Rural Health
Resources by Topic: Health disparities
Comprehension of Randomization and Uncertainty in Cancer Clinical Trials Decision-Making among Rural, Appalachian Patients
Explores Appalachian patients' comprehension of the randomization process in cancer randomized clinical trials (RCT) as a component of informed consent. Examines sources of ongoing uncertainty that can obstruct a patient's ability to provide informed consent to participate in a RCT.
Author(s): Janice L. Krieger, Angela Palmer-Wackerly, Phokeng M. Dailey, et al.
Citation: Journal of Cancer Education, 30(4), 743-748
Date: 12/2015
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Explores Appalachian patients' comprehension of the randomization process in cancer randomized clinical trials (RCT) as a component of informed consent. Examines sources of ongoing uncertainty that can obstruct a patient's ability to provide informed consent to participate in a RCT.
Author(s): Janice L. Krieger, Angela Palmer-Wackerly, Phokeng M. Dailey, et al.
Citation: Journal of Cancer Education, 30(4), 743-748
Date: 12/2015
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Telestroke Centers as an Option for Addressing Geographical Disparities in Access to Stroke Care in South Carolina, 2013
Research brief on the benefits of telestroke centers in rural and remote areas of South Carolina to improve outcomes. Includes a discussion of the impact of limited primary stroke center access and suggestions for policymakers.
Author(s): Marsha Samson, Tushar Trivedi, Khosrow Heidari
Citation: Preventing Chronic Disease, 12
Date: 12/2015
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Research brief on the benefits of telestroke centers in rural and remote areas of South Carolina to improve outcomes. Includes a discussion of the impact of limited primary stroke center access and suggestions for policymakers.
Author(s): Marsha Samson, Tushar Trivedi, Khosrow Heidari
Citation: Preventing Chronic Disease, 12
Date: 12/2015
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Health Equity Series: Food Insecurity
Reports on disparities related to food security in Missouri. Includes a brief history of the topic and a discussion on food access. Covers other socio-economic factors that can contribute to food insecurity. Sections 15 and 20 focus specifically on rural versus urban comparisons.
Author(s): Cindy Calender
Date: 12/2015
Sponsoring organization: Missouri Foundation for Health
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Reports on disparities related to food security in Missouri. Includes a brief history of the topic and a discussion on food access. Covers other socio-economic factors that can contribute to food insecurity. Sections 15 and 20 focus specifically on rural versus urban comparisons.
Author(s): Cindy Calender
Date: 12/2015
Sponsoring organization: Missouri Foundation for Health
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A Cross-Sectional Study on Health Differences Between Rural and Non-Rural U.S. Counties Using the County Health Rankings
Examines the rural and urban differences in health and healthcare within the U.S. using data accessed from the 2013 County Health Rankings and Roadmaps. Vital health factors evaluated include mortality, morbidity, health behaviors, clinical care, social and economic factors, and the physical environment.
Author(s): Timothy J. Anderson, Daniel M. Saman, Martin S. Lipsky, M. Nawal Lutfiyya
Citation: BMC Health Services Research, 15, 441
Date: 10/2015
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Examines the rural and urban differences in health and healthcare within the U.S. using data accessed from the 2013 County Health Rankings and Roadmaps. Vital health factors evaluated include mortality, morbidity, health behaviors, clinical care, social and economic factors, and the physical environment.
Author(s): Timothy J. Anderson, Daniel M. Saman, Martin S. Lipsky, M. Nawal Lutfiyya
Citation: BMC Health Services Research, 15, 441
Date: 10/2015
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Individual and Neighborhood Predictors of Mortality among HIV-Positive Latinos with History of Injection Drug Use, Florida, 2000–2011
Examines disparities as well as individual and neighborhood predictors of mortality in HIV-positive Latinos with a history of injection drug use (IDU) in Florida. Provides demographic and other information on individuals age 13 and older diagnosed with HIV, with data for those with and without a history of IDU. Offers zip code-level characteristics, including rural/urban location. Includes implications for targeting prevention strategies in rural areas.
Author(s): Diana M. Sheehan, Mary Jo Trepka, Kristopher P. Fennie, et al.
