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Rural Health
Resources by Topic: Chronic disease management

Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Diabetes Prevalence and Monitoring by Urbanization
Poster presentation from the National Rural Health Association 2022 annual conference, examining the prevalence of diabetes and the quality of annual hemoglobin A1c (HbA1c) monitoring in a national sample of commercially-insured people. Features demographics and statistics including prevalence of diabetes among enrollees and HbA1c testing in people with diabetes in 2019 and 2020, with breakdowns by metro and nonmetro location.
Author(s): Lindsey R. Hammerslag, Katie Youngen, Ty Borders, Jeffery Talbert
Date: 05/2022
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies
Investigates rural patient experiences related to accessing healthcare for the purpose of chronic disease management. Analyzes 62 studies from 2010-2019 with a total of 1,354 participants experiencing chronic health issues. Discusses themes of navigating the rural environment and its cultural expectations, navigating the healthcare system, and financing healthcare.
Author(s): Elizabeth H. Golembiewski, Derek L. Gravholt, Victor D. Torres Roldan, et al.
Citation: The Annals of Family Medicine, 20(3), 266-272
Date: 05/2022
Type: Document
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Guideline Adoption in Safety-Net Care: Understanding the Prevention, Screening, and Management of Cervical Cancer in Safety-Net and Health Resources and Services Administration-Supported Settings of Care
Provides an overview of a multi-agency federal collaborative strategy to prevent and manage cervical cancer in the United States. Discusses ways to provide effective screening services, manage treatment, and locate facilitators that assist in providing safety-net healthcare to underserved populations, including low-income, uninsured, and rural women.
Author(s): Veronica Chollette, S Kobrin, Jane Segebrecht, et al.
Date: 03/2022
Type: Document
Sponsoring organizations: Centers for Disease Control and Prevention, Health Resources and Services Administration, National Institutes of Health, Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services
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Initial Home Dialysis Is Increased for Rural Patients by Accessing Urban Facilities
Investigates health disparities between rural and urban patients with end stage kidney disease (ESKD). Examines 97,930 dialysis initiates from the 2017 United States Renal Data System, broken down by the timing of home dialysis initiation, patient race, disease type, body mass index (BMI), employment status, rural versus urban facility location, and more. Discusses issues of access and disparities in mortality for different populations.
Author(s): Joel T. Adler, S. Ali Husain, Lingwei Xiang, James R. Rodrigue, Sushrut S. Waikar
Citation: Kidney 360, 3, 488-496
Date: 03/2022
Type: Document
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Caring for People with Serious Illness: Lessons Learned from the COVID-19 Pandemic: Proceedings from a Workshop
Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices
Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
Type: Document
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Self-Management Education Class Attendance and Health Care Provider Counseling for Physical Activity Among Adults with Arthritis — United States, 2019
Examines self-reported self-management class attendance and healthcare provider physical activity counseling for adults with doctor-diagnosed arthritis. Includes data for metropolitan, micropolitan, and rural (non-core) areas, as well as overall state-by-state data.
Author(s): Lindsey M. Duca, Charles G. Helmick, Kamil E. Barbour, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(42), 1466-1471
Date: 10/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Out of the Shadows: Reducing the Rural Impact of Epilepsy
Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Implementation and Outcomes of the Balanced Living with Diabetes Program Conducted by Cooperative Extension in Rural Communities in Virginia
Shares the results of a study examining a lifestyle management program, Balanced Living with Diabetes (BLD), to address gaps in diabetes education that was implemented by Cooperative Extension System educators in rural Virginia. Includes an analysis of the BLD program outcomes in Table 2 and 3.
Author(s): Carlin Rafie, Kathy Hosig, Sophie G. Wenzel, Shelby Borowski, Kristina A. Jiles, Eleanor Schlenker
Citation: Rural and Remote Health, 21(1), 6620
Date: 08/2021
Type: Document
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