Rural Health
Resources by Topic: COVID-19
Rural Hospital Profitability during the Global COVID-19 Pandemic Requires Careful Interpretation
Findings brief describing the trend of rural hospital profitability in 2011-19 and explaining why possible increases in reported profitability during the pandemic (2020-21) may mask the long-term financial challenges of rural hospitals. Features statistics including median total margin of all rural hospitals and percentage of rural hospitals with a total negative margin by year from 2011-2021, and estimated distribution of provider relief funding to hospitals as of February 2021, with breakdowns by urban or rural location.
Author(s): George Pink, Susie Gurzenda, Mark Holmes
Date: 03/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing the trend of rural hospital profitability in 2011-19 and explaining why possible increases in reported profitability during the pandemic (2020-21) may mask the long-term financial challenges of rural hospitals. Features statistics including median total margin of all rural hospitals and percentage of rural hospitals with a total negative margin by year from 2011-2021, and estimated distribution of provider relief funding to hospitals as of February 2021, with breakdowns by urban or rural location.
Author(s): George Pink, Susie Gurzenda, Mark Holmes
Date: 03/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Over Two-Thirds of the Nation's Counties Had Natural Decrease in 2021
Presents county-level population changes from 2020-2021 based on U.S. Census Bureau, Vintage 2021 Population Estimates data. Reports on micropolitan and metropolitan areas and discusses impact of aging populations and COVID-19 on counties. Includes a U.S. map depicting percent population change by county.
Date: 03/2022
Sponsoring organization: U.S. Census Bureau
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Presents county-level population changes from 2020-2021 based on U.S. Census Bureau, Vintage 2021 Population Estimates data. Reports on micropolitan and metropolitan areas and discusses impact of aging populations and COVID-19 on counties. Includes a U.S. map depicting percent population change by county.
Date: 03/2022
Sponsoring organization: U.S. Census Bureau
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Rural Adults Report Worse Employment and Economic Impacts from COVID-19 than Urban Adults
Brief examining rural and urban differences in the impacts of COVID-19 on physical and mental health, financial well-being, employment, and social relationships among adults age 18-64. Analyzes data from the 2021 National Wellbeing Survey of 4,014 adults.
Author(s): Shannon M. Monnat
Date: 03/2022
Sponsoring organization: Rural Population Research Network
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Brief examining rural and urban differences in the impacts of COVID-19 on physical and mental health, financial well-being, employment, and social relationships among adults age 18-64. Analyzes data from the 2021 National Wellbeing Survey of 4,014 adults.
Author(s): Shannon M. Monnat
Date: 03/2022
Sponsoring organization: Rural Population Research Network
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Exploring Perceived Risk for COVID-19 and Its Role in Protective Behavior and COVID-19 Vaccine Hesitancy: A Qualitative Study after the First Wave
Presents a study on the perceived risk of COVID-19 among rural Kentuckians during the first wave of the pandemic. Explores attitudes about protective behavior and vaccine hesitancy. Bases conclusions on interviews conducted by phone between July 3rd and July 24th of 2020.
Author(s): Naomi J. Patterson, Valerie A. Paz-Soldan, Richard Oberhelman, et al.
Citation: BMC Public Health, 22, 503
Date: 03/2022
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Presents a study on the perceived risk of COVID-19 among rural Kentuckians during the first wave of the pandemic. Explores attitudes about protective behavior and vaccine hesitancy. Bases conclusions on interviews conducted by phone between July 3rd and July 24th of 2020.
Author(s): Naomi J. Patterson, Valerie A. Paz-Soldan, Richard Oberhelman, et al.
Citation: BMC Public Health, 22, 503
Date: 03/2022
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Telehealth Has Played an Outsized Role Meeting Mental Health Needs During the COVID-19 Pandemic
Explores usage of telehealth for physical and mental health outpatient visits between March 2019 and August 2021. Figure 3 shows use of mental health and substance use telehealth visits versus other outpatient telehealth visits, with rural versus urban comparisons. Includes a discussion about payment models for telehealth via private insurance, Medicare, and Medicaid.
Author(s): Justin Lo, Matthew Rae, Krutika Amin, et al.
Date: 03/2022
Sponsoring organization: KFF
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Explores usage of telehealth for physical and mental health outpatient visits between March 2019 and August 2021. Figure 3 shows use of mental health and substance use telehealth visits versus other outpatient telehealth visits, with rural versus urban comparisons. Includes a discussion about payment models for telehealth via private insurance, Medicare, and Medicaid.
Author(s): Justin Lo, Matthew Rae, Krutika Amin, et al.
