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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Exploring Barriers and Promoters of CRC Screening Use among Agricultural Operators: A Pilot Study of an Application of Concept Mapping
Presents results from two agricultural operator focus groups, one of 7 women and the other of 7 men, which took place in rural Nebraska and discussed factors affecting the choice to be screened for colorectal cancer (CRC). Covers cost of care, access, awareness, family and community support, history of CRC, and provider-related variables. Identifies sex-specific factors influencing screening, and discusses approaches to screening promotion for farmers and ranchers.
Author(s): Cheryl Beseler, Jungyoon Kim, Roma Subramanian, et al.
Citation: Rural and Remote Health, 23(4), 8413
Date: 12/2023
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Medicaid and CHIP Enrollees Who Received a Well-Child Visit in 2020
Presents data on the percentage and number of children under age 19 who received a well-child visit that was paid for by Medicaid or CHIP in 2020. Describes the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by selected sociodemographic characteristics, including age, urban or rural residence, and program type.
Date: 12/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Section 1915(c) Waiver Program Participants in 2020
Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Describes the share of enrollees who participated in a Section 1915(c) waiver program overall and by selected sociodemographic characteristics, including age, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Medicaid and CHIP Enrollees Who Received Mental Health or SUD Services in 2020
Presents data on the percentage and number of Medicaid and CHIP enrollees who received mental health or substance use disorder (SUD) services in 2020. Describes the share of enrollees who used these services overall and by selected sociodemographic characteristics, including as age, sex, urban or rural status, Medicaid or CHIP eligibility category, and more.
Date: 12/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Keeping Rural EMS Reliable and Sustainable, with James Small
An episode of the Exploring Rural Health podcast featuring James Small, Rural EMS Outreach Director for the Wisconsin Office of Rural Health. Focuses on rural emergency medical services workforce and funding shortages, and how rural EMS can be maintained and expanded.
Date: 12/2023
Sponsoring organization: Rural Health Information Hub
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Investigation of Predictors of Severity Of Diabetes Complications among Hospitalized Patients with Diabetes in Florida, 2016–2019
Examines risk factors for severe diabetes complications in adult hospitalizations in Florida by considering individual socioeconomic as well as area-level predictors. Utilizes 2016-2019 hospital discharge data to analyze predictors of complications and formulate a Neighborhood Deprivation Index for rural and urban ZIP code tabulation areas (ZCTAs) in Florida.
Author(s): Jennifer Lord, Keshia Reid, Chris Duclos, Alan Mai, Agricola Odoi
Citation: BMC Public Health, 23, 2424
Date: 12/2023
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Geographic Variations in Driving Time to U.S. Mental Health Care, Digital Access to Technology, & Household Crowdedness
Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N.D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Participation in a Medicare Advanced Primary Care Model and the Delivery of High-Value Services
Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
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Veterans With Blood Cancers: Clinical Trial Navigation and the Challenge of Rurality
Presents a study on the geographic barriers to accessing cancer trials faced by rural veterans. Explored the availability of cancer trials based on rurality and highlights clinical trial deserts. Breaks down demographic data by sex, cancer type, and rurality, among other measures.
Author(s): Daphne R. Friedman, Thomas D. Rodgers, Courtney Kovalick, et al.
Citation: Journal of Rural Health, 40(1), 114-120
Date: 12/2023
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VA Versus Non-VA Quality of Care: A Systematic Review
Presents a review of healthcare quality for veterans in VA and non-VA settings. Analyzes 42 studies of non-surgical care and 19 studies of surgical care. Highlights studies focusing on rural veterans and details rural veterans' reported satisfaction with the care they received.
Additional links: Executive Summary
Author(s): Paul Shekelle, Melinda Maggard-Gibbons, Mariah Blegen, et al.
Date: 12/2023
Sponsoring organization: U.S. Department of Veterans Affairs
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