Rural Health
Resources by Topic: Health disparities
Disparities in the Use of In-Person and Telehealth Primary Care Among High- and Low-Risk Medicare Beneficiaries During COVID-19
Study examining telehealth and in-person primary care for low-risk and high-risk Medicare beneficiaries, assessing telehealth's ability to compensate for fewer in-person clinical visits due to the COVID-19 pandemic. Describes rural and urban differences in health risk and telehealth utilization. Analyzes data from Medicare beneficiaries from an Accountable Care Organization (ACO) in Wisconsin.
Author(s): Ying Jessica Cao, Dandi Chen, Yao Liu, Maureen Smith
Citation: Journal of Patient Experience, 8, 1-10
Date: 12/2021
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Study examining telehealth and in-person primary care for low-risk and high-risk Medicare beneficiaries, assessing telehealth's ability to compensate for fewer in-person clinical visits due to the COVID-19 pandemic. Describes rural and urban differences in health risk and telehealth utilization. Analyzes data from Medicare beneficiaries from an Accountable Care Organization (ACO) in Wisconsin.
Author(s): Ying Jessica Cao, Dandi Chen, Yao Liu, Maureen Smith
Citation: Journal of Patient Experience, 8, 1-10
Date: 12/2021
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COVID-19 National Emergency: Early Trends in Hospitalizations for Hospital Readmissions Reduction Program Health Conditions and 30-Day Readmission Rates
Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Veteran Oral Health: Expanding Access and Equity
Report discusses the oral health disparities and barriers to access for veterans. Features data pertaining to the oral health status of rural veterans and explores oral health coverage among veterans.
Author(s): Annaliese Cothron, Sean Boynes, Chelsea Chokas, et al.
Date: 12/2021
Sponsoring organizations: American Institute of Dental Public Health, CareQuest Institute for Oral Health
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Report discusses the oral health disparities and barriers to access for veterans. Features data pertaining to the oral health status of rural veterans and explores oral health coverage among veterans.
Author(s): Annaliese Cothron, Sean Boynes, Chelsea Chokas, et al.
Date: 12/2021
Sponsoring organizations: American Institute of Dental Public Health, CareQuest Institute for Oral Health
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Public Health Forward: Modernizing the U.S. Public Health System
Provides a framework for policymakers and public health officials to guide investments and decision-making to implement a public health system to address challenges beyond the COVID-19 pandemic with a focus on equity. Covers six core areas: financing, laws and governance, community engagement, partnerships, workforce, and data and information technology. Highlights challenges and considerations for rural communities and Tribal nations throughout.
Date: 12/2021
Sponsoring organization: Bipartisan Policy Center
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Provides a framework for policymakers and public health officials to guide investments and decision-making to implement a public health system to address challenges beyond the COVID-19 pandemic with a focus on equity. Covers six core areas: financing, laws and governance, community engagement, partnerships, workforce, and data and information technology. Highlights challenges and considerations for rural communities and Tribal nations throughout.
Date: 12/2021
Sponsoring organization: Bipartisan Policy Center
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Health Care Experiences During the COVID-19 Pandemic by Race and Social Determinants of Health among Adults Age ≥ 58 years in the REGARDS Study
Presents results of a survey of Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study participants about their experiences with SARS-CoV-2 testing and access to care. Presents data on COVID-19 testing, symptoms of COVID-19 without a diagnosis, and changes to access to care by participant characteristics, including rural and urban residence.
Author(s): Emily B. Levitan, Virginia J. Howard, Mary Cushman, et al.
Citation: BMC Public Health, 21
Date: 12/2021
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Presents results of a survey of Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study participants about their experiences with SARS-CoV-2 testing and access to care. Presents data on COVID-19 testing, symptoms of COVID-19 without a diagnosis, and changes to access to care by participant characteristics, including rural and urban residence.
Author(s): Emily B. Levitan, Virginia J. Howard, Mary Cushman, et al.
