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Rural Health
Resources by Topic: Diabetes

ECHO Diabetes in the Time of COVID-19
A series of 16 free Continuing Medical Education (CME) accredited webinars offering specialty support for primary care providers when addressing the needs of patients with type 1 and type 2 diabetes during and after the COVID-19 pandemic.
Date: 09/2020
Type: Tutorial/Training
Sponsoring organization: Stanford University School of Medicine
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State Innovation Model (SIM) Summative Evaluation Report: Activities and Goal Evaluation Award Year 2-4 (AY2-4)
Summarizes the process and implementation activities of the State Innovation Model (SIM) test grant program in Iowa during award years 2 through 4, which spanned November 2016 through April 2019. SIM test awards are administered by the Centers of Medicare and Medicaid Services (CMS) Innovation Center and allow states to implement and test strategies for health system transformation that meet the specific needs of residents of each state. Describes the process evaluation of SIM implementation activities and results of the 2016 and 2018 statewide evaluation surveys. Presents data on outcome measures regarding access and cost of care, diabetes, obesity, and tobacco use.
Author(s): Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, et al.
Date: 08/2020
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Health of American Indian and Alaska Native Adults, by Urbanization Level: United States, 2014–2018
Examines health status and health conditions among American Indian and Alaska Native adults compared to all U.S. adults, with data for rural, small metropolitan, and large metropolitan statistical areas. Addresses poor or fair health status, disability, multiple chronic conditions, hypertension, and diabetes.
Author(s): Maria A. Villarroel, Tainya C. Clarke, Tina Norris
Date: 08/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Estimated County-Level Prevalence of Selected Underlying Medical Conditions Associated with Increased Risk for Severe COVID-19 Illness — United States, 2018
Reports on the estimated number and proportion of people with certain underlying medical conditions that put them at risk for severe COVID-19. Provides county-level maps with data on adults with any of these conditions: chronic respiratory conditions, heart disease, diabetes, chronic kidney disease, or obesity. Also discusses the prevalence of underlying conditions in rural counties.
Author(s): Hilda Razzaghi, Yan Wang, Hua Lu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(29), 945-950
Date: 07/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Expect Delays: Poor Connections Between Rural and Urban Health Systems Challenge Multidisciplinary Care for Rural Americans with Diabetic Foot Ulcers
Investigates communication barriers between rural and urban health systems to identify factors that may be contributing to higher risk of major amputation among rural patients with diabetic foot ulcers (DFUs) compared to urban patients with DFUs. Barriers for rural providers include time-consuming referrals; poor interactions with urban providers; and data sharing issues due to multiple, disconnected electronic health records.
Author(s): Bryn Sutherland, Kristen Pecanac, Christie Bartels, Meghan Brennan
Citation: Journal of Foot and Ankle Research, 13(1), 32
Date: 06/2020
Type: Document
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Rural/Urban Disparities in Utilization of Diabetes Self-Management Training to the Fee-for-Service Medicare Population
Compares the utilization of Diabetes Self-Management Training (DSMT) services of Medicare recipients in rural and urban areas in 2016. Includes data on DSMT providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Aric Schadler, Jeffery Talbert
Date: 06/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Process of Identifying Measures and Data Elements for the HRSA School-Based Telehealth Network Grant Program
Research brief describing measures used for a Health Resources and Services Administration (HRSA) program designed to demonstrate how telehealth can expand access to and improve the quality of healthcare services offered in schools in rural, frontier, and underserved communities. Focuses on asthma, behavioral health, diabetes, healthy weight, and oral health. Features tables listing 27 measures and 40 data elements used for grantee evaluation.
Author(s): Marcia M. Ward, Kimberley Fox, Kimberly Merchant, et al.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Prevalence of Diagnosed Diabetes In American Indian and Alaska Native Adults, 2006–2017
Examines trends in the U.S. of diagnosed diabetes prevalence for American Indian and Alaska Native (AI/AN) adults aged 18 years and older in the tribal and urban Indian Health Service (IHS) clinical population using data derived from IHS and the National Data Warehouse (NDW).
Author(s): Ann Bullock, Karen Sheff, Israel Hora, Nilka Rios Burrows, Stephen R Benoit, et al.
Citation: BMJ Open Diabetes Research and Care, 8, e001218
Date: 04/2020
Type: Document
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The High Obesity Program: A Collaboration Between Public Health and Cooperative Extension Services to Address Obesity
Describes the activities of Programs to Reduce Obesity in High Obesity Areas, also known as High Obesity Program (HOP), developed by the Centers for Disease Control and Prevention (CDC) in partnership with land grant universities and local Cooperative Extension Offices. HOP was designed to implement evidence-based strategies to improve physical activity and nutrition in mostly rural communities with high rates of obesity to reduce obesity and prevent or control diabetes, heart disease, and stroke.
Author(s): Sahra Kahin, Ashleigh Murriel, Anu Pejavara, Terrence O'Toole, Ruth Petersen
Citation: Preventing Chronic Disease, 17
Date: 03/2020
Type: Document
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Healthy People 2020 Progress for Leading Causes of Death in Rural and Urban America: A Chartbook
Provides a description of progress toward Health People 2020 benchmarks among racial and ethnic groups, men and women, and residents of the 4 United States census regions. Features statistics including deaths from heart disease, cancer, COPD, unintentional injury, stroke, diabetes, and suicide from 2007-2017, with breakdowns by 6 levels of population density.
Author(s): Timothy H. Callaghan, Alva O. Ferdinand, Marvellous Akinlotan, et al.
Date: 03/2020
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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