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Rural Health
Resources by Topic: Cardiovascular disease

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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A Framework for Evaluating the Return on Investment of Telehealth
Proposes a framework for calculating the return on investment (ROI) of a telehealth program. Identifies principles and considerations related to evaluating telehealth ROI. Includes a case study focused on a rural community hospital implementing a telecardiology program. Another case study features a hospital system with a tertiary hospital and smaller community hospitals adding pre-transfer video consults.
Author(s): Jacqueline Marks, Jared Augenstein, Anthony Brown, Sol Lee
Date: 09/2019
Type: Document
Sponsoring organization: Manatt Health Strategies
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Impact of Rural and Urban Hospital Closures on Inpatient Mortality
Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Type: Document
Sponsoring organization: National Bureau of Economic Research
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Adult Health Status among Native American Families Participating in the Growing Resilience Home Garden Study
Reports the results of a randomized controlled trial examining the impacts of home food gardens on the health status of 176 adults from 96 families of the Northern Arapaho and Eastern Shoshone tribes living on the Wind River Indian Reservation in Wyoming. Compares the rates of obesity, high blood pressure, and diabetes among study participants with the state and national disease rates in 2017, and American Indian and Alaska Native (AI/AN) national disease rates in 2015.
Author(s): Christine M. Porter, Alyssa M. Wechsler, Shawn J. Hime, Felix Naschold
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Have Healthy People 2020 Benchmarks for Leading Causes of Death Been Met in Rural and Urban Areas?
Presentation slides from an August 20, 2019 webinar, with analysis of death rates for 7 major causes of death, in light of Healthy People 2020 benchmarks. Features mortality statistics from 2007-2017 for diabetes, heart disease, suicide, cancer, stroke, unintentional injury, and chronic obstructive pulmonary disease, with breakdowns by gender, race, and region, with 6 levels of population density.
Author(s): Alva O. Ferdinand, Timothy Callaghan, Marvellous Akinlotan, Kristie Primm
Date: 08/2019
Type: Presentation Slides
Sponsoring organizations: Southwest Rural Health Research Center, Texas A&M Health Science Center
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Selection Biases in Technology-based Intervention Research: Patients' Technology Use Relates to Both Demographic and Health-related Inequities
Details a study on selection bias in health research, specifically the patient characteristics of people with implantable cardioverter defibrillators who were not included in an intervention on the basis of their inability to access the internet or a computer. Looks at patient demographics, such as age, race, education, and rural status, among other measures.
Author(s): Tammy Toscos, Michelle Drouin, Jessica Pater, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 835–839
Date: 08/2019
Type: Document
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