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Rural Health
Resources by Topic: Cardiovascular disease

Assessment of Rural-Urban Differences in Postacute Care Utilization and Outcomes Among Older US Adults
Results of a study of 2,044,231 Medicare beneficiaries who were hospitalized in 2011-2015 for pneumonia, stroke, heart failure, hip fracture, or COPD. Examines the frequency, type, and duration of postacute care, as well as readmission and mortality rates in people discharged to a community or to postacute care. Features statistics with breakdowns by urban area, rural community adjacent to urban area, or rural community nonadjacent to urban area.
Author(s): Cyrus M. Kosar, Lacey Loomer, Nasim B. Ferdows, et al.
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Congestive Heart Failure-Related Hospital Deaths Across the Urban-Rural Continuum in the United States
Examines current trends in congestive heart failure (CHF)-related hospital deaths with an emphasis on rural-urban differences for each census region. 2009-2014 data from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) was used, focusing on adult hospital admissions with CHF identified as the principal diagnosis. Results from this study may aid in identifying geographic areas needing interventions to improve access to care and to reduce CHF mortality.
Author(s): Kristin Primm, Alva O. Ferdinand, Timothy Callaghan, et al.
Citation: Preventive Medicine Reports, 16
Date: 12/2019
Type: Document
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Achieving Health Equity in Preventive Services: Evidence Summary
Summarizes research on achieving health equity in preventive services including screening, counseling, medication, and management for cancer, cardiovascular disease, and diabetes in adult patients by identifying the effects of impediments and barriers that create disparities, and the effectiveness of strategies and interventions to reduce them. Study reports barriers that resulted in, or explained a disparity in preventive service, and the effectiveness of the clinician-patient relationship, health information technology and health system intervention. Studies included African Americans, Hispanics, Korean and Chinese Americans, and rural and low-income patients.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Opioid-Related Hospitalization and Its Association With Chronic Diseases: Findings From the National Inpatient Sample, 2011-2015
Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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Prevalence and Mortality of Heart Disease and Related Conditions: Disparities Affecting the South, Rural Areas, and American Indian and Alaska Natives
Policy brief describing trends in the prevalence of stroke, angina or coronary heart disease, and heart attack from 2011-2015, and assessing trends in mortality for heart disease and associated conditions from 2006-2016. Explores whether disease-related mortality and prevalence of disease varied across region, rurality, and time period. Features statistics including mortality from congestive heart failure, stroke and cerebrovascular disease, and ischemic heart disease in 2016, with breakdowns by 6 levels of population density.
Author(s): Samuel D. Towne, Jr., Timothy H. Callaghan, Alva O. Ferdinand, et al.
Date: 11/2019
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Potentially Excess Deaths from the Five Leading Causes of Death in Metropolitan and Nonmetropolitan Counties — United States, 2010–2017
Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Updates a January 2017 report on the same topic, with the new report using a 6-level urban-rural classification scheme and adding additional years and annual percentage change information.
Additional links: Supplementary Table 1: Number of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 2: Percentage of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 3: Number of Potentially Excess Deaths, by State for Metro and Nonmetro, Supplementary Table 4: Percentage of Potentially Excess Deaths, by State for Metro and Nonmetro
Author(s): Macarena C. Garcia, Lauren M. Rossen, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 68(10), 1-11
Date: 11/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
Reviews the results from nine studies funded by the Patient Centered Outcomes Research Institute (PCORI) supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Date: 11/2019
Type: Document
Sponsoring organization: Families USA
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Risk Factors and Potentially Preventable Deaths in Rural Communities
Compares rates of potentially avoidable deaths in rural and urban communities and shows how these deaths vary by census region. Features statistics on modifiable risk factors, such as smoking, excessive alcohol use, and obesity, and percent of potentially preventable deaths attributable to specific health conditions, with breakdowns by rural and urban areas.
Author(s): Mark Holmes, Kristie W. Thompson
Date: 10/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Rural COPD Podcast: Episode 6B
Second part of the sixth podcast in a 6-part series about rural chronic obstructive pulmonary disease (COPD). Features Dr. Steve Barnett of McKenzie Health System in Sandusky, MI. Discussion highlights the hospital's new cardiac rehab program and the relationship between it and their pulmonary rehab program, as well as challenges faced and resources needed to implement a new program.
Date: 10/2019
Type: Audio
Sponsoring organization: National Rural Health Resource Center
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Cost-effectiveness of a Statewide Public Health Intervention to Reduce Cardiovascular Disease Risk
Highlights a study on the cost effectiveness of a community health worker (CHW)-based public health intervention to lower the risk of cardiovascular disease in rural areas. Highlights an intervention that uses software to calculate risk scores and assist CHWs in making referrals and give support.
Author(s): Lauren Smith, Adam Atherly, Jon Campbell, et al.
Citation: BMC Public Health, 19, 1234
Date: 09/2019
Type: Document
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