Rural Health
Resources by Topic: Healthcare needs and services
The Impact of Medicare's Rural Add-on Payments on Supply of Home Health Agencies Serving Rural Counties
Examines how Medicare rural add-on payments affected the number of home health agencies serving rural counties between 2002-2017. Compares the population-adjusted number of home health agencies in urban, urban-adjacent non-urban-adjacent rural counties during periods with add-on payments and without add-on payments. Discusses implications for revised and future add-on payments to maintain or increase the supply of rural home health agencies.
Author(s): Tracy M. Mroz, Davis G. Patterson, Bianca K. Frogner
Citation: Health Affairs, 39(6), 949-957
Date: 06/2020
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Examines how Medicare rural add-on payments affected the number of home health agencies serving rural counties between 2002-2017. Compares the population-adjusted number of home health agencies in urban, urban-adjacent non-urban-adjacent rural counties during periods with add-on payments and without add-on payments. Discusses implications for revised and future add-on payments to maintain or increase the supply of rural home health agencies.
Author(s): Tracy M. Mroz, Davis G. Patterson, Bianca K. Frogner
Citation: Health Affairs, 39(6), 949-957
Date: 06/2020
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Pennsylvania Mental Health Care Workforce Shortage: Challenges and Solutions: A Staff Study
Provides a discussion of mental healthcare workforce occupations and examines the factors that led to shortages in these fields. Describes how telemedicine can be used to extend the mental healthcare workforce in rural Pennsylvania and determines how state government entities can encourage more people to enter and remain in the mental healthcare workforce. Makes recommendations including increasing the number of psychiatric residencies in rural areas and designating more Rural Health Clinics. Includes a county-level map of Mental Health Professional Shortage Areas.
Author(s): Grant Rosul, Stephen J. Kramer, Wendy L. Baker
Date: 06/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Provides a discussion of mental healthcare workforce occupations and examines the factors that led to shortages in these fields. Describes how telemedicine can be used to extend the mental healthcare workforce in rural Pennsylvania and determines how state government entities can encourage more people to enter and remain in the mental healthcare workforce. Makes recommendations including increasing the number of psychiatric residencies in rural areas and designating more Rural Health Clinics. Includes a county-level map of Mental Health Professional Shortage Areas.
Author(s): Grant Rosul, Stephen J. Kramer, Wendy L. Baker
Date: 06/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Residential Proximity to Oil and Gas Development and Birth Outcomes in California: A Retrospective Cohort Study of 2006–2015 Births
Investigates relationship between residential proximity to oil and gas development (OGD) and adverse birth outcomes. Explores data of 2.9 million births to mothers living within 10km of OGD in rural areas and the relationship to low birth weight, preterm birth, and small for gestational age birth. Includes rural versus urban comparisons.
Author(s): Kathy V. Tran, Joan A. Casey, Lara J. Cushing, Rachel Morello-Frosch
Citation: Environmental Health Perspectives, 128(6)
Date: 06/2020
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Investigates relationship between residential proximity to oil and gas development (OGD) and adverse birth outcomes. Explores data of 2.9 million births to mothers living within 10km of OGD in rural areas and the relationship to low birth weight, preterm birth, and small for gestational age birth. Includes rural versus urban comparisons.
Author(s): Kathy V. Tran, Joan A. Casey, Lara J. Cushing, Rachel Morello-Frosch
Citation: Environmental Health Perspectives, 128(6)
Date: 06/2020
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Developing and Implementing Farm Stress Training to Address Agricultural Producer Mental Health
Offers an overview of a U.S. Department of Agriculture Farm Service Agency online training program for agribusiness professionals to offer mental health resources to farmers and ranchers. Describes issues of mental healthcare access for rural and farm populations and the process of developing the training program, as well as challenges, successes, and practical implications of the program.
Author(s): Courtney Cuthbertson, Alison Brennan, John Shutske, et al.
Citation: Health Promotion Practice, 1524839920931849
Date: 06/2020
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Offers an overview of a U.S. Department of Agriculture Farm Service Agency online training program for agribusiness professionals to offer mental health resources to farmers and ranchers. Describes issues of mental healthcare access for rural and farm populations and the process of developing the training program, as well as challenges, successes, and practical implications of the program.
Author(s): Courtney Cuthbertson, Alison Brennan, John Shutske, et al.
