Rural Health
Resources by Topic: Healthcare needs and services
Effect of Health System on the Association of Rurality and Level of Disadvantage with Receipt of Diabetic Eye Screening
Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, sex, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J. Lock, Roomasa Channa, Meghan B. Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10(6), e003174
Date: 12/2022
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Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, sex, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J. Lock, Roomasa Channa, Meghan B. Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10(6), e003174
Date: 12/2022
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COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread
Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data
Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare in September 2022. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare in September 2022. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Impact of Healthcare Capacity Disparities on the COVID-19 Vaccination Coverage in the United States: A Cross-Sectional Study
Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
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Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
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Mental Health Disorders Among Delivery Inpatient Stays by Patient Race and Ethnicity, 2020
Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Developing a Co-Production Strategy to Facilitate the Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions for Rural Health Systems: A Pilot Study
Reports on the process of introducing a co-production/bundle strategy of evidence-based colorectal cancer screening (CRCS) interventions in 2 rural clinics to allow the clinics to evaluate and select the CRCS interventions best suited for their clinics. Explains the study design, evaluation plan, measures, and results of the bundled implementation strategy to improve CRCS in rural areas.
Author(s): Jungyoon Kim, Paul Estabrooks, Alisha Aggarwal, Analisa McMillan, Khalid Alshehri
Citation: Implementation Science Communications, 3, 131
Date: 12/2022
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Reports on the process of introducing a co-production/bundle strategy of evidence-based colorectal cancer screening (CRCS) interventions in 2 rural clinics to allow the clinics to evaluate and select the CRCS interventions best suited for their clinics. Explains the study design, evaluation plan, measures, and results of the bundled implementation strategy to improve CRCS in rural areas.
Author(s): Jungyoon Kim, Paul Estabrooks, Alisha Aggarwal, Analisa McMillan, Khalid Alshehri
Citation: Implementation Science Communications, 3, 131
Date: 12/2022
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Doula Care and Maternal Health: An Evidence Review
Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Racial and Ethnic Differences in Emergency Department Visits Related to Substance Use Disorders, 2019
Explores emergency department (ED) visits related to substance use disorders (SUD) using data from the 2019 Nationwide Emergency Department Sample (NEDS). Presents the number and percentage of SUD-related ED visits by race and ethnicity for selected patient characteristics, including sex, age group, rural/urban location, and the social vulnerability of the county in which the individual resides.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Explores emergency department (ED) visits related to substance use disorders (SUD) using data from the 2019 Nationwide Emergency Department Sample (NEDS). Presents the number and percentage of SUD-related ED visits by race and ethnicity for selected patient characteristics, including sex, age group, rural/urban location, and the social vulnerability of the county in which the individual resides.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Variation in Residential Care Community Resident Characteristics, by Size of Community: United States, 2020
Examines residential care communities in 2020 by community size, which is calculated by the number of residential care beds in their community: 4-25 beds, 26-50 beds, or over 50 beds. Includes data further broken down by selected resident characteristics, including age; Medicaid beneficiary status; prevalence of chronic conditions; and assistance needs for walking, bathing, eating.
Author(s): Christine Caffrey, Amanuel Melekin, Zhaohui Lu, Manisha Sengupta
Date: 12/2022
Sponsoring organization: National Center for Health Statistics
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Examines residential care communities in 2020 by community size, which is calculated by the number of residential care beds in their community: 4-25 beds, 26-50 beds, or over 50 beds. Includes data further broken down by selected resident characteristics, including age; Medicaid beneficiary status; prevalence of chronic conditions; and assistance needs for walking, bathing, eating.
Author(s): Christine Caffrey, Amanuel Melekin, Zhaohui Lu, Manisha Sengupta
Date: 12/2022
Sponsoring organization: National Center for Health Statistics
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Early Changes in Waivered Clinicians and Utilization of Buprenorphine for Opioid Use Disorder After Implementation of the 2021 HHS Buprenorphine Practice Guidelines
Report examines the changes in access to buprenorphine following the implementation of new HHS guidelines as of April 2021. Discusses the revised guidelines and analyzes their effect on access to buprenorphine for patients with opioid use disorder.
Date: 12/2022
Sponsoring organization: U.S. Department of Health and Human Services
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Report examines the changes in access to buprenorphine following the implementation of new HHS guidelines as of April 2021. Discusses the revised guidelines and analyzes their effect on access to buprenorphine for patients with opioid use disorder.
Date: 12/2022
Sponsoring organization: U.S. Department of Health and Human Services
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