Citation: BMC Public Health, 21
Date: 12/2021
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Evidence Brief: Prevalence of Intimate Partner Violence/Sexual Assault Among Veterans
Report details a study on the prevalence of intimate partner violence and sexual assault experienced by veterans. Breaks down data by type of abuse suffered and rurality, among other measures.
Additional links: Supplemental Materials
Author(s): Nicholas J. Parr, Sarah Young, Rachel Ward, Katherine Mackey
Date: 12/2021
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Health Administration
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Report details a study on the prevalence of intimate partner violence and sexual assault experienced by veterans. Breaks down data by type of abuse suffered and rurality, among other measures.
Additional links: Supplemental Materials
Author(s): Nicholas J. Parr, Sarah Young, Rachel Ward, Katherine Mackey
Date: 12/2021
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Health Administration
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High-Risk Outreach for COVID-19 Mortality Reduction in an Indigenous Community
Explores the public health disparities in rural indigenous communities based on COVID-19 mortality rates. Discusses methods for mortality reduction in pandemic response procedures and general public health policy in Native American communities.
Author(s): Myles J. Stone, Ryan M. Close, Christopher K. Jentoft, et al.
Citation: American Journal of Public Health, 111(11), 1939–1941
Date: 11/2021
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Explores the public health disparities in rural indigenous communities based on COVID-19 mortality rates. Discusses methods for mortality reduction in pandemic response procedures and general public health policy in Native American communities.
Author(s): Myles J. Stone, Ryan M. Close, Christopher K. Jentoft, et al.
Citation: American Journal of Public Health, 111(11), 1939–1941
Date: 11/2021
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For Want of a Dentist: The Rise of the Dental Therapy Movement in Tribal Nations and the U.S.
Report discusses the role of dental therapists in tribal communities to address oral health workforce shortages. Details the history of oral health professional shortages, highlights the populations bearing the burden of the shortages, and describes how tribal communities have used dental therapists to improve access to oral healthcare.
Date: 11/2021
Sponsoring organization: W. K. Kellogg Foundation
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Report discusses the role of dental therapists in tribal communities to address oral health workforce shortages. Details the history of oral health professional shortages, highlights the populations bearing the burden of the shortages, and describes how tribal communities have used dental therapists to improve access to oral healthcare.
Date: 11/2021
Sponsoring organization: W. K. Kellogg Foundation
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Gradual Adoption of Needle Biopsy for Breast Lesions in a Rural State
Examines disparities in minimally invasive breast biopsy (MIBB) usage in rural and urban areas of Vermont, based on 9,122 diagnostic episodes from 1999 to 2018. Includes demographic data of women who underwent biopsy broken down by age, history of breast biopsy, education, and rural versus urban residence. Discusses efforts to eliminate disparities in relationship to MIBB rates to improve standard of care.
Author(s): Serena Murphy, Yi-Chuan Yu, Colleen Kerrigan, Brian Sprague, Michelle Sowden
Citation: Cancer Medicine, 10(23), 8320-8327
Date: 11/2021
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Examines disparities in minimally invasive breast biopsy (MIBB) usage in rural and urban areas of Vermont, based on 9,122 diagnostic episodes from 1999 to 2018. Includes demographic data of women who underwent biopsy broken down by age, history of breast biopsy, education, and rural versus urban residence. Discusses efforts to eliminate disparities in relationship to MIBB rates to improve standard of care.
Author(s): Serena Murphy, Yi-Chuan Yu, Colleen Kerrigan, Brian Sprague, Michelle Sowden
Citation: Cancer Medicine, 10(23), 8320-8327
Date: 11/2021
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Missouri State Health Assessment 2024
Describes the Missouri state health status assessment, community themes and strengths, state health system assessment, and forces of change. Mentions rural throughout and includes statistics showing disparities between urban and rural areas for various health issues.
Date: 11/2021
Sponsoring organization: Missouri Department of Health and Senior Services
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Describes the Missouri state health status assessment, community themes and strengths, state health system assessment, and forces of change. Mentions rural throughout and includes statistics showing disparities between urban and rural areas for various health issues.
Date: 11/2021
Sponsoring organization: Missouri Department of Health and Senior Services
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