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Rural Health
Resources by Topic: Health disparities

Rural–Urban Disparities in Adverse Maternal Outcomes in the United States, 2016–2019
Analyzes maternal mortality and admissions to the intensive care unit (ICU) in rural and urban areas in the U.S. between 2016 and 2019. Utilizes Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) to examine rural versus urban maternal health disparities.
Author(s): Katharine A. Harrington, Natalie A. Cameron, Kasen Culler, William A. Grobman, Sadiya S. Khan
Citation: American Journal of Public Health, 113(2)
Date: 01/2023
Type: Document
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Variations in Affordability of Health Care by Non-Metropolitan/Metropolitan and Race/Ethnicity Status across Eight Geographically Dispersed States
Examines affordability of healthcare in terms of healthcare coverage, forgone healthcare due to cost, forgone medications due to cost, and needing to pay back healthcare bills over time. Analyzes data from respondents aged 18-64 participating in the Behavioral Risk Factor Surveillance System (BRFSS) survey, with information broken down by race/ethnicity and metropolitan versus non-metropolitan.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al.
Date: 01/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Engaging Rural Communities to Incorporate Social Determinants in Developing Strategies to Improve Access to Health Care in the Missouri Bootheel Counties
Presents a study on how social determinants of health affect healthcare access in several rural counties in Missouri. Discusses the perceived barriers to care in the rural "Bootheel" counties, such as economic issues, lack of health insurance coverage, and lack of coordinated care, among others.
Author(s): Ashish Shrestha, Katherine Stamatakis, Janice Ballard
Citation: Rural and Remote Health, 23, 7678
Date: 01/2023
Type: Document
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The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit: Raising Rural Voices from New Mexico, North Dakota, and Tennessee to Create Action
Provides an overview on the access barriers and health disparities of Medicaid and Medicare dually eligible individuals residing in rural areas. Presents research and stakeholder feedback from New Mexico, North Dakota, and Tennessee to provide information to policymakers. Discusses topics such as community planning related to equity and infrastructure, workforce capacity and community health workers (CHWs), and social determinants of health.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Date: 01/2023
Type: Document
Sponsoring organization: Health Management Associates
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Spatial Analysis of Access to Psychiatrists for US Military Personnel and Their Families
Examines the location and capacity of psychiatrists within a 30-minute driving time of TRICARE beneficiaries. Explores how geographic access to psychiatrists affects veteran TRICARE beneficiaries in rural and low-income communities. Breaks down community data by region, rural or urban status, and economic makeup, among other measures.
Author(s): Marigee Bacolod, Jennifer Heissel, Yu-Chu Shen
Citation: JAMA Network Open, 6(1), e2249314
Date: 01/2023
Type: Document
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Participation in Project ECHO to Advance Rural Primary Care Providers' Ability to Address Patient Mental Health Needs
Features a study on the role continuing education programs, such as Project ECHO, can play in aiding rural primary care providers (PCPs) to integrate behavioral healthcare into their practice. Focuses on the Advanced Primary Care (APC ECHO) Adult Psychiatry Module and evaluates its efficacy in facilitating behavioral health integration in to rural PCPs.
Author(s): Ariel Porto, Rosemary Motz, Maximillian Morris, et al.
Citation: Medical Education Online, 28(1), 2164470
Date: 01/2023
Type: Document
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Health Equity in Rural America, with Alana Knudson, Luciana Rocha, and Paula Swepson
An episode of the Exploring Rural Health podcast focused on rural health equity. Features Alana Knudson and Luciana Rocha of NORC's Walsh Center for Rural Health Analysis providing an overview of rural health equity, and Paula Swepson sharing the work of the West Marion Community Forum Inc. in McDowell County, North Carolina.
Date: 01/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Higher Hospitalization and Mortality Rates Among SARS-CoV-2-Infected Persons in Rural America
Presents a study on hospitalizations for COVID-19 based on rurality. Breaks down data for rural, urban-adjacent rural, and urban by age, gender, comorbidities, and outcome, among other measures.
Author(s): Alfred Jerrod Anzalone MS, Ronald Horswell, Brian M. Hendricks, et al.
Citation: Journal of Rural Health, 39(1), 39-54
Date: 2023
Type: Document
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Disparities in Patient Portal Access by U.S. Adults Before and During the COVID-19 Pandemic
Reports on a population-based survey to determine if socio-demographic disparities exist in accessing online patient portals. Using data from the 2020 U.S. Health Information National Trends Survey, insured adults who had a medical visit in the previous 12 months were asked about their knowledge, access, and use of online medical records. Demographic characteristics of patients who were offered access, and for patients who accessed online portals are compared. Reasons for not using an online portal are discussed. Additional comparisons on usage are shown regarding education, race/ethnicity, sex, age, location (metro vs nonmetro/rural), insurance type, use of internet, and quality of care.
Author(s): Akira Nishii, Celeste Campos-Castillo, Denise Anthony
Citation: JAMIA Open, 5(4)
Date: 12/2022
Type: Document
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Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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