Rural Health
Resources by Topic: Healthcare needs and services
Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016–2021
Examines severe maternal morbidity (SMM) in U.S. women by patient characteristics and type of SMM complication. Utilizes 2016-2021 National Inpatient Sample (NIS) data to analyze yearly trends, with breakdowns for patient age, race/ethnicity, insurance status, income, and residence by large metro, medium/small metro, or nonmetro. Discusses impacts of COVID-19 on SMM trends.
Author(s): Lawrence D. Reid
Date: 09/2024
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Examines severe maternal morbidity (SMM) in U.S. women by patient characteristics and type of SMM complication. Utilizes 2016-2021 National Inpatient Sample (NIS) data to analyze yearly trends, with breakdowns for patient age, race/ethnicity, insurance status, income, and residence by large metro, medium/small metro, or nonmetro. Discusses impacts of COVID-19 on SMM trends.
Author(s): Lawrence D. Reid
Date: 09/2024
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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States Could Better Leverage Coverage and Access Requirements To Promote Maternal Health Care Access in Medicaid Managed Care
Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
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Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
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The Health and Well-Being of Women in Farming: A Systematic Scoping Review
A scoping review of 93 studies published between 1990 and 2023 from the Global North (including 73 studies from the United States) investigating the health and well-being of women in farming. Summarizes key findings including the relationship between health and chemical exposures, physical health, safety, mental health, equality, sex-based violence, childcare, and help-seeking behaviors. Discusses the disparity in research for women farmers compared with male farmers.
Author(s): Rebecca Wheeler, Caroline Nye
Citation: Journal of Agromedicine, 30(1), 132-152
Date: 09/2024
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A scoping review of 93 studies published between 1990 and 2023 from the Global North (including 73 studies from the United States) investigating the health and well-being of women in farming. Summarizes key findings including the relationship between health and chemical exposures, physical health, safety, mental health, equality, sex-based violence, childcare, and help-seeking behaviors. Discusses the disparity in research for women farmers compared with male farmers.
Author(s): Rebecca Wheeler, Caroline Nye
Citation: Journal of Agromedicine, 30(1), 132-152
Date: 09/2024
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Investigating FIT Kit Completion for CRC Screening in Younger Adults in Rural Areas
Investigates demographic factors for 1,230 rural Nebraskans that influence the return of a fecal immunochemical test (FIT) kit, a colorectal cancer screening tool that may be an inexpensive and convenient option for those with limited access to colonoscopies. Compares the study findings with national trends and discusses reasons and remedies for delays in return time for the kit.
Author(s): Cheryl L. Beseler, Jungyoon Kim, Melissa Leypoldt, et al.
Citation: Discover Social Science and Health, 4(41)
Date: 09/2024
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Investigates demographic factors for 1,230 rural Nebraskans that influence the return of a fecal immunochemical test (FIT) kit, a colorectal cancer screening tool that may be an inexpensive and convenient option for those with limited access to colonoscopies. Compares the study findings with national trends and discusses reasons and remedies for delays in return time for the kit.
Author(s): Cheryl L. Beseler, Jungyoon Kim, Melissa Leypoldt, et al.
Citation: Discover Social Science and Health, 4(41)
Date: 09/2024
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Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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Health Care Worker Recruitment and Retention in New York State: What Are the Issues?
Report summarizing health workforce recruitment and retention difficulties experienced by providers in New York State, and reasons for these difficulties. Examines challenges in hospitals, nursing homes, Federally Qualified Health Centers, and other facilities, especially in rural areas of New York.
Additional links: Infographic
Author(s): Robert Martiniano, Sage Shirey
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Report summarizing health workforce recruitment and retention difficulties experienced by providers in New York State, and reasons for these difficulties. Examines challenges in hospitals, nursing homes, Federally Qualified Health Centers, and other facilities, especially in rural areas of New York.
Additional links: Infographic
Author(s): Robert Martiniano, Sage Shirey
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Intakes of Lean Proteins and Processed Meats and Differences in Mental Health between Rural and Metro Adults 50 Years and Older
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
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Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
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A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
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Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
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Obstetric Outcomes among Rural Parturients across US Urban and Rural Hospitals
Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L. Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L. Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
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Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L. Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L. Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
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Motorcycle Helmet Use in 2023 - Overall Results
Results of a survey providing nationwide probability-based observed data on motorcycle helmet use in the United States. Features statistics including motorcycle helmet use from 2014-2023, and use of noncompliant helmets by major motorcyclist characteristics in 2022-2023, with breakdowns by urban or rural location.
Date: 09/2024
Sponsoring organization: National Highway Traffic Safety Administration
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Results of a survey providing nationwide probability-based observed data on motorcycle helmet use in the United States. Features statistics including motorcycle helmet use from 2014-2023, and use of noncompliant helmets by major motorcyclist characteristics in 2022-2023, with breakdowns by urban or rural location.
Date: 09/2024
Sponsoring organization: National Highway Traffic Safety Administration
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