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Rural Health
Resources by Topic: Health conditions

"Hard to Say Goodbye Over iPad": Experiences of Palliative Care Providers and Lessons Learned During the COVID-19 Pandemic in Rural Communities of Indiana, United States
Explores healthcare professionals' perspectives about the challenges and barriers to providing palliative care in rural Indiana during the COVID-19 pandemic. Presents findings from interviews with 15 providers on restricted visitation, communication barriers, provider distress, and hospice services and referrals.
Author(s): Nasreen Lalani, Yun Cai, Yitong Wang
Citation: Journal of Hospice and Palliative Nursing, 24(3), E94-E100
Date: 03/2022
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Minnesota's Health Care Workforce: Pandemic-Provoked Workforce Exits, Burnout, and Shortages
Reports on loss of healthcare professionals in Minnesota due to turnover, burnout, reduction in working hours, early retirement, and more. Provides charts of workforce professionals in 2019 compared to 2021 by vacancy, working a position unrelated to healthcare license, job dissatisfaction, and more, as well as charts showing rural versus urban comparisons of workforce issues.
Date: 03/2022
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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COVID-19 and the Rural Health Workforce: The Impact of Federal Pandemic Funding to Address Workforce Needs
Policy brief describing workforce challenges faced by rural healthcare delivery systems during the COVID-19 pandemic, and discussing how pre-pandemic financial instability in rural healthcare facilities may have contributed to these challenges. Discusses the availability of federal pandemic funding to address rural health workforce needs, the ability of rural facilities to access and utilize the funding, and the long-term needs of the rural health workforce and delivery system. Addresses telehealth solutions to workforce challenges, and funding sources for mental health needs of health professionals
Author(s): Natalia V. Oster, Davis G. Patterson, Susan M. Skillman, Bianca K. Frogner
Date: 03/2022
Sponsoring organization: UW Center for Health Workforce Studies
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Indian Health Service: Relief Funding and Agency Response to COVID-19 Pandemic
Describes the COVID-19 relief funding for Indian Health Service (IHS), tribal, and urban Indian organization health facilities and how the funds were used to meet immediate and longstanding system needs. Discusses the initial IHS response to the pandemic and steps IHS took to address challenges that its hospitals faced responding to the pandemic.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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The Impact of a Grocery Store Closure in One Rural Highly Obese Appalachian Community on Shopping Behavior and Dietary Intake
Results of telephone surveys of people in Martin County, Kentucky, a highly obese community in which healthy food accessibility is scarce and which experienced the closure of a local grocery store in January 2020. Includes demographics for the participants, and compares their food shopping habits at the time of the initial contact with those at the time of a follow-up survey a year later.
Author(s): Rachel Gillespie, Emily DeWitt, Stacey Slone, Kathryn Cardarelli, Alison Gustafson
Citation: International Journal of Environmental Research and Public Health, 19(6), 3506
Date: 03/2022
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Consequences of Structural Urbanism: Urban–Rural Differences in Cancer Patients' Use and Perceived Importance of Supportive Care Services from a 2017–2018 Midwestern Survey
Examines health disparities in supportive cancer care based on data from 326 rural and urban Midwestern cancer patients from November 2017 to May 2018. Includes participant data broken down by rurality, age, sex, race, marital status, insurance status, and related cancer diagnosis. Discusses closures of healthcare services and limited resources in rural areas and their impact on healthcare access for cancer patients.
Author(s): Marquita W. Lewis-Thames, Patricia Fank, Michelle Gates, et al.
Citation: International Journal of Environmental Research and Public Health, 19(6)
Date: 03/2022
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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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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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Anxiety, Depression, Stress, Burnout, and Professional Quality of Life among the Hospital Workforce During a Global Health Pandemic
Study examining rates of anxiety, stress, burnout, and depression during the COVID-19 pandemic among 771 hospital staff in North Dakota, based on a survey conducted in the summer of 2021. Offers rural and urban comparisons of compassion satisfaction and burnout.
Author(s): Daniel Kelly, Shawnda Schroeder, Kristen Leighton
Citation: Journal of Rural Health, 38(4), 795-804
Date: 03/2022
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Weight Outcomes of NU-HOME: A Randomized Controlled Trial to Prevent Obesity among Rural Children
Reports on impacts of the NU-HOME collaborative for prevention of childhood obesity in rural children, based on data from 114 parent-child pairs in Minnesota. Explores demographic characteristics, food insecurity, and quality of meals of the participants, among other data points. Discusses the effect of family-level interventions on overweight/obesity status, body mass index (BMI), and percent body fat.
Author(s): Jayne A. Fulkerson, Melissa Horning, Daheia J. Barr-Anderson, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 19, 29
Date: 03/2022
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