Rural Health
Resources by Topic: Cardiovascular disease
Evaluating the Effectiveness of a Patient-Centered, Nonphysician Led Self-Monitoring Blood Pressure Program in a Rural Federally Qualified Health Center
Evaluated the effectiveness of a self-monitoring blood pressure program (SMBP) involving a nonphysician team for 205 patients with recent hypertension diagnoses in a rural Washington Federally Qualified Health Center (FQHC). Discusses facilitators and barriers to implementation including COVID-19, telehealth, community health workers, working with limited English proficiency populations, reimbursement, and collaborations.
Author(s): Magali Sanchez, KeliAnne Hara-Hubbard, Bárbara Baquero
Citation: Journal of Public Health Management and Practice, 30, S3167-S174
Date: 09/2024
Type: Document
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Evaluated the effectiveness of a self-monitoring blood pressure program (SMBP) involving a nonphysician team for 205 patients with recent hypertension diagnoses in a rural Washington Federally Qualified Health Center (FQHC). Discusses facilitators and barriers to implementation including COVID-19, telehealth, community health workers, working with limited English proficiency populations, reimbursement, and collaborations.
Author(s): Magali Sanchez, KeliAnne Hara-Hubbard, Bárbara Baquero
Citation: Journal of Public Health Management and Practice, 30, S3167-S174
Date: 09/2024
Type: Document
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Interactive Maps to Improve Stroke Systems of Care in Wisconsin
Analyzes transfer patterns of stroke patients, including driving time and distance, from small rural hospitals to large tertiary hospitals in Wisconsin. Describes the development of interactive stroke transfer maps and discusses the use of mapping to identify gaps in systems of care, improve the efficiency of emergency services, and better understand hospital capacity.
Author(s): Ka Z. Xiong, Lena Swander, Dot Bluma, et al.
Citation: Preventing Chronic Disease, 21, 230166
Date: 07/2024
Type: Document
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Analyzes transfer patterns of stroke patients, including driving time and distance, from small rural hospitals to large tertiary hospitals in Wisconsin. Describes the development of interactive stroke transfer maps and discusses the use of mapping to identify gaps in systems of care, improve the efficiency of emergency services, and better understand hospital capacity.
Author(s): Ka Z. Xiong, Lena Swander, Dot Bluma, et al.
Citation: Preventing Chronic Disease, 21, 230166
Date: 07/2024
Type: Document
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Feasibility of Remote Blood Pressure Monitoring for Detection and Management of Maternal Hypertension in a Predominantly Black, Rural and Medicaid Population in Mississippi
Examines the feasibility of utilizing remote patient monitoring (RPM) to manage maternal hypertension in predominantly rural, Black, and underserved populations. Analyzes data from 98 enrollees in a prospective pilot cohort study conducted at the University of Mississippi Medical Center from 2021-2023. Includes data related to adherence of RPM, broken down by enrollee demographics, pregnancy health, gestational characteristics, and more.
Author(s): Yunxi Zhang, Yueh-Yun Lin, Lincy Lal, et al.
Citation: Telemedicine and e-Health, 30(7)
Date: 07/2024
Type: Document
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Examines the feasibility of utilizing remote patient monitoring (RPM) to manage maternal hypertension in predominantly rural, Black, and underserved populations. Analyzes data from 98 enrollees in a prospective pilot cohort study conducted at the University of Mississippi Medical Center from 2021-2023. Includes data related to adherence of RPM, broken down by enrollee demographics, pregnancy health, gestational characteristics, and more.
Author(s): Yunxi Zhang, Yueh-Yun Lin, Lincy Lal, et al.
Citation: Telemedicine and e-Health, 30(7)
Date: 07/2024
Type: Document
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Social Induction via a Social Behavioral Intervention on Changes in Metabolic Risk Factors: A Randomized Controlled Trial in Rural Appalachia, United States
Examines the effects of a social network intervention on metabolic health in rural, Appalachian Kentucky. Presents data of 301 participants, including data on change in body weight, waist circumference, mean arterial blood pressure, and other cardiovascular and metabolic health indicators. Evaluates the relationship between social networks, health behaviors, and physical health outcomes.
Author(s): Eric L. Ding, Kathleen T. Watson, Leila Makarechi, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1058-1077
Date: 07/2024
Type: Document
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Examines the effects of a social network intervention on metabolic health in rural, Appalachian Kentucky. Presents data of 301 participants, including data on change in body weight, waist circumference, mean arterial blood pressure, and other cardiovascular and metabolic health indicators. Evaluates the relationship between social networks, health behaviors, and physical health outcomes.
Author(s): Eric L. Ding, Kathleen T. Watson, Leila Makarechi, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1058-1077
Date: 07/2024
Type: Document
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Stroke Prevention and Management in Rural Georgia: Evaluating the Effectiveness of a Community Paramedicine Program
Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
Type: Document
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Evaluates the effectiveness of a community paramedicine service delivery model for improving stroke outcomes for high risk residents of 2 rural Georgia counties. Assesses hospital readmissions and mortality for 22 study participants compared to 621 nonparticipants. Discusses risk factors, telehealth, and pandemic related challenges.
Author(s): Brandon Calvert, Rana Bayakly, Teri Newsome
Citation: Journal of Public Health Management and Practice, 30, S32-S38
Date: 07/2024
Type: Document
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Telehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19
This study examines trends in primary care utilization and hypertension management among adults who visited Dartmouth Health System in 2017-2018 and 2022. Compares changes in synchronous and asynchronous primary care utilization and effective control of elevated blood pressure by rurality and Medicaid enrollment before and during the COVID-19 pandemic through 2022.
Author(s): Matthew Mackwood, Oleksandra Pashchenko, Christopher Leggett, et al.
Citation: Telemedicine and e-Health, 30(6), e1677-e1688
Date: 06/2024
Type: Document
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This study examines trends in primary care utilization and hypertension management among adults who visited Dartmouth Health System in 2017-2018 and 2022. Compares changes in synchronous and asynchronous primary care utilization and effective control of elevated blood pressure by rurality and Medicaid enrollment before and during the COVID-19 pandemic through 2022.
Author(s): Matthew Mackwood, Oleksandra Pashchenko, Christopher Leggett, et al.
Citation: Telemedicine and e-Health, 30(6), e1677-e1688
Date: 06/2024
Type: Document
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Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more.
Additional links: Interactive Map
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Type: Document
Sponsoring organization: The Milken Institute
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Food Deserts and Hypertension Prevalence in the Central Valley
Policy brief analyzing the association between food deserts and hypertension by census tract in San Joaquin Valley, California. Includes color-coded census tract maps. Mentions high incidence of hypertension and food deserts in rural areas.
Author(s): G. Mendoza, E. Alcala
Date: 05/2024
Type: Document
Sponsoring organization: Central Valley Health Policy Institute
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Policy brief analyzing the association between food deserts and hypertension by census tract in San Joaquin Valley, California. Includes color-coded census tract maps. Mentions high incidence of hypertension and food deserts in rural areas.
Author(s): G. Mendoza, E. Alcala
Date: 05/2024
Type: Document
Sponsoring organization: Central Valley Health Policy Institute
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Regional and Rural-Urban Patterns in the Prevalence of Diagnosed Hypertension among Older U.S. Adults with Diabetes, 2005–2017
Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
Type: Document
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Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
Type: Document
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