Rural Health
Resources by Topic: Health disparities
Rural Carve-Out Funding
Policy brief discussing rural health funding inequities and the potential to target federal funding to rural and underserved communities to improve community-level health behaviors, workforce, technology, and financial resources. Offers policy recommendations to improve the equitable distribution of federal funding and promote best practices.
Author(s): Michael Meit, Crystal Barter, Sally Buck, Mark Woodring
Date: 09/2021
Sponsoring organization: National Rural Health Association
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Policy brief discussing rural health funding inequities and the potential to target federal funding to rural and underserved communities to improve community-level health behaviors, workforce, technology, and financial resources. Offers policy recommendations to improve the equitable distribution of federal funding and promote best practices.
Author(s): Michael Meit, Crystal Barter, Sally Buck, Mark Woodring
Date: 09/2021
Sponsoring organization: National Rural Health Association
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Hyperlocal Covid-19 Testing and Vaccination Strategies to Reach Communities with Low Vaccine Uptake
Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Sponsoring organization: Duke-Margolis Center for Health Policy
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Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Sponsoring organization: Duke-Margolis Center for Health Policy
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Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Urban-Rural Differences in Suicide Rates and Leading Means in Kansas
Examines suicide rates and the means of suicide in Kansas between 2000-2019. Compares data by frontier, rural, densely-settled rural, semi-urban, and urban counties.
Date: 09/2021
Sponsoring organization: Kansas Health Institute
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Examines suicide rates and the means of suicide in Kansas between 2000-2019. Compares data by frontier, rural, densely-settled rural, semi-urban, and urban counties.
Date: 09/2021
Sponsoring organization: Kansas Health Institute
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Extent of Inclusion of "Rural" in Comprehensive Cancer Control Plans in the United States
Presents a study of 66 comprehensive cancer control plans (CCCPs) created by states, territories, and tribal organizations to assess inclusion of rural-specific strategies. Explains CCCP requirements and offers state-level data on how plans reflect rural population, cancer burden, and disparities.
Author(s): Cathryn Murphy, Sydney Evans, Natoshia Askelson, Jan M. Eberth, Whitney E. Zahnd
Citation: Preventing Chronic Disease, 18, 210091
Date: 09/2021
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Presents a study of 66 comprehensive cancer control plans (CCCPs) created by states, territories, and tribal organizations to assess inclusion of rural-specific strategies. Explains CCCP requirements and offers state-level data on how plans reflect rural population, cancer burden, and disparities.
Author(s): Cathryn Murphy, Sydney Evans, Natoshia Askelson, Jan M. Eberth, Whitney E. Zahnd
Citation: Preventing Chronic Disease, 18, 210091
Date: 09/2021
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Primary Care Mental Health Integration to Improve Early Treatment Engagement for Veterans Who Screen Positive for Depression
Analyzes the impact of mental health integration into primary care clinics (PC-MHI) among veterans diagnosed with depression. Examines 15,155 patients that screened positively for depression, with data broken down by PC-MHI reach, timeliness of depression treatment, patient sociodemographic variables and health status, and clinic characteristics, including rurality. Discusses patient location and its relationship to veteran mental health disparities.
Author(s): Lucinda B. Leung, Karen Chu, Danielle E. Rose, et al.
Citation: Health Services Research, 59(S2)
Date: 08/2021
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Analyzes the impact of mental health integration into primary care clinics (PC-MHI) among veterans diagnosed with depression. Examines 15,155 patients that screened positively for depression, with data broken down by PC-MHI reach, timeliness of depression treatment, patient sociodemographic variables and health status, and clinic characteristics, including rurality. Discusses patient location and its relationship to veteran mental health disparities.
Author(s): Lucinda B. Leung, Karen Chu, Danielle E. Rose, et al.
Citation: Health Services Research, 59(S2)
Date: 08/2021
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Secondhand Smoke Exposure at Home and/ or in a Vehicle: Differences Between Urban and Non-Urban Adolescents in the United States, From 2015 to 2018
Explores geographic disparities in secondhand smoke exposure for urban and non-urban youth. Analyzes 69,249 middle and high school students from the 2015-2018 National Youth Tobacco Survey and breaks down the sample by sex, grade level, type of tobacco, status related to living with a tobacco user, year studied, and urban versus non-urban location.
Author(s): Dale S. Mantey, Onyinye Omega-Njemnobi, Cristina S. Barroso
Citation: Nicotine & Tobacco Research, 23(8), 1327-1333
Date: 08/2021
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Explores geographic disparities in secondhand smoke exposure for urban and non-urban youth. Analyzes 69,249 middle and high school students from the 2015-2018 National Youth Tobacco Survey and breaks down the sample by sex, grade level, type of tobacco, status related to living with a tobacco user, year studied, and urban versus non-urban location.
Author(s): Dale S. Mantey, Onyinye Omega-Njemnobi, Cristina S. Barroso
Citation: Nicotine & Tobacco Research, 23(8), 1327-1333
Date: 08/2021
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Improving Behavioral Health Services for Individuals with SMI in Rural and Remote Communities
Discusses behavioral health workforce shortages in rural and remote areas and the effect this has on healthcare access for people with serious mental illness (SMI). Highlights strategies for reducing barriers to access and improve workforce retention. Provides examples of programs to improve access in various states.
Date: 08/2021
Sponsoring organizations: American Psychiatric Association, SMI Adviser, Substance Abuse and Mental Health Services Administration
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Discusses behavioral health workforce shortages in rural and remote areas and the effect this has on healthcare access for people with serious mental illness (SMI). Highlights strategies for reducing barriers to access and improve workforce retention. Provides examples of programs to improve access in various states.
Date: 08/2021
Sponsoring organizations: American Psychiatric Association, SMI Adviser, Substance Abuse and Mental Health Services Administration
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Epidemiology of Acute Myeloid Leukemia in Virginia: Excellent Survival Outcomes for Patients in Rural Appalachia
Results of a study comparing the molecular characteristics of patients with acute myeloid leukemia (AML) in rural and urban Virginia. Also evaluates the effect of geography and socioeconomic factors on the biology, treatment, and survival rate of AML patients. Features demographics with breakdowns by urban or rural location and a county-level map showing frequency of patients, with shadings indicating urban or rural area.
Author(s): Krista M. Isaac, Daniel R. Reed, Raj Piyush Desai, et al.
Citation: Cancer Reports (Hoboken), 4(4), e1354
Date: 08/2021
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Results of a study comparing the molecular characteristics of patients with acute myeloid leukemia (AML) in rural and urban Virginia. Also evaluates the effect of geography and socioeconomic factors on the biology, treatment, and survival rate of AML patients. Features demographics with breakdowns by urban or rural location and a county-level map showing frequency of patients, with shadings indicating urban or rural area.
Author(s): Krista M. Isaac, Daniel R. Reed, Raj Piyush Desai, et al.
Citation: Cancer Reports (Hoboken), 4(4), e1354
Date: 08/2021
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Barriers for Implementing the Hub and Spoke Model to Expand Medication for Opioid Use Disorder: A Case Study of Montana
Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
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Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
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