Rural Health
Resources by Topic: Healthcare needs and services
HCIA Complex/High-Risk Patient Targeting: Third Annual Report
Third annual evaluations of Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Presents program effectiveness findings based on Medicare and Medicaid claims data, surveys, site visits, and interviews. Several projects serve rural areas, offering caregiver education and support, telehealth services, and various care coordination approaches.
Additional links: Addendum, April 2017
Date: 02/2017
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Third annual evaluations of Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Presents program effectiveness findings based on Medicare and Medicaid claims data, surveys, site visits, and interviews. Several projects serve rural areas, offering caregiver education and support, telehealth services, and various care coordination approaches.
Additional links: Addendum, April 2017
Date: 02/2017
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Characteristics of Primary Care Physicians in Patient-Centered Medical Home Practices: United States, 2013
Describes the characteristics of primary care physicians participating in patient-centered medical home (PCMH) practices. Includes charts and graphs to help visualize the differences between PCMH practices and non-PCMH practices. Figure 2 presents data on the percentage of primary care physicians in PCMH practices, comparing them by location in metropolitan or non-metropolitan statistical area.
Author(s): Esther Hing, Ellen Kurtzman, Denys T. Lau, Caroline Taplin, Andrew B. Bindman
Date: 02/2017
Sponsoring organization: National Center for Health Statistics
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Describes the characteristics of primary care physicians participating in patient-centered medical home (PCMH) practices. Includes charts and graphs to help visualize the differences between PCMH practices and non-PCMH practices. Figure 2 presents data on the percentage of primary care physicians in PCMH practices, comparing them by location in metropolitan or non-metropolitan statistical area.
Author(s): Esther Hing, Ellen Kurtzman, Denys T. Lau, Caroline Taplin, Andrew B. Bindman
Date: 02/2017
Sponsoring organization: National Center for Health Statistics
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Health-Related Behaviors by Urban-Rural County Classification — United States, 2013
Provides data on five self-reported health-related behaviors for residents of rural and urban areas. Behaviors include sufficient sleep, current nonsmoking, nondrinking or moderate drinking, maintaining normal body weight, and meeting aerobic leisure time physical activity recommendations. Includes data for each behavior for metropolitan, micropolitan, and noncore (rural) areas, as well as prevalence of 4-5 health behaviors by sex, age, race/ethnicity, and education level. Based on 2013 Behavioral Risk Factor Surveillance System (BRFSS) data.
Author(s): Kevin A. Matthews, Janet B. Croft, Yong Liu, et al.
Citation: MMWR Surveillance Summaries, 66(5), 1-8
Date: 02/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Provides data on five self-reported health-related behaviors for residents of rural and urban areas. Behaviors include sufficient sleep, current nonsmoking, nondrinking or moderate drinking, maintaining normal body weight, and meeting aerobic leisure time physical activity recommendations. Includes data for each behavior for metropolitan, micropolitan, and noncore (rural) areas, as well as prevalence of 4-5 health behaviors by sex, age, race/ethnicity, and education level. Based on 2013 Behavioral Risk Factor Surveillance System (BRFSS) data.
Author(s): Kevin A. Matthews, Janet B. Croft, Yong Liu, et al.
Citation: MMWR Surveillance Summaries, 66(5), 1-8
Date: 02/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Engaging Tribal Nations of North Dakota in Conducting Community Health Assessments
Outlines the purpose and process of conducting a community health assessment (CHA) for Native American communities. Covers tribal public health policy and governance, community engagement in CHAs, steps for planning a CHA, working with data, and preparing a tribal community health improvement plan.
Date: 01/2017
Sponsoring organizations: American Indian Public Health Resource Center, North Dakota Department of Health and Human Services
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Outlines the purpose and process of conducting a community health assessment (CHA) for Native American communities. Covers tribal public health policy and governance, community engagement in CHAs, steps for planning a CHA, working with data, and preparing a tribal community health improvement plan.
Date: 01/2017
Sponsoring organizations: American Indian Public Health Resource Center, North Dakota Department of Health and Human Services
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Understanding Treