Rural Health
Resources by Topic: Healthcare needs and services
Distance as an Obstacle to Clinical Trial Access: Who Is Affected and Why It Matters
Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Sponsoring organization: The Milken Institute
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Evaluates factors associated with geographic remoteness of 60 miles or more from the nearest phase 2 or 3 clinical trial for a variety of health conditions. Discusses American Indian reservations and rural areas, and provides data on demographic factors associated with remoteness including race and ethnicity, educational attainment, and poverty. Includes a county-level interactive map of clinical trial remoteness for health conditions including cancers, substance use disorder, diabetes, obesity, COPD, stroke, and more. Requires the creation of a free account to view.
Author(s): Andrew Friedson, Bumyang Kim, Maggie Switek, Lawson Mansell
Date: 06/2024
Sponsoring organization: The Milken Institute
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Assessing How Alcohol Use Patterns Relate to Obesity among American Adolescents from Rural and Urban Areas: Five Years of Pooled Data
Analyzes the association between alcohol use and obesity among rural and urban adolescents aged 12-17. Utilizes 2015-2019 National Survey on Drug Use and Health data.
Author(s): Christian E. Vazquez, Fawn A. Brown, Faheem Ohri, Philip Baiden
Citation: PLoS ONE, 19(6), e0305638
Date: 06/2024
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Analyzes the association between alcohol use and obesity among rural and urban adolescents aged 12-17. Utilizes 2015-2019 National Survey on Drug Use and Health data.
Author(s): Christian E. Vazquez, Fawn A. Brown, Faheem Ohri, Philip Baiden
Citation: PLoS ONE, 19(6), e0305638
Date: 06/2024
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Community Buprenorphine Continuation Post-Release Following Extended Release Vs. Sublingual Buprenorphine During Incarceration: A Pilot Project in Maine
Compares post-release outcomes among incarcerated people who received extended-release buprenorphine (XRB) versus sublingual buprenorphine (SLB) for opioid use disorder (OUD) in rural Maine jails. Includes data from two jails, one of which had implemented an XRB pilot program, on rates of post-release community buprenorphine treatment continuation, diversion, safety concerns, XRB side effects, and post-release mortality.
Author(s): Alane B. O'Connor, Catherine Gelsinger, Sadie M. Donovan, Jessica Marshall, Katherine A. Ahrens
Citation: Health & Justice, 12, 28
Date: 06/2024
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Compares post-release outcomes among incarcerated people who received extended-release buprenorphine (XRB) versus sublingual buprenorphine (SLB) for opioid use disorder (OUD) in rural Maine jails. Includes data from two jails, one of which had implemented an XRB pilot program, on rates of post-release community buprenorphine treatment continuation, diversion, safety concerns, XRB side effects, and post-release mortality.
Author(s): Alane B. O'Connor, Catherine Gelsinger, Sadie M. Donovan, Jessica Marshall, Katherine A. Ahrens
Citation: Health & Justice, 12, 28
Date: 06/2024
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Congruence Between County Dental Health Provider Shortage Area Designations and the Social Vulnerability Index
Provides visual comparisons of the relationship between Dental Health Provider Shortage Areas (HPSAs) and the Centers for Disease Control and Prevention's 2020 Social Vulnerability Index (SVI) designations on county-level U.S. maps. Includes table showing median county-level SVI score by HPSA designation, broken down by metro, nonmetro, and all county.
Author(s): Gabriel A. Benavidez, Elizabeth Crouch, Joni Nelson, Amy Martin
Citation: Preventing Chronic Disease, 21
Date: 06/2024
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Provides visual comparisons of the relationship between Dental Health Provider Shortage Areas (HPSAs) and the Centers for Disease Control and Prevention's 2020 Social Vulnerability Index (SVI) designations on county-level U.S. maps. Includes table showing median county-level SVI score by HPSA designation, broken down by metro, nonmetro, and all county.
Author(s): Gabriel A. Benavidez, Elizabeth Crouch, Joni Nelson, Amy Martin
Citation: Preventing Chronic Disease, 21
Date: 06/2024
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Nurse Staffing Estimates in US Nursing Homes, May 2024
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) April 2024 final rule that established minimum nurse staffing requirements for nursing homes. Analyzes May 2024 data from Nursing Home Care Compare to examine current staffing levels in U.S. nursing homes relative to specific minimum staffing requirements in the final rule. Includes an illustrative example of a 100-bed facility to explore how many nurse staff would need to be added per shift during the final rule's implementation phase to meet or exceed the final rule's minimum requirements. Presents data by facility characteristics, including ownership type, rural or urban location, and bed size.
Author(s): Martin Blanco, Iara Oliveira, Marie Squillace, Damian Da Costa
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) April 2024 final rule that established minimum nurse staffing requirements for nursing homes. Analyzes May 2024 data from Nursing Home Care Compare to examine current staffing levels in U.S. nursing homes relative to specific minimum staffing requirements in the final rule. Includes an illustrative example of a 100-bed facility to explore how many nurse staff would need to be added per shift during the final rule's implementation phase to meet or exceed the final rule's minimum requirements. Presents data by facility characteristics, including ownership type, rural or urban location, and bed size.
Author(s): Martin Blanco, Iara Oliveira, Marie Squillace, Damian Da Costa
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report
Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Identifying Challenges and Solutions for Improving Access to Mental Health Services for Rural Youth: Insights from Adult Community Members
Presents a study on the barriers to accessing mental healthcare for rural youth in Washington State. Bases finding on interviews with community members, parents, teachers, and healthcare providers and discusses ways to overcome perceived barriers.
Author(s): Janessa M. Graves, Demetrius A. Abshire, Elissa Koontz, Jessica L. Mackelprang
Citation: International Journal of Environmental Research and Public Health, 21(6), 725
Date: 06/2024
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Presents a study on the barriers to accessing mental healthcare for rural youth in Washington State. Bases finding on interviews with community members, parents, teachers, and healthcare providers and discusses ways to overcome perceived barriers.
Author(s): Janessa M. Graves, Demetrius A. Abshire, Elissa Koontz, Jessica L. Mackelprang
Citation: International Journal of Environmental Research and Public Health, 21(6), 725
Date: 06/2024
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Impact of Rural Location on Receipt of Standard of Care Treatment and Survival for Locally Advanced Bladder Cancer in Louisiana
Examines whether rural or urban dwelling affects odds of receiving standard of care (SOC) treatment and survival outcomes among 983 locally advanced bladder cancer patients in Louisiana. Utilizes 2010-2020 Louisiana Tumor Registry data.
Author(s): Megan Escott, Yong Yi, Ashley Foret, et al.
Citation: Cancer Medicine, 13(12), e7301
Date: 06/2024
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Examines whether rural or urban dwelling affects odds of receiving standard of care (SOC) treatment and survival outcomes among 983 locally advanced bladder cancer patients in Louisiana. Utilizes 2010-2020 Louisiana Tumor Registry data.
Author(s): Megan Escott, Yong Yi, Ashley Foret, et al.
Citation: Cancer Medicine, 13(12), e7301
Date: 06/2024
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Treatment for Opioid Use Disorder: Population Estimates — United States, 2022
Describes the U.S. adult populations who need opioid use disorder (OUD) treatment, receive any OUD treatment, and receive medication for OUD. Includes data for metropolitan compared to micropolitan and noncore locations.
Author(s): Deborah Dowell, Samantha Brown, Shiromani Gyawali, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(25), 567-574
Date: 06/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Describes the U.S. adult populations who need opioid use disorder (OUD) treatment, receive any OUD treatment, and receive medication for OUD. Includes data for metropolitan compared to micropolitan and noncore locations.
Author(s): Deborah Dowell, Samantha Brown, Shiromani Gyawali, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(25), 567-574
Date: 06/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Mountain West HPV Vaccination Project Helps Shape American Cancer Society National HPV Vaccination Program
Provides an overview of the American Cancer Society (ACS) Mountain West HPV vaccination project, which focused on increasing HPV vaccination among adolescents in Idaho, Montana, Nevada, Utah, and Wyoming. Details ACS partnerships with health systems and other groups to implement interventions and provide professional education.
Author(s): Ashley Lach, Hannah Nein
Date: 06/2024
Sponsoring organization: St. Jude Children's Research Hospital
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Provides an overview of the American Cancer Society (ACS) Mountain West HPV vaccination project, which focused on increasing HPV vaccination among adolescents in Idaho, Montana, Nevada, Utah, and Wyoming. Details ACS partnerships with health systems and other groups to implement interventions and provide professional education.
Author(s): Ashley Lach, Hannah Nein
Date: 06/2024
Sponsoring organization: St. Jude Children's Research Hospital
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