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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

How the COVID-19 Pandemic Changed Urban and Rural Spending Habits
A collection of charts showing changes in spending in urban and rural areas in 2019 compared to 2020. Includes data on healthcare expenditures, including medical supplies, medical services, health insurance, and prescription drugs. Also covers spending related to food, transportation, and more.
Date: 12/2022
Sponsoring organization: Bureau of Labor Statistics
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30 Years Of 340B: Preserving The Health Care Safety Net
Discusses the development and purpose of the 340B Drug Pricing Program, and provides an overview of the program. Summarizes research on the impact of the 340B program on hospitals and lessons learned.
Author(s): Henry A. Waxman
Citation: Health Affairs Forefront
Date: 12/2022
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Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April–December 2020), 38 States and DC
Presents data from 38 states on the number of all-cause hospitalizations and in-hospital deaths between April-December 2020 compared to the same period in 2019. Includes data by location of patient residence for large metro, medium and small metro, and rural areas.
Author(s): Marc Roemer, Jennifer Welch
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Evaluation of the Primary Care First Model: First Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the first performance year of the PCF model for Cohort 1 practices. Explores advanced primary care attributes that Cohort 1 practices report they possessed at the start of PCF and the approaches these practices have taken or plan to take to change how they deliver advanced primary care. Presents findings on the 13 payers that are partnering with the Centers for Medicare & Medicaid Services (CMS) as payer partners, including why they chose to partner with CMS and efforts made to align their payments with CMS in the PCF model.
Additional links: Findings at a Glance
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Rural Public Health Workforce Training Network Program: 2022 Grantee Directory
Provides contact information and brief descriptions for the 32 rural health networks funded by the Rural Public Health Workforce Training Network (RPHWTN) program during the 2022-2025 grant period to expand rural public health capacity. Includes information by state and organization type as well as by program track for community health support, health IT and/or telehealth technical support, community paramedicine, and case management and/or respiratory therapy.
Date: 12/2022
Sponsoring organization: Federal Office of Rural Health Policy
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Public Health Is Local
Discusses ways local health departments (LHDs) of various sizes can collaborate with state and federal partners and successfully implement programs. Considers issues facing current LHDs, such as localism versus centralism, the COVID-19 pandemic, staffing and capacity issues, and more. Offers potential solutions and planning strategies for obstacles LHDs face.
Author(s): Nisha M. Patel, Padmini Ranasinghe, Phillip Phan, et al.
Citation: Health Affairs Forefront
Date: 12/2022
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Adolescent Reproductive Health Outcomes Among Mexican-Origin Women on Both Sides of the U.S.-Mexico Border
Highlights a study on the age, sexual history, and contraceptive use of adolescent mothers of Mexican origin in the U.S.-Mexico border region. Explores factors contributing to adolescent pregnancy. Compares foreign-born women of Mexican origin, U.S.-born women of Mexican origin, and Mexican women residing in Mexico. Breaks down data by age, household size, and rural versus urban/suburban location.
Author(s): Blair G. Darney, Emily Boniface, Laura E. Jacobson, et al.
Citation: Journal of Adolescent Health, 71(6), 679-687
Date: 12/2022
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Development of a Colorectal Cancer Screening Intervention for Alaska Native People During a Pandemic Year
Examines the development and implementation of a screening methodology for colorectal cancer (CRC) in Alaska Native (AN) populations. Analyzes 32 rural/remote AN communities who received various community-based CRC screening interventions compared to 14 AN communities who received opportunistic care for CRC screening. Includes discussion about barriers and challenges of screening in rural AN populations, particularly during the COVID-19 pandemic.
Author(s): Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, et al.
Citation: Contemporary Clinical Trials Communications, 30, 101016
Date: 12/2022
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Before and During Pandemic Telemedicine Use: An Analysis of Rural and Urban Safety-Net Clinics
Investigates telemedicine use for primary care before and during the COVID-19 pandemic. Utilizes electronic health record data to analyze 1,015,722 patients seen in 466 different safety-net clinics. Includes on patients by demographic characteristics; chronic disease status; and urban, large rural, small rural, or isolated rural residence.
Author(s): Annie E. Larson, Whitney E. Zahnd, Melinda M. Davis, et al.
Citation: American Journal of Preventative Medicine, 63(6), 1031-1036
Date: 12/2022
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Contraceptive Care Service Provision via Telehealth Early in the COVID-19 Pandemic at Rural and Urban Federally Qualified Health Centers in 2 Southeastern States
Explores a study on the use of telehealth by Federally Qualified Health Centers (FQHCs) to provide contraceptive services during the COVID-19 pandemic in Alabama and South Carolina. Breaks down data by clinic accessibility and services offered, type of contraceptives provided, and rural versus urban location, among other factors.
Author(s): Kate Beatty, Michael G. Smith, Amal J. Khoury, et al.
Citation: Journal of Rural Health, 39(1), 160-171
Date: 12/2022
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