Rural Health
Resources by Topic: Health disparities
The Rural Household Production of Health Approach: Applying Lessons from Zambia to Rural Cancer Disparities in the U.S.
Examines the household production of health approach (HHPH) to understand how rural populations allocate resources when seeking medical treatment. Discusses how this approach can yield new understandings of rural cancer research in the U.S. that considers people's familial and cultural realities. Focuses on responsibilities in the household, particularly for women, as they relate to healthcare access.
Author(s): Mutale Chileshe, Emma Nelson Bunkley, Jean Hunleth
Citation: International Journal of Environmental Research and Public Health, 19(2), 974
Date: 01/2022
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Examines the household production of health approach (HHPH) to understand how rural populations allocate resources when seeking medical treatment. Discusses how this approach can yield new understandings of rural cancer research in the U.S. that considers people's familial and cultural realities. Focuses on responsibilities in the household, particularly for women, as they relate to healthcare access.
Author(s): Mutale Chileshe, Emma Nelson Bunkley, Jean Hunleth
Citation: International Journal of Environmental Research and Public Health, 19(2), 974
Date: 01/2022
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Assessment of US Preventive Services Task Force Guideline-Concordant Cervical Cancer Screening Rates and Reasons for Underscreening by Age, Race and Ethnicity, Sexual Orientation, Rurality, and Insurance, 2005 to 2019
Results of a study of screening-eligible women who do not have up-to-date cervical cancer screenings, exploring their primary reasons for not receiving timely screening. Features demographic statistics including breakdowns by urban or rural residence.
Author(s): Ryan Suk, Young-Rock Hong, Suja S. Rajan, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
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Results of a study of screening-eligible women who do not have up-to-date cervical cancer screenings, exploring their primary reasons for not receiving timely screening. Features demographic statistics including breakdowns by urban or rural residence.
Author(s): Ryan Suk, Young-Rock Hong, Suja S. Rajan, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
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The Effectiveness of Policies to Improve Primary Care Access for Underserved Populations: An Assessment of the Literature
Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Sponsoring organization: Milbank Memorial Fund
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Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Sponsoring organization: Milbank Memorial Fund
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Rural and Urban Differences in Undersupply of Buprenorphine Provider Availability in the United States, 2018
Presents a study comparing county-level rates of providers with buprenorphine waivers with rates of opioid-overdose deaths and compares rural and urban areas. Details rural and urban comparisons for 38 states.
Author(s): Kevin P. Conway, Dalia Khoury, Rainer Hilscher, et al.
Citation: Addiction Science and Clinical Practice, 17, 5
Date: 01/2022
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Presents a study comparing county-level rates of providers with buprenorphine waivers with rates of opioid-overdose deaths and compares rural and urban areas. Details rural and urban comparisons for 38 states.
Author(s): Kevin P. Conway, Dalia Khoury, Rainer Hilscher, et al.
Citation: Addiction Science and Clinical Practice, 17, 5
Date: 01/2022
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Community Power in Population Health Improvement: Proceedings of a Workshop
Reports on a January 2021 workshop exploring issues related to community-driven power-building efforts to improve population health. Summarizes workshop presentations and discussions on community-led action around different population health improvement topics such as education, transportation, environmental health, healthy eating, and active living, among others. Chapter 6 includes examples of rural and tribal initiatives.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 01/2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Reports on a January 2021 workshop exploring issues related to community-driven power-building efforts to improve population health. Summarizes workshop presentations and discussions on community-led action around different population health improvement topics such as education, transportation, environmental health, healthy eating, and active living, among others. Chapter 6 includes examples of rural and tribal initiatives.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 01/2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Partnering to Improve Health and Wellbeing via Community Based Care Coordination in Rural Minnesota
Case study featuring Winona Health, an independent, community-owned, and vertically integrated healthcare system serving rural Minnesota. Describes efforts underway to address the social determinants of health in the community through the Winona Wellbeing Collaborative.
Date: 01/2022
Sponsoring organization: American Hospital Association
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Case study featuring Winona Health, an independent, community-owned, and vertically integrated healthcare system serving rural Minnesota. Describes efforts underway to address the social determinants of health in the community through the Winona Wellbeing Collaborative.
Date: 01/2022
Sponsoring organization: American Hospital Association
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The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of patients.
Date: 01/2022
Sponsoring organization: American Hospital Association
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A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of patients.
Date: 01/2022
Sponsoring organization: American Hospital Association
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Changes in Access to Medication Treatment during COVID-19 Telehealth Expansion and Disparities in Telehealth Use for Medicare Beneficiaries with Opioid Use Disorder
Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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COVID-19 Vaccinations in Rural America
Provides an overview of trends in COVID-19 vaccination in rural areas through January 2022. Includes charts and maps comparing vaccination rates in metropolitan and nonmetro areas, as well as COVID-19 mortality. Discusses nonmetro vaccination rates among different demographic groups.
Date: 01/2022
Sponsoring organization: USDA Economic Research Service
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Provides an overview of trends in COVID-19 vaccination in rural areas through January 2022. Includes charts and maps comparing vaccination rates in metropolitan and nonmetro areas, as well as COVID-19 mortality. Discusses nonmetro vaccination rates among different demographic groups.
Date: 01/2022
Sponsoring organization: USDA Economic Research Service
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CARES Act Telehealth Expansion: Trends in Post-Discharge Follow-Up and Association with 30-Day Readmissions for Hospital Readmissions Reduction Program Health Conditions
Provides an overview of the Hospital Readmissions Reduction Program (HRRP) and examines the impact of expanded Medicare payment for telehealth services on post-discharge follow-up and hospital readmissions for HRRP conditions. Describes trends in post-discharge follow-up before and after the telehealth expansion and compares trends by health condition, sociodemographic characteristics, rurality, and follow-up method.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Hospital Readmissions Reduction Program (HRRP) and examines the impact of expanded Medicare payment for telehealth services on post-discharge follow-up and hospital readmissions for HRRP conditions. Describes trends in post-discharge follow-up before and after the telehealth expansion and compares trends by health condition, sociodemographic characteristics, rurality, and follow-up method.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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