Rural Health
Resources by Topic: Health disparities
Racial, Ethnic, and Rural Disparities in Distance to Physicians among Decedents with Alzheimer's Disease and Related Dementias in Washington State
Evaluates travel distance to the nearest neurologist and primary care physician among people whose cause of death was related to Alzheimer's disease and related dementias (AD/ADRD) in the state of Washington. Utilizes 2011-2021 mortality data. Includes breakdowns of distance to care by race, ethnicity, and level of rurality. Highlights geographic access disparities experienced by American Indian, Alaska Native, and Hispanic people.
Author(s): Solmaz Amiri, Jonae I. Keffeler, Dennis R. Crain, Justin T. Denney, Dedra Buchwald
Citation: Alzheimer's & Dementia, 20(5), 3671–3678
Date: 03/2024
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Evaluates travel distance to the nearest neurologist and primary care physician among people whose cause of death was related to Alzheimer's disease and related dementias (AD/ADRD) in the state of Washington. Utilizes 2011-2021 mortality data. Includes breakdowns of distance to care by race, ethnicity, and level of rurality. Highlights geographic access disparities experienced by American Indian, Alaska Native, and Hispanic people.
Author(s): Solmaz Amiri, Jonae I. Keffeler, Dennis R. Crain, Justin T. Denney, Dedra Buchwald
Citation: Alzheimer's & Dementia, 20(5), 3671–3678
Date: 03/2024
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American Clusters: Using Machine Learning to Understand Health and Health Care Disparities in the United States
Demonstrates the strengths and weaknesses of using machine learning (ML) to identify social determinants of health, healthcare access, healthcare infrastructure, and geography factors contributing to health inequalities. Discusses use of ML in policy, with different levels of geography, and in future research.
Author(s): Diane M. Bowser, Kaili Maurico, Brielle A. Ruscitti, William H. Crown
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
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Demonstrates the strengths and weaknesses of using machine learning (ML) to identify social determinants of health, healthcare access, healthcare infrastructure, and geography factors contributing to health inequalities. Discusses use of ML in policy, with different levels of geography, and in future research.
Author(s): Diane M. Bowser, Kaili Maurico, Brielle A. Ruscitti, William H. Crown
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
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2024 County Health Rankings National Findings Report
Analyzes county-level health and wellness data, focusing on issues such as public investment and health equity. Includes information on access to broadband, information, civic infrastructure and services, and more. Provides U.S. map of county-level life expectancy (LE) and discusses the relationship of LE to civic health.
Date: 03/2024
Sponsoring organization: County Health Rankings & Roadmaps
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Analyzes county-level health and wellness data, focusing on issues such as public investment and health equity. Includes information on access to broadband, information, civic infrastructure and services, and more. Provides U.S. map of county-level life expectancy (LE) and discusses the relationship of LE to civic health.
Date: 03/2024
Sponsoring organization: County Health Rankings & Roadmaps
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The Health and Social Impacts of the Maui Wildfires: Post-Disaster Care from a Sociocultural Lens
Highlights the impact of a wildfire event on existing health and social service disparities in Maui, Hawaii. Discusses housing, employment, finances, mental health, suicide risk, culture, social isolation, rurality, and service limitations. Notes opportunities and challenges for addressing these impacts using telehealth and outside assistance.
Author(s): Ryan Holliday, Lauren S. Krishnamurti, Shiloh E. Jordan, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(3), 85-87
Date: 03/2024
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Highlights the impact of a wildfire event on existing health and social service disparities in Maui, Hawaii. Discusses housing, employment, finances, mental health, suicide risk, culture, social isolation, rurality, and service limitations. Notes opportunities and challenges for addressing these impacts using telehealth and outside assistance.
Author(s): Ryan Holliday, Lauren S. Krishnamurti, Shiloh E. Jordan, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(3), 85-87
Date: 03/2024
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Ohio Health Policy Brief: Connections Between Water Quality and Health
Examines water quality in Ohio, the health impacts of polluted water, and water policy to address potential harm. Provides data on harmful algal bloom, percent of households without complete plumbing facilities by county type, per capita H2Ohio funding for lead service line replacements by county type, and counties with drinking water violations. Includes discussion about environmental health disparities in disadvantaged populations, such as Appalachian and rural.