Citation: Drug and Alcohol Dependence, 154, 243-250
Date: 09/2015
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Examines disparities as well as individual and neighborhood predictors of mortality in HIV-positive Latinos with a history of injection drug use (IDU) in Florida. Provides demographic and other information on individuals age 13 and older diagnosed with HIV, with data for those with and without a history of IDU. Offers zip code-level characteristics, including rural/urban location. Includes implications for targeting prevention strategies in rural areas.
Author(s): Diana M. Sheehan, Mary Jo Trepka, Kristopher P. Fennie, et al.
Citation: Drug and Alcohol Dependence, 154, 243-250
Date: 09/2015
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Environmental Scan of Programs and Policies Addressing Health Disparities Among Rural Children in Poverty
Examines policies and programs that address health disparities of rural children living in poverty and offers recommendations based on the findings. Provides an environmental scan of community- and state-level interventions aimed to address obesity, behavioral health, oral health, prenatal and postnatal care, and respiratory health.
Author(s): Brenda Natzke, Luke Horner
Date: 09/2015
Sponsoring organization: Mathematica Policy Research
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Examines policies and programs that address health disparities of rural children living in poverty and offers recommendations based on the findings. Provides an environmental scan of community- and state-level interventions aimed to address obesity, behavioral health, oral health, prenatal and postnatal care, and respiratory health.
Author(s): Brenda Natzke, Luke Horner
Date: 09/2015
Sponsoring organization: Mathematica Policy Research
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Not Near Enough: Racial and Ethnic Disparities in Access to Nearby Behavioral Health Care and Primary Care
Analyzes the association of integrated behavioral health and primary care services with communities in rural areas and communities with higher percentages of African American and Hispanic people to gain a better understanding of the disparities in access to integrated care.
Author(s): Lynn M. VanderWielen, Emma C. Gilchrist, Molly A. Nowels, et al.
Citation: Journal of Health Care for the Poor and Underserved, 26(3) 1032–1047
Date: 08/2015
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Analyzes the association of integrated behavioral health and primary care services with communities in rural areas and communities with higher percentages of African American and Hispanic people to gain a better understanding of the disparities in access to integrated care.
Author(s): Lynn M. VanderWielen, Emma C. Gilchrist, Molly A. Nowels, et al.
Citation: Journal of Health Care for the Poor and Underserved, 26(3) 1032–1047
Date: 08/2015
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Rural Health Care Disparities Created by Medicare Regulations
Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Disparities in Colorectal Cancer Treatment Delay Within Appalachia – The Role of For-Profit Hospitals
Discusses the timeliness of colorectal cancer (CRC) treatment in rural hospitals of the Appalachian regions of Kentucky, Ohio, Pennsylvania, and North Carolina. Study uses data from the 2006-2008 Central Cancer Registry (CCR) as well as Medicare claims to identify delays between diagnosis and treatment in healthcare facilities with various funding models.
Author(s): Eric E. Seiber, Fabian Camacho, Muhammad Fazal Zeeshan, et al.
Citation: Journal of Rural Health, 31(4), 382-391
Date: 05/2015
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Discusses the timeliness of colorectal cancer (CRC) treatment in rural hospitals of the Appalachian regions of Kentucky, Ohio, Pennsylvania, and North Carolina. Study uses data from the 2006-2008 Central Cancer Registry (CCR) as well as Medicare claims to identify delays between diagnosis and treatment in healthcare facilities with various funding models.
Author(s): Eric E. Seiber, Fabian Camacho, Muhammad Fazal Zeeshan, et al.
Citation: Journal of Rural Health, 31(4), 382-391
Date: 05/2015
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Slade, Kentucky, May 27-29, 2015
Provides a summary of the 77th meeting of the National Advisory Committee on Rural Health and Human Services. Discusses health disparities in Appalachia, social determinants of health, including poverty and economic development, and how federal programs are working to address these issues.
Date: 05/2015
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides a summary of the 77th meeting of the National Advisory Committee on Rural Health and Human Services. Discusses health disparities in Appalachia, social determinants of health, including poverty and economic development, and how federal programs are working to address these issues.
Date: 05/2015
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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