Rural Health
Resources by Topic: Health disparities
Rethinking Rurality: Using Hospital Referral Regions to Investigate Rural-Urban Health Outcomes
Examines the relationship between the proportion of rural population served in each of the 306 hospital referral regions (HRRs) and health outcomes, healthcare spending and utilization, and access to and quality of primary care. Explores whether mortality differences in HRRs are associated with differences in price-adjusted Medicare reimbursements, quality of primary care, and access to primary care.
Author(s): Lucy Skinner, Sandra Wong, Carrie Colla
Citation: BMC Health Services Research, 22(1), 1312
Date: 11/2022
Type: Document
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Examines the relationship between the proportion of rural population served in each of the 306 hospital referral regions (HRRs) and health outcomes, healthcare spending and utilization, and access to and quality of primary care. Explores whether mortality differences in HRRs are associated with differences in price-adjusted Medicare reimbursements, quality of primary care, and access to primary care.
Author(s): Lucy Skinner, Sandra Wong, Carrie Colla
Citation: BMC Health Services Research, 22(1), 1312
Date: 11/2022
Type: Document
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Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them
Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities in rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations.
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Type: Document
Sponsoring organization: KFF
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Issue brief examining racial disparities in access to maternal and infant healthcare, noting disparities in rural communities. Presents data from various sources on birth risks and outcomes, infant mortality, teen pregnancy, and other maternal health topics by race/ethnicity, including American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander populations.
Author(s): Latoya Hill, Samantha Artiga, Usha Ranji
Date: 11/2022
Type: Document
Sponsoring organization: KFF
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Ohio 2023-2026 State Plan on Aging
Highlights the state's health, equity, and justice goals for aging Ohioans. Notes priorities in the areas of community conditions, healthy living, access to care, social connectedness, population health, and preserving independence including those of particular importance to rural or Appalachian residents.
Date: 10/2022
Type: Document
Sponsoring organization: Ohio Department of Aging
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Highlights the state's health, equity, and justice goals for aging Ohioans. Notes priorities in the areas of community conditions, healthy living, access to care, social connectedness, population health, and preserving independence including those of particular importance to rural or Appalachian residents.
Date: 10/2022
Type: Document
Sponsoring organization: Ohio Department of Aging
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Rural and Urban Differences in Care Provided by Home Health Agencies in the United States: A Review of the Literature
Explores the differences in care outcomes for rural and urban home health agencies (HHAs). Discusses some of the barriers faced by rural HHAs, such as overcoming long distances, increased costs, and workforce limitations, among others.
Author(s): Denise D. Quigley, Ashley M. Chastain, Jung A. Kang, et al.
Citation: The Journal of Post-Acute and Long-Term Care Medicine, 23(10), 1653.e1-1653.e13
Date: 10/2022
Type: Document
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Explores the differences in care outcomes for rural and urban home health agencies (HHAs). Discusses some of the barriers faced by rural HHAs, such as overcoming long distances, increased costs, and workforce limitations, among others.
Author(s): Denise D. Quigley, Ashley M. Chastain, Jung A. Kang, et al.
Citation: The Journal of Post-Acute and Long-Term Care Medicine, 23(10), 1653.e1-1653.e13
Date: 10/2022
Type: Document
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Missouri Cancer Action Plan: 2021-2025
A guide for cancer control and prevention in Missouri. Details 4 main goals with topics relating to cancer diagnosis, patient healthcare decisions, survivor quality of life, and how cancer disrupts life. Includes goals and objectives focusing on health equity and eliminating cancer disparities such as those seen in rural areas of the state.
Date: 10/2022
Type: Document
Sponsoring organizations: Missouri Cancer Consortium, Missouri Department of Health and Senior Services
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A guide for cancer control and prevention in Missouri. Details 4 main goals with topics relating to cancer diagnosis, patient healthcare decisions, survivor quality of life, and how cancer disrupts life. Includes goals and objectives focusing on health equity and eliminating cancer disparities such as those seen in rural areas of the state.
Date: 10/2022
Type: Document
Sponsoring organizations: Missouri Cancer Consortium, Missouri Department of Health and Senior Services
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An Insurance Profile of Rural America: Chartbook
Provides information on the health insurance status of rural Americans under the age of 65. Describes trends in sources of health insurance coverage, insurance market dynamics in rural communities, and trends in out-of-pocket expenditures. Compares metro and non-metro data on insurance coverage by region and sociodemographic characteristics; the relationship of health status to insurance coverage; affordability; trends in Marketplace and Medicare Advantage coverage offerings at the county level; and more.
Author(s): Timothy McBride, Abigail Barker, Emily Hernandez, et al.
Date: 10/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides information on the health insurance status of rural Americans under the age of 65. Describes trends in sources of health insurance coverage, insurance market dynamics in rural communities, and trends in out-of-pocket expenditures. Compares metro and non-metro data on insurance coverage by region and sociodemographic characteristics; the relationship of health status to insurance coverage; affordability; trends in Marketplace and Medicare Advantage coverage offerings at the county level; and more.
Author(s): Timothy McBride, Abigail Barker, Emily Hernandez, et al.
Date: 10/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Advancing Health Equity and Integrated Care for Rural Dual Eligibles
Discusses health disparities for rural individuals dually eligible for Medicare and Medicaid. Presents an overview of a toolkit to advance health equity for rural dual eligibles and findings from roundtables of 50 stakeholders across 3 states regarding solutions for the workforce and service needs of this population.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Citation: Health Affairs Forefront
Date: 10/2022
Type: Document
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Discusses health disparities for rural individuals dually eligible for Medicare and Medicaid. Presents an overview of a toolkit to advance health equity for rural dual eligibles and findings from roundtables of 50 stakeholders across 3 states regarding solutions for the workforce and service needs of this population.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Citation: Health Affairs Forefront
Date: 10/2022
Type: Document
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Rural Health Research Recap: Maternal Health Disparities: An Intersection of Race and Rurality
Summarizes recent research from Rural Health Research Centers examining the loss of hospital-based obstetric services and racial/ethnic disparities surrounding maternal and infant health. Features statistics on percent of counties which lost obstetric services from 2014-2018 with breakdowns by 4 levels of population density, annual births at hospitals providing obstetric services from 2010-2018 by rurality, percent of rural counties without obstetric services in 2019, and rates of preterm birth by race/ethnicity and rurality from 2012-2018.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes recent research from Rural Health Research Centers examining the loss of hospital-based obstetric services and racial/ethnic disparities surrounding maternal and infant health. Features statistics on percent of counties which lost obstetric services from 2014-2018 with breakdowns by 4 levels of population density, annual births at hospitals providing obstetric services from 2010-2018 by rurality, percent of rural counties without obstetric services in 2019, and rates of preterm birth by race/ethnicity and rurality from 2012-2018.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas
Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Type: Document
Sponsoring organization: Government Accountability Office
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How Resilient Are Communities Along the U.S.-Mexico Border?
Examines economic and health risk factor data for the United States-Mexico border region based on Community Resilience Estimates (CRE) and American Community Survey (ACS) data. Compares average risk factor statistics for border counties, non-border counties in border states, and all non-border counties in the U.S., and offers comparisons for the 4 border states.
Date: 10/2022
Type: Document
Sponsoring organization: U.S. Census Bureau
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Examines economic and health risk factor data for the United States-Mexico border region based on Community Resilience Estimates (CRE) and American Community Survey (ACS) data. Compares average risk factor statistics for border counties, non-border counties in border states, and all non-border counties in the U.S., and offers comparisons for the 4 border states.
Date: 10/2022
Type: Document
Sponsoring organization: U.S. Census Bureau
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