority-White rural counties. Features statistics on community characteristics of rural counties with hospital-based obstetric care.
Author(s): Bridget Basile Ibrahim, Mariana Tuttle, Alyssa H. Fritz, Julia D. Interrante, Katy Backes Kozhimannil
Date: 07/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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A Closer Look at Rural Populations: Multistate Research Monitors Changes and Issues Affecting Rural Areas
Highlights the work of the Hatch Multistate Research Project "W4001: Social, Economic and Environmental Causes and Consequences of Demographic Change in Rural America." Outlines the key issues identified by the project, including population trends, health crises, natural resources, natural disasters, and diversity, equity, inclusion, and access.
Author(s): Sara Delheimer
Date: 07/2022
Type: Document
Sponsoring organization: National Institute of Food and Agriculture
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Human Papillomavirus Vaccine Beliefs and Practice Characteristics in Rural and Urban Adolescent Care Providers
Study examining human papillomavirus (HPV) vaccine resources, practices, and attitudes in rural and urban populations based on data from 437 survey respondents in Minnesota and Wisconsin. Discusses rural disparities in HPV vaccine coverage and noted differences in evening and weekend appointment availability, experience with adolescent vaccine quality improvement projects, and adolescent vaccination orders.
Author(s): Cody L. Goessl, Ben Christianson, Kayla E. Hanson, et al.
Citation: BMC Public Health, 22, 1322
Date: 07/2022
Type: Document
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Community Partnerships: Advancing Behavioral Health Access in Rural Communities
Profiles Eagle Valley Behavioral Health (EVBH), a nonprofit and community mental health center (CMHC) developed to lead community collaboration working to ensure access to high-quality behavioral healthcare in Eagle County, Colorado. Discusses EVBH's collaboration with Building Hope Summit County, a community-wide initiative in a neighboring county focused on suicide prevention efforts. Describes how these initiatives were able to shape local policy, expand the local behavioral health workforce, fund their efforts, and identify and fill gaps in care.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
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Availability of Medical Doctors Favors Metropolitan Areas with Low Rates of Self-Employment
Line chart tracking the number of Medical Doctors (MDs) per 10,000 residents between 1960 and 2017, comparing metro and nonmetro areas of high self-employment and low self-employment. Uses data from the HRSA Bureau of Health Workforce, 2018-19 Area Health Resources File and American Community Survey 2018 5-year data.
Date: 07/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Nursing Homes in Rural America: A Chartbook
Explores county-level nursing home availability and evaluates the supply of nursing home beds per 1,000 population aged 65 and older. Identifies nursing home availability for counties with and without hospitals with swing beds, and describes the resident and nursing home characteristics including occupancy levels, payer mix, demographics, and healthcare needs. Features statistics with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Hari Sharma, Lili Xu, Fred Ullrich, Clint MacKinney, Keith J. Mueller
Date: 07/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
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