Rural Health
Resources by Topic: Health disparities
Building On CMS's Accountable Care Vision To Improve Care For Medicare Beneficiaries
Describes progress the Centers for Medicare & Medicaid Services (CMS) has made to date in its accountable care strategy. Outlines areas that CMS is exploring to accelerate the growth of and access to accountable care organizations (ACOs) that can support improved care and quality for beneficiaries, especially those in rural and underserved areas. Covers aligning the testing of ACO models and features with the Shared Savings Program (SSP), growth in the SSP, and using ACOs to reach more underserved populations and promote health equity.
Author(s): Purva Rawal, Douglas Jacobs, Elizabeth Fowler, Meena Seshamani
Citation: Health Affairs Forefront
Date: 07/2023
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Describes progress the Centers for Medicare & Medicaid Services (CMS) has made to date in its accountable care strategy. Outlines areas that CMS is exploring to accelerate the growth of and access to accountable care organizations (ACOs) that can support improved care and quality for beneficiaries, especially those in rural and underserved areas. Covers aligning the testing of ACO models and features with the Shared Savings Program (SSP), growth in the SSP, and using ACOs to reach more underserved populations and promote health equity.
Author(s): Purva Rawal, Douglas Jacobs, Elizabeth Fowler, Meena Seshamani
Citation: Health Affairs Forefront
Date: 07/2023
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Rural-Urban Differences in Health Care Unaffordability
Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
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Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
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Epidemiology and Outcomes of Choledocholithiasis and Cholangitis in the United States: Trends and Urban-Rural Variations
Analyzes hospitalization, management, and outcomes for U.S. patients who have complications resulting from gallstone disease. Utilizes the National Inpatient Sample between 2005 and 2014 to examine 189,362 patient admissions, procedural interventions, and deaths related to choledocholithiasis and cholangitis in rural versus urban hospitals. Includes data breakdowns according to patient sociodemographic variables.
Author(s): Suqing Li, Leonardo Guizzetti, Christopher Ma, et al.
Citation: BMC Gastroenterology, 23, 254
Date: 07/2023
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Analyzes hospitalization, management, and outcomes for U.S. patients who have complications resulting from gallstone disease. Utilizes the National Inpatient Sample between 2005 and 2014 to examine 189,362 patient admissions, procedural interventions, and deaths related to choledocholithiasis and cholangitis in rural versus urban hospitals. Includes data breakdowns according to patient sociodemographic variables.
Author(s): Suqing Li, Leonardo Guizzetti, Christopher Ma, et al.
Citation: BMC Gastroenterology, 23, 254
Date: 07/2023
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Bridging the Gap Between Clinical Care and Community Population Health
Podcast episode with Kevin Barnett, senior investigator at the Public Health Institute and board member for Michigan's Trinity Health, discussing how hospitals can use community benefit spending to promote community health and health equity.
Date: 07/2023
Sponsoring organization: American Hospital Association
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Podcast episode with Kevin Barnett, senior investigator at the Public Health Institute and board member for Michigan's Trinity Health, discussing how hospitals can use community benefit spending to promote community health and health equity.
Date: 07/2023
Sponsoring organization: American Hospital Association
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Promoting Rural Residents' Participation in Clinical Trials: Clinical Trials Basics Programming and Training for Rural Public Librarians
Describes a collaboration between Virginia Commonwealth University (VCU) Health and Wellness Library and the VCU Wright Center for Clinical and Translational Research that aimed to provide public librarians with skills to increase the health literacy of community members regarding clinical trials in rural and underserved areas.
Author(s): Dana L. Ladd, Jackson C. Wright
Citation: Journal of the Medical Library Association, 111(3), 722-727
Date: 07/2023
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Describes a collaboration between Virginia Commonwealth University (VCU) Health and Wellness Library and the VCU Wright Center for Clinical and Translational Research that aimed to provide public librarians with skills to increase the health literacy of community members regarding clinical trials in rural and underserved areas.
Author(s): Dana L. Ladd, Jackson C. Wright
Citation: Journal of the Medical Library Association, 111(3), 722-727
Date: 07/2023
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Engaging Community Health Workers/Youth Ambassadors to Improve Health Literacy: Proceedings of a Workshop – in Brief
Summarizes presentations and discussions from an April 2023 workshop on the use of community health workers and youth ambassadors to promote health literacy in their communities. Highlights lessons learned by Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19 and the National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities (NIMIC) grantees who implemented health literacy approaches in community health worker and youth ambassador programs. Includes rural references throughout.