Citation: Health Promotion Practice, 1524839920931849
Date: 06/2020
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The Complexities of Selling Fruits and Vegetables in Remote Navajo Nation Retail Outlets: Perspectives from Owners and Managers of Small Stores
Highlights an examination of access to fruit and vegetables in small rural stores across the Navajo Nation in New Mexico. Details a survey of several small stores scattered throughout the Navajo Nation and discusses the food options in these rural stores.
Author(s): Emily M. Piltch, Sonya S. Shin, Robert F. Houser, Timothy Griffin
Citation: Public Health Nutrition, 23(9), 1638-1646
Date: 06/2020
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Highlights an examination of access to fruit and vegetables in small rural stores across the Navajo Nation in New Mexico. Details a survey of several small stores scattered throughout the Navajo Nation and discusses the food options in these rural stores.
Author(s): Emily M. Piltch, Sonya S. Shin, Robert F. Houser, Timothy Griffin
Citation: Public Health Nutrition, 23(9), 1638-1646
Date: 06/2020
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Improving Rural Health: State Policy Options for Increasing Access to Care
Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Sponsoring organization: National Conference of State Legislatures
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Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Sponsoring organization: National Conference of State Legislatures
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Suicide Rates on the Rise: National Trends and Demographics in Suicide Deaths from 2000 to 2018
Brief details the national trends in deaths by suicide from 2002-2018 by demographics, such as age, sex, and urbanization, among others. Includes a state-level brief that highlights suicide trends by state.
Additional links: State-level Brief
Date: 06/2020
Sponsoring organization: State Health Access Data Assistance Center
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Brief details the national trends in deaths by suicide from 2002-2018 by demographics, such as age, sex, and urbanization, among others. Includes a state-level brief that highlights suicide trends by state.
Additional links: State-level Brief
Date: 06/2020
Sponsoring organization: State Health Access Data Assistance Center
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Expect Delays: Poor Connections Between Rural and Urban Health Systems Challenge Multidisciplinary Care for Rural Americans with Diabetic Foot Ulcers
Investigates communication barriers between rural and urban health systems to identify factors that may be contributing to higher risk of major amputation among rural patients with diabetic foot ulcers (DFUs) compared to urban patients with DFUs. Barriers for rural providers include time-consuming referrals; poor interactions with urban providers; and data sharing issues due to multiple, disconnected electronic health records.
Author(s): Bryn L. Sutherland, Kristen Pecanac, Christie M. Bartels, Meghan B. Brennan
Citation: Journal of Foot and Ankle Research, 13(1), 32
Date: 06/2020
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Investigates communication barriers between rural and urban health systems to identify factors that may be contributing to higher risk of major amputation among rural patients with diabetic foot ulcers (DFUs) compared to urban patients with DFUs. Barriers for rural providers include time-consuming referrals; poor interactions with urban providers; and data sharing issues due to multiple, disconnected electronic health records.
Author(s): Bryn L. Sutherland, Kristen Pecanac, Christie M. Bartels, Meghan B. Brennan
Citation: Journal of Foot and Ankle Research, 13(1), 32
Date: 06/2020
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Epidemiology of the 2020 Pandemic of COVID-19 in the State of Texas: The First Month of Community Spread
Provides an overview of COVID-19 spread in Texas from March 1 - April 8, 2020, comparing urban and rural rates. Examines data from national and state sources, analyzing case fatality and incidence rates in relation to county information, demographics including race/ethnicity, and availability of healthcare resources. Figure 1 offers a county map of Texas indicating COVID-19 prevalence rate and percentage of African American residents.
Author(s): Swapnil Khose, Justin Xavier Moore, Henry E. Wang
Citation: Journal of Community Health, 45, 696-710
Date: 06/2020
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Provides an overview of COVID-19 spread in Texas from March 1 - April 8, 2020, comparing urban and rural rates. Examines data from national and state sources, analyzing case fatality and incidence rates in relation to county information, demographics including race/ethnicity, and availability of healthcare resources. Figure 1 offers a county map of Texas indicating COVID-19 prevalence rate and percentage of African American residents.
Author(s): Swapnil Khose, Justin Xavier Moore, Henry E. Wang
Citation: Journal of Community Health, 45, 696-710
Date: 06/2020
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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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