Rural Health
Resources by Topic: Health disparities
Addressing the Direct Care Workforce Shortage: A Bipartisan Call to Action
Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Sponsoring organization: Bipartisan Policy Center
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Community Health Partners in Unexpected Places
Examines how health systems partner with community services such as libraries, barber shops, dollar stores, and others to improve access and reduce health disparities in minority and rural populations. Discusses strategies to increase the use of community health partners, such as co-designing with input from the community, procuring funding, building awareness of available programs, and utilizing novel means to conduct day-to-day operations.
Author(s): Michael K. Hole, Sunjay Letchuman, Allister Chang, Leonard L. Berry
Citation: Mayo Clinic Proceedings, 98(12), 1883-1841
Date: 12/2023
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Examines how health systems partner with community services such as libraries, barber shops, dollar stores, and others to improve access and reduce health disparities in minority and rural populations. Discusses strategies to increase the use of community health partners, such as co-designing with input from the community, procuring funding, building awareness of available programs, and utilizing novel means to conduct day-to-day operations.
Author(s): Michael K. Hole, Sunjay Letchuman, Allister Chang, Leonard L. Berry
Citation: Mayo Clinic Proceedings, 98(12), 1883-1841
Date: 12/2023
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The Need for Better Definitions and Data on "Rural" in Health Services Research
Blog post discussing the various definitions of rural used by the federal government. Describes how the different definitions of rural can complicate understanding health disparities between and within rural areas. Offers policy recommendations for standardizing rural definitions, data collection, and research methodologies to improve population health.
Author(s): Kayla Alvis
Date: 12/2023
Sponsoring organization: AcademyHealth
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Blog post discussing the various definitions of rural used by the federal government. Describes how the different definitions of rural can complicate understanding health disparities between and within rural areas. Offers policy recommendations for standardizing rural definitions, data collection, and research methodologies to improve population health.
Author(s): Kayla Alvis
Date: 12/2023
Sponsoring organization: AcademyHealth
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Hospitals' Electronic Access to Information Needed to Treat COVID-19
Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
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Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
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Follicular DNA Damage and Pesticide Exposure Among Latinx Children in Rural and Urban Communities
Examines DNA double-strand breaks as an aspect of pesticide exposure among 30 Latinx children from rural, farmworker families and 15 children from urban, non-farmworker families in North Carolina, utilizing a minimally-invasive data collection method utilizing hair follicle samples and silicon wristbands. Provides data on rural-urban disparities in pesticide exposure, outside play, and use of sun protection among study participants, with additional data on seasonal variation.
Author(s): Cassandra Lepetit, Mohamed Gaber, Ke Zhou, et al.
Citation: Exposure and Health, 16, 1039-1052
Date: 11/2023
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Examines DNA double-strand breaks as an aspect of pesticide exposure among 30 Latinx children from rural, farmworker families and 15 children from urban, non-farmworker families in North Carolina, utilizing a minimally-invasive data collection method utilizing hair follicle samples and silicon wristbands. Provides data on rural-urban disparities in pesticide exposure, outside play, and use of sun protection among study participants, with additional data on seasonal variation.
Author(s): Cassandra Lepetit, Mohamed Gaber, Ke Zhou, et al.
Citation: Exposure and Health, 16, 1039-1052
Date: 11/2023
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The Role of Department of Veterans Affairs Community-Based Outpatient Clinics in Enhancing Rural Access to Geriatrics Telemedicine Specialty Care
Presents a study on the barriers and facilitators for using geriatric telemedicine through community-based outpatient clinics (CBOCs) to provide specialty care to older rural veterans. Bases finding on interviews with clinicians and staff from 13 rural CBOCs and makes recommendations.
Author(s): Camilla B. Pimentel, Eileen M. Dryden, Kathryn A. Nearing, et al.
Citation: Journal of the American Geriatrics Society, 72(2), 520-528
Date: 11/2023
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Presents a study on the barriers and facilitators for using geriatric telemedicine through community-based outpatient clinics (CBOCs) to provide specialty care to older rural veterans. Bases finding on interviews with clinicians and staff from 13 rural CBOCs and makes recommendations.
Author(s): Camilla B. Pimentel, Eileen M. Dryden, Kathryn A. Nearing, et al.
Citation: Journal of the American Geriatrics Society, 72(2), 520-528
Date: 11/2023
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2023 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2022. Focuses on patient experience and clinical care measures, including screening for and management of health conditions, medication-related issues, and access to and availability of care.
Date: 11/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, RAND Corporation
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Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2022. Focuses on patient experience and clinical care measures, including screening for and management of health conditions, medication-related issues, and access to and availability of care.
Date: 11/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, RAND Corporation
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Prostate Cancer Screening and Strategies, Florida Behavioral Risk Factor Surveillance System, 2012–2020
Examines prostate screening from 2012 to 2020 among men living in Florida. Utilizes the Behavioral Risk Factor Surveillance System (BRFSS) to analyze prostate-specific antigen (PSA) screening percentages by county for men aged 18 or older. Discusses screening disparities related to Black men.
Author(s): Dottington Fullwood, Justine Gunderson, Brandon Snipe, et al.
Citation: Preventing Chronic Disease, 20
Date: 11/2023
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Examines prostate screening from 2012 to 2020 among men living in Florida. Utilizes the Behavioral Risk Factor Surveillance System (BRFSS) to analyze prostate-specific antigen (PSA) screening percentages by county for men aged 18 or older. Discusses screening disparities related to Black men.
Author(s): Dottington Fullwood, Justine Gunderson, Brandon Snipe, et al.
Citation: Preventing Chronic Disease, 20
Date: 11/2023
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Still Searching: Meeting Oral Health Needs in Rural Settings
Report discusses oral health access in rural areas. Compares barriers to care in rural, suburban, and urban communities. Highlights teledentistry use and insurance rates, among other factors.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 11/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Report discusses oral health access in rural areas. Compares barriers to care in rural, suburban, and urban communities. Highlights teledentistry use and insurance rates, among other factors.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 11/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Cross-Sectional Population-Based Estimates of a Rural-Urban Disparity in Prevalence of Long COVID Among Michigan Adults With Polymerase Chain Reaction-Confirmed COVID-19, 2020–2022
Explores the potential correlation between rurality and experiencing long COVID. Uses the Michigan COVID-19 Recovery Surveillance Study to compare COVID recovery times in rural and urban areas. Breaks down data by age, socioeconomic status, and access to healthcare, among other measures.
Author(s): Colleen L. MacCallum-Bridges, Jana L. Hirschtick, Kristi L. Allgood, et al.
Citation: Journal of Rural Health, 40(2), 303-313
Date: 11/2023
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Explores the potential correlation between rurality and experiencing long COVID. Uses the Michigan COVID-19 Recovery Surveillance Study to compare COVID recovery times in rural and urban areas. Breaks down data by age, socioeconomic status, and access to healthcare, among other measures.
Author(s): Colleen L. MacCallum-Bridges, Jana L. Hirschtick, Kristi L. Allgood, et al.
Citation: Journal of Rural Health, 40(2), 303-313
Date: 11/2023
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