Date: 03/2022
Sponsoring organization: KFF
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Midwest Rural-Urban Disparities in Use of Patient Online Services for Covid-19
Examines patient portal messaging utilization in a Midwest health system based on data from over 1 million messages generated between February 2020 and August 2020 by rural and urban users. Includes breakdown of user data along rural versus urban and demographic lines. Discusses rural disparities related to virtual care, such as using portal messaging for COVID-19 diagnosis and treatment versus pandemic isolation and anxiety.
Author(s): Ming Huang, Andrew Wen, Huan He, et al.
Citation: Journal of Rural Health, 38(4), 908-915
Date: 03/2022
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Examines patient portal messaging utilization in a Midwest health system based on data from over 1 million messages generated between February 2020 and August 2020 by rural and urban users. Includes breakdown of user data along rural versus urban and demographic lines. Discusses rural disparities related to virtual care, such as using portal messaging for COVID-19 diagnosis and treatment versus pandemic isolation and anxiety.
Author(s): Ming Huang, Andrew Wen, Huan He, et al.
Citation: Journal of Rural Health, 38(4), 908-915
Date: 03/2022
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Data Elements for Research on the Role of Social Determinants of Health in Coronavirus Disease 2019 Infection and Outcomes in the U.S.
Reviews 27 studies published between December 2019 and August 2021 to explore how social determinants of health (SDOH) are related to outcomes of COVID-19. Focuses on modifiable SDOH such as income, housing, health insurance status, and food insecurity, among others. Examines rural and urban settings in data analysis as possible predictors of COVID-19 outcomes.
Author(s): Katherine K. Kim, Hibah K. Qudsi, Heather M. Halter, et al.
Date: 03/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reviews 27 studies published between December 2019 and August 2021 to explore how social determinants of health (SDOH) are related to outcomes of COVID-19. Focuses on modifiable SDOH such as income, housing, health insurance status, and food insecurity, among others. Examines rural and urban settings in data analysis as possible predictors of COVID-19 outcomes.
Author(s): Katherine K. Kim, Hibah K. Qudsi, Heather M. Halter, et al.
Date: 03/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Assessment of Structural Barriers and Racial Group Disparities of COVID-19 Mortality With Spatial Analysis
Explores social determinants of health such as minority status, income inequality, and lack of health insurance, among others, and their relationship to COVID-19 mortality rates. Analyzes data from rural, suburban, and urban counties across all 50 states from January 2020 to February 2021. Includes demographic data such as age, race and ethnicity, socioeconomic advantage index, and more.
Author(s): Qinyun Lin, Susan Paykin, Dylan Halpern
Citation: JAMA Network Open, 5(3)
Date: 03/2022
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Explores social determinants of health such as minority status, income inequality, and lack of health insurance, among others, and their relationship to COVID-19 mortality rates. Analyzes data from rural, suburban, and urban counties across all 50 states from January 2020 to February 2021. Includes demographic data such as age, race and ethnicity, socioeconomic advantage index, and more.
Author(s): Qinyun Lin, Susan Paykin, Dylan Halpern
Citation: JAMA Network Open, 5(3)
Date: 03/2022
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Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties — United States, December 14, 2020–January 31, 2022
Examines COVID-19 vaccination disparities between urban and rural people 5 years of age and older. Discusses factors that may have contributed to vaccination disparities, including healthcare access, views about COVID-19 specifically, and vaccine hesitancy more generally. Provides data based on a 6-level urban-rural classification and a 2-level urban-rural classification, with vaccination coverage by sex, age group, and state. Also includes data on vaccine series completion and receipt of a booster or additional dose.
Author(s): Ryan Saelee, Elizabeth Zell, Bhavini Patel Murthy, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(9), 335-340
Date: 03/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Examines COVID-19 vaccination disparities between urban and rural people 5 years of age and older. Discusses factors that may have contributed to vaccination disparities, including healthcare access, views about COVID-19 specifically, and vaccine hesitancy more generally. Provides data based on a 6-level urban-rural classification and a 2-level urban-rural classification, with vaccination coverage by sex, age group, and state. Also includes data on vaccine series completion and receipt of a booster or additional dose.
Author(s): Ryan Saelee, Elizabeth Zell, Bhavini Patel Murthy, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(9), 335-340
Date: 03/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Wisconsin's Demographic Changes & The Impact of the Pandemic on Schools
Presentation slides that show population changes and trends in Wisconsin. Provides percentage change by county from 2010-2020 and compares changes across metro, micro, and rural counties. Includes enrollment data as well as discussion of COVID-19 impacts on rural schools in Wisconsin.
Author(s): Sarah Kemp
Date: 02/2022
Sponsoring organization: Applied Population Laboratory
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Presentation slides that show population changes and trends in Wisconsin. Provides percentage change by county from 2010-2020 and compares changes across metro, micro, and rural counties. Includes enrollment data as well as discussion of COVID-19 impacts on rural schools in Wisconsin.
Author(s): Sarah Kemp
Date: 02/2022
Sponsoring organization: Applied Population Laboratory
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