Rural Health
Resources by Topic: COVID-19
Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
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Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
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Operating Status of Adult Day Services Centers in 2022
Author(s): Jessica P. Lendon, Priyanka Singh, Christine Caffrey, Manisha Sengupta, Zhaohui Lu
Date: 03/2025
Sponsoring organization: National Center for Health Statistics
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Offers estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) regarding operating status of adult day service centers as a result of COVID-19 response efforts. Compares U.S. Census Bureau regions, metropolitan and nonmetropolitan statistical areas, Medicaid licensure, and number of enrolled participants.
Author(s): Jessica P. Lendon, Priyanka Singh, Christine Caffrey, Manisha Sengupta, Zhaohui Lu
Date: 03/2025
Sponsoring organization: National Center for Health Statistics
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Food Security Status Across the Rural-Urban Continuum Before and During the COVID-19 Pandemic
Examines food insecurity across the rural-urban continuum and the impact of the COVID-19 pandemic on food access in various locations. Utilizes 2015-2019 and 2020-2021 Current Population Survey Food Security Supplement (CPS FSS) data to analyze food security according to urban, large rural city/town, small rural town, or isolated rural town/area.
Author(s): Patrick J. Brady, Melissa N. Laska, Rachel Widome, Sruthi Valluri
Date: 01/2025
Sponsoring organization: U.S. Census Bureau
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Examines food insecurity across the rural-urban continuum and the impact of the COVID-19 pandemic on food access in various locations. Utilizes 2015-2019 and 2020-2021 Current Population Survey Food Security Supplement (CPS FSS) data to analyze food security according to urban, large rural city/town, small rural town, or isolated rural town/area.
Author(s): Patrick J. Brady, Melissa N. Laska, Rachel Widome, Sruthi Valluri
Date: 01/2025
Sponsoring organization: U.S. Census Bureau
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Understanding the Impact and Costs Associated with Medical Device Shortages During the COVID-19 Pandemic on Providers, Health Systems, Patients, and Manufacturers
Analyzes the U.S. medical device shortage during the COVID-19 pandemic and provides a related literature review, key stakeholder interviews, and data synthesis. Includes information on type of medical device shortages, strategies to manage shortages, and more, with a focus on shortages in nursing homes and rural hospitals.
Author(s): Linda Thai, Trinidad Beleche, Oluwarantimi Adetunji
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the U.S. medical device shortage during the COVID-19 pandemic and provides a related literature review, key stakeholder interviews, and data synthesis. Includes information on type of medical device shortages, strategies to manage shortages, and more, with a focus on shortages in nursing homes and rural hospitals.
Author(s): Linda Thai, Trinidad Beleche, Oluwarantimi Adetunji
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examining Differences in Rural and Urban Medicare FFS Beneficiaries' Emergency Department Use Before and During Covid
Results of a study describing changes from 2018-2022 in emergency department use among rural and urban Medicare Fee-for-Service (FFS) beneficiaries. Features statistics including patient demographics, primary diagnoses, and admission sources, with breakdowns by urban and rural areas.
Author(s): Alana Knudson, Craig D. Holden, Marilyn Klug, Tricia Stauffer, Shena Popat
Date: 01/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Results of a study describing changes from 2018-2022 in emergency department use among rural and urban Medicare Fee-for-Service (FFS) beneficiaries. Features statistics including patient demographics, primary diagnoses, and admission sources, with breakdowns by urban and rural areas.
Author(s): Alana Knudson, Craig D. Holden, Marilyn Klug, Tricia Stauffer, Shena Popat
Date: 01/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Lessons from the Pandemic: Relationship Between Patient Visits and Patient Length of Stay in California's Health System
Examines impacts of the COVID-19 pandemic on patient utilization of California hospitals. Analyzes 2019-2021 COVID-19 cases, mortality, patient length of stay (LOS), and more in 56 California counties, with rural versus urban comparisons.
Author(s): David D. Cho, Yu Wang
Citation: Health Research Policy and Systems, 23, 11
Date: 01/2025
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Examines impacts of the COVID-19 pandemic on patient utilization of California hospitals. Analyzes 2019-2021 COVID-19 cases, mortality, patient length of stay (LOS), and more in 56 California counties, with rural versus urban comparisons.
Author(s): David D. Cho, Yu Wang
Citation: Health Research Policy and Systems, 23, 11
Date: 01/2025
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Postpartum Health Care Use in Medicaid During the COVID-19 Public Health Emergency: Implications for Extending Postpartum Coverage
Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Cancer-Related Health Behaviors During the COVID 19 Pandemic in Geographically Diverse Samples Across the US
Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
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Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
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Household Food Sourcing Patterns and their Associations with Food Insecurity in Appalachian Ohio
Examines food insecurity and patterns in rural, Appalachian Ohio during the COVID-19 pandemic. Analyzes data from 663 households at 4 separate time periods between July 2020 and April 2021 according to household demographics, food sourcing locations, and more.
Author(s): Kyle R. Busse, Kathryn I. Poppe, Qiang Wu, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 125(1), 54-68.e4
Date: 01/2025
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Examines food insecurity and patterns in rural, Appalachian Ohio during the COVID-19 pandemic. Analyzes data from 663 households at 4 separate time periods between July 2020 and April 2021 according to household demographics, food sourcing locations, and more.
Author(s): Kyle R. Busse, Kathryn I. Poppe, Qiang Wu, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 125(1), 54-68.e4
Date: 01/2025
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Epidemiological Model Can Forecast COVID-19 Outbreaks from Wastewater-Based Surveillance in Rural Communities
Examines the ability of wastewater-based epidemiology (WBE) to identify potential outbreaks of SARS-CoV-2 in rural communities. Analyzes wastewater in 6 communities and observes WBE's predictive accuracy to forecast SARS-CoV-2 outbreaks.
Author(s): Tyler Meadows, Erik R. Coats, Solana Narum, et al.
Citation: Water Research, 268
Date: 01/2025
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Examines the ability of wastewater-based epidemiology (WBE) to identify potential outbreaks of SARS-CoV-2 in rural communities. Analyzes wastewater in 6 communities and observes WBE's predictive accuracy to forecast SARS-CoV-2 outbreaks.
Author(s): Tyler Meadows, Erik R. Coats, Solana Narum, et al.
Citation: Water Research, 268
Date: 01/2025
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