Rural Health
Resources by Topic: Health disparities
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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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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Maternal Mortality in Indiana (2022): Contributing Factors and Policy Recommendations
Discusses causes of maternal mortality and related data in Indiana and the U.S. at large. Includes information on disparities with a focus on rural areas, race/ethnicity, and access to maternal health services. Provides county-level map of Indiana showing ratio of county population to obstetrician-gynecologists (OB/GYN) specialists.
Author(s): Nidhi Arun, Vatsla Sharma, Elizabeth Thuranira
Date: 12/2022
Type: Document
Sponsoring organization: Indiana University Public Policy Institute
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Discusses causes of maternal mortality and related data in Indiana and the U.S. at large. Includes information on disparities with a focus on rural areas, race/ethnicity, and access to maternal health services. Provides county-level map of Indiana showing ratio of county population to obstetrician-gynecologists (OB/GYN) specialists.
Author(s): Nidhi Arun, Vatsla Sharma, Elizabeth Thuranira
Date: 12/2022
Type: Document
Sponsoring organization: Indiana University Public Policy Institute
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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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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, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
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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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, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
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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Early Estimates of Motor Vehicle Traffic Fatalities and Fatality Rate by Sub-Categories Through June 2022
Examines motor vehicle fatalities from January, 2021 through June, 2022. Breaks down data by month, age, race, and by rural versus urban roads, among other measures. Compares 2021 fatality data to 2022 rates by month for a number of indicators, including rural areas.
Date: 12/2022
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Examines motor vehicle fatalities from January, 2021 through June, 2022. Breaks down data by month, age, race, and by rural versus urban roads, among other measures. Compares 2021 fatality data to 2022 rates by month for a number of indicators, including rural areas.
Date: 12/2022
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Experiences with Health Care Access, Cost, and Coverage: Findings from the 2022 KFF Women's Health Survey
Presents findings from the 2022 KFF Women's Health Survey of 5,145 women ages 18-64 who were asked about their health status, use of prescription medications, accessibility to healthcare, their selected care sites, check-ups, use of telemedicine, and health coverage and costs. Includes data on telehealth services provided by urban and rural location.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji Alina Salganicoff, Karen Diep
Date: 12/2022
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Presents findings from the 2022 KFF Women's Health Survey of 5,145 women ages 18-64 who were asked about their health status, use of prescription medications, accessibility to healthcare, their selected care sites, check-ups, use of telemedicine, and health coverage and costs. Includes data on telehealth services provided by urban and rural location.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji Alina Salganicoff, Karen Diep
Date: 12/2022
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Effect of Health System on the Association of Rurality and Level of Disadvantage with Receipt of Diabetic Eye Screening
Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, gender, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J Lock, Roomasa Channa, Meghan B Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10, e003174
Date: 12/2022
Type: Document
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Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, gender, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J Lock, Roomasa Channa, Meghan B Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10, e003174
Date: 12/2022
Type: Document
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COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread
Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Impact of Healthcare Capacity Disparities on the COVID-19 Vaccination Coverage in the United States: A Cross-Sectional Study
Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
Type: Document
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Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
Type: Document
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Addressing Health Inequities in Rural California: An Interview with Roque Barros, Jr.
An interview with Roque Barros, Jr., executive director of the Imperial Valley Wellness Foundation (IVWF). Describes IVWF's work around civic engagement and community building, shares examples of successful rural philanthropy approaches, and discusses how philanthropy can help support rural communities facing health inequities.
Author(s): Joelle Cook, Roque Barros, Jr.
Date: 12/2022
Type: Document
Sponsoring organization: FSG
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An interview with Roque Barros, Jr., executive director of the Imperial Valley Wellness Foundation (IVWF). Describes IVWF's work around civic engagement and community building, shares examples of successful rural philanthropy approaches, and discusses how philanthropy can help support rural communities facing health inequities.
Author(s): Joelle Cook, Roque Barros, Jr.
Date: 12/2022
Type: Document
Sponsoring organization: FSG
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