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Rural Health
Resources by Topic: Chronic respiratory conditions

Diagnosing the Rural COPD Patient: Ask About Symptoms, Use Spirometry
Provides insights on the diagnosis of chronic obstructive pulmonary disease (COPD), discussing common symptom patterns associated with COPD, spirometry as the diagnostic test for the condition, and tools and resources for COPD patient care.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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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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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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Overall and Cause-specific Mortality in a Cohort of Farmers and Their Spouses
Highlights a study examining the overall mortality rates of farmers and their families that participated in the Agricultural Health Survey in Iowa and North Carolina. Details participants by age, gender, education and smoking status, among other factors. Compares mortality rates to the general population.
Author(s): Srishti Shrestha, Christine G. Parks, Alexander P. Keil, et al.
Citation: Occupational and Environmental Medicine, 76(9), 632-643
Date: 09/2019
Type: Document
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Characteristics of Asthma Visits to Physician Offices in the United States: 2012–2015 National Ambulatory Medical Care Survey
Examines asthma visits to offices of non-federally employed U.S. physicians, with information on asthma visit characteristics and trends. Includes data by geographic location of the visit for metropolitan and nonmetro areas.
Author(s): Lara J. Akinbami, Loredana Santo, Sonja Williams, et al.
Date: 09/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries
Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Type: Document
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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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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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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A Rural Hospital Guide to Improving Chronic Obstructive Pulmonary Disease
A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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Chronic Obstructive Pulmonary Disease and Smoking Status — United States, 2017
Examines age-adjusted prevalence of chronic obstructive pulmonary disease (COPD) among current smokers, former smokers, and those who have never smoked. Includes data by urban-rural location.
Author(s): Anne G. Wheaton, Yong Liu, Janet B. Croft, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(24), 533-538
Date: 06/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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