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Rural Health
Resources by Topic: Diabetes

Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System
Examines rural versus urban residence and the related impact on a patient's quality of diabetes care. Analyzes 2019 data of 45,279 patients with diabetes in a large healthcare system, comparing rural versus urban outcomes of 5 diabetes care metrics. Discusses health disparities in diabetes care based on geography.
Author(s): Randy Foss, Karen Fischer, Michelle A. Lampman, et al.
Citation: The Annals of Family Medicine, 21(3), 234-239
Date: 05/2023
Type: Document
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Rural Healthy People 2030: Common Challenges, Rural Nuances
Policy brief focused on Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features rural stakeholder perspectives on the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Health Conditions and Health Care Use Among American Indian and Alaska Native Adults by Tribal Land Residential Status: United States, 2019–2021
Examines chronic disease, healthcare access to basic services such as vaccinations, and mental health among American Indian and Alaska Natives (AI/AN) from 2019-2021 National Health Interview Survey data, with comparisons between living on or off tribal lands.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, Anjel Vahratian
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Association of Rurality and Identifying as Black with Receipt of Specialty Care Among Patients Hospitalized with a Diabetic Foot Ulcer: A Medicare Cohort Study
Examines if rural, Black patients with diabetes receive specialty care at the same rate as the larger, aggregated population of diabetes patients. Analyzes 124,487 Medicare beneficiaries hospitalized with diabetic foot ulcers from 2013 to 2014. Includes data broken down by rural versus urban, race/ethnicity, and characteristics and severity of disease.
Author(s): Lindsay Taylor, Ronald Gangnon, W Ryan Powell, et al.
Citation: BMJ Open Diabetes Research & Care, 11(2), e003185
Date: 04/2023
Type: Document
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Rural Healthcare Disparities in the United States: Can Our Payer Structures Help Us Get Upstream?
Describes a care model utilizing CHWs to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional setting such as a food bank distribution center, county fair, livestock auction, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
Type: Document
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Associations Between Social Vulnerability and Providing Evidence-Based Diabetes Prevention and Management Activities in South Carolina, 2019
Examines the abilities of Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) in South Carolina to implement evidence-based diabetes prevention and management activities in counties with high burden of heart disease, diabetes, and associated social vulnerabilities. Includes state map showing location of RHCs and FQHCs and data on associations between social vulnerability measures and diabetes prevention and management activities.
Author(s): Jennifer Mandelbaum, Courtney Brightharp, Kristian Myers, Shauna Hicks
Citation: Preventing Chronic Disease, 20
Date: 02/2023
Type: Document
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Rural Population Health in the United States: A Chartbook
Presents rural population health data by Census region and state, with some data by sex, race, and ethnicity. Includes U.S. maps showing county-level data as well as a variety of charts, including rural-urban disparity charts, state summary charts, and more. Topics addressed include access to care, health outcomes and risks, mortality, social determinants of health, and socioeconomic data.
Author(s): Randy Randolph, Sharita Thomas, Mark Holmes, et al.
Date: 02/2023
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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"Ancestral Recipes": A Mixed-Methods Analysis of MyPlate-Based Recipe Dissemination for Latinos in Rural Communities
Examines the adoption of a MyPlate-informed cookbook culturally tailored toward Latinx communities to improve nutrition, healthy lifestyles, and knowledge related to chronic diseases such as diabetes. Discusses results of holding 20 cooking demonstrations with pre- and post-test surveys as well as focus group interviews with 19 participants.
Author(s): Ann Marie Cheney, William J. McCarthy, María Pozar, et al.
Citation: BMC Public Health, 23, 216
Date: 02/2023
Type: Document
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Number of Hospitalization Discharges per 100,000 Rural and Urban (Pennsylvania) Residents, 2019 to 2021
Provides statistics for Pennsylvania hospitalization discharges for heart disease, heart attack, diabetes, falling, pneumonia, chronic respiratory disease, and anemia, with breakdowns by rural and urban areas.
Date: 2023
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Journey Map: Older Adults in Rural Areas Using Remote Patient Monitoring Technologies to Manage Chronic Conditions
A guide for rural health centers describing how to help older adult patients with multiple chronic conditions regarding the use of remote patient monitoring (RPM). Describes a five-step journey that a patient will go through while exploring RPM, and the role of the health center in this process.
Date: 2023
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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