Additional links: Read Online
Date: 07/2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes presentations and discussions from an April 2023 workshop on the use of community health workers and youth ambassadors to promote health literacy in their communities. Highlights lessons learned by Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19 and the National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities (NIMIC) grantees who implemented health literacy approaches in community health worker and youth ambassador programs. Includes rural references throughout.
Additional links: Read Online
Date: 07/2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Preparing the Next Generation of the Healthcare Workforce: State Strategies for Recruitment and Retention
Provides an overview of the first year of the National Governors Association's Next Generation of the Healthcare Workforce project, which works with states on implementing strategies to strengthen and grow the next generation of the healthcare workforce. Outlines project outcomes and provides additional information on ongoing state healthcare workforce initiatives in participating states. Covers statewide cross-agency coordination, funding healthcare workforce initiatives, health equity and workforce diversity, data collection, career pathways, rural workforce, and more.
Author(s): Anna Heard, Shelby Hockenberry, Elijah McCabe, et al.
Date: 07/2023
Sponsoring organization: National Governors Association
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Provides an overview of the first year of the National Governors Association's Next Generation of the Healthcare Workforce project, which works with states on implementing strategies to strengthen and grow the next generation of the healthcare workforce. Outlines project outcomes and provides additional information on ongoing state healthcare workforce initiatives in participating states. Covers statewide cross-agency coordination, funding healthcare workforce initiatives, health equity and workforce diversity, data collection, career pathways, rural workforce, and more.
Author(s): Anna Heard, Shelby Hockenberry, Elijah McCabe, et al.
Date: 07/2023
Sponsoring organization: National Governors Association
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Mapping Health Disparities in 11 High-Income Nations
Analyzes 11 high-income countries, including the U.S., for geographic health disparities related to socioeconomics, affordability, and access. Discusses factors where rural residency is either protective or a risk. Compares health disparities of U.S. rural residents with those of the other countries studied.
Author(s): Neil J. MacKinnon, Vanessa Emery, Jennifer Waller, et al.
Citation: JAMA Network Open, 6(7)
Date: 07/2023
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Analyzes 11 high-income countries, including the U.S., for geographic health disparities related to socioeconomics, affordability, and access. Discusses factors where rural residency is either protective or a risk. Compares health disparities of U.S. rural residents with those of the other countries studied.
Author(s): Neil J. MacKinnon, Vanessa Emery, Jennifer Waller, et al.
Citation: JAMA Network Open, 6(7)
Date: 07/2023
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Care Access and Utilization among Medicare Beneficiaries Living with Parkinson's Disease
Analyzes healthcare utilization by 685,116 Medicare patients with Parkinson's disease (PD) in 2019. Data is broken down by a variety of demographics and rurality. Discusses health disparities, mental health, and distribution of neurologists between rural and urban areas.
Author(s): Caroline Pearson, Alex Hartzman, Dianne Munevar, et al.
Citation: npj Parkinson's Disease, 9, 108
Date: 07/2023
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Analyzes healthcare utilization by 685,116 Medicare patients with Parkinson's disease (PD) in 2019. Data is broken down by a variety of demographics and rurality. Discusses health disparities, mental health, and distribution of neurologists between rural and urban areas.
Author(s): Caroline Pearson, Alex Hartzman, Dianne Munevar, et al.
Citation: npj Parkinson's Disease, 9, 108
Date: 07/2023
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COVID-19 Working Paper: Obesity Prevalence Among U.S. Adult Subpopulations During the First Year of the COVID-19 Pandemic
Explores obesity disparities among adults before the COVID-19 pandemic and during the first year of the pandemic. Uses data from the 2011-2020 Behavioral Risk Factor Surveillance System (BRFSS) to estimate changes in obesity rates and compares rates across demographic and socioeconomic subgroups, including urban-rural status, Census region, age group, race and ethnicity, and more.
Author(s): Mariah D. Ehmke, Brandon J. Restrepo
Date: 07/2023
Sponsoring organization: USDA Economic Research Service
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Explores obesity disparities among adults before the COVID-19 pandemic and during the first year of the pandemic. Uses data from the 2011-2020 Behavioral Risk Factor Surveillance System (BRFSS) to estimate changes in obesity rates and compares rates across demographic and socioeconomic subgroups, including urban-rural status, Census region, age group, race and ethnicity, and more.
Author(s): Mariah D. Ehmke, Brandon J. Restrepo
Date: 07/2023
Sponsoring organization: USDA Economic Research Service
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