Author(s): Lexi Chirakos, Robin Blair-Ackison, Tonni Oberly, Jacob Santiago, Anna Sheeran
Date: 03/2024
Sponsoring organization: Health Policy Institute of Ohio
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Examines water quality in Ohio, the health impacts of polluted water, and water policy to address potential harm. Provides data on harmful algal bloom, percent of households without complete plumbing facilities by county type, per capita H2Ohio funding for lead service line replacements by county type, and counties with drinking water violations. Includes discussion about environmental health disparities in disadvantaged populations, such as Appalachian and rural.
Author(s): Lexi Chirakos, Robin Blair-Ackison, Tonni Oberly, Jacob Santiago, Anna Sheeran
Date: 03/2024
Sponsoring organization: Health Policy Institute of Ohio
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Spatial and Temporal Analysis of HIV Clinical Outcomes in Florida Reveals Counties with Persistent Racial and Ethnic Disparities During 2012-2019
Analyzes health and treatment disparities among White, Hispanic, and Black people with HIV in Florida, covering viral suppression and immune reconstitution, impact of social and ecological factors, geographic variation, and changes over time. Utilizes 2012-2019 Florida Department of Health Ryan White program enrollee data. See Supplemental Table 1 for county-by-county data on risk of non-suppression among Black versus Non-Black people with HIV.
Author(s): Shannan N. Rich, Yiyang Liu, Rebecca Fisk-Hoffman, et al.
Citation: BMC Public Health, 749
Date: 03/2024
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Analyzes health and treatment disparities among White, Hispanic, and Black people with HIV in Florida, covering viral suppression and immune reconstitution, impact of social and ecological factors, geographic variation, and changes over time. Utilizes 2012-2019 Florida Department of Health Ryan White program enrollee data. See Supplemental Table 1 for county-by-county data on risk of non-suppression among Black versus Non-Black people with HIV.
Author(s): Shannan N. Rich, Yiyang Liu, Rebecca Fisk-Hoffman, et al.
Citation: BMC Public Health, 749
Date: 03/2024
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2023 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety
Summarizes trends in healthcare quality across 28 measures of patient safety. Presents findings for four settings of care: ambulatory care, home health, hospitals, and nursing homes. Highlights differences in maternal morbidity and mortality measures by rurality.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Summarizes trends in healthcare quality across 28 measures of patient safety. Presents findings for four settings of care: ambulatory care, home health, hospitals, and nursing homes. Highlights differences in maternal morbidity and mortality measures by rurality.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report
Evaluates the quality measures used across 26 Centers for Medicare & Medicaid Services (CMS) quality reporting programs. Explores whether quality measure scores during the COVID-19 public health emergency (2020-2021) differed from expected trends. Analyzes how urban and rural residents performed at a national level in order to inform future quality measure development. Provides statistics concerning participation and performance within Medicare quality reporting programs, including statistics specific to rural populations and facilities.
Additional links: Appendices ZIP File
Date: 03/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the quality measures used across 26 Centers for Medicare & Medicaid Services (CMS) quality reporting programs. Explores whether quality measure scores during the COVID-19 public health emergency (2020-2021) differed from expected trends. Analyzes how urban and rural residents performed at a national level in order to inform future quality measure development. Provides statistics concerning participation and performance within Medicare quality reporting programs, including statistics specific to rural populations and facilities.
Additional links: Appendices ZIP File
Date: 03/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Women Have a Prolonged Recovery Process after Esophagectomy
Examines esophagectomy treatment and outcomes among rural and urban women and men using 2003-2022 patient care data from a high-volume cancer center. Discusses sex-based and geographic disparities in esophageal cancer surgery recovery and care access, and highlights the need for interventions to improve care for rural women.
Author(s): Julia Schroeder, Kiran Lagisetty, William Lynch, et al.
Citation: Cancers, 16(6), 1078
Date: 03/2024
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Examines esophagectomy treatment and outcomes among rural and urban women and men using 2003-2022 patient care data from a high-volume cancer center. Discusses sex-based and geographic disparities in esophageal cancer surgery recovery and care access, and highlights the need for interventions to improve care for rural women.
Author(s): Julia Schroeder, Kiran Lagisetty, William Lynch, et al.
Citation: Cancers, 16(6), 1078
Date: 03/2024
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Associations of Medical Debt With Health Status, Premature Death, and Mortality in the US
Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
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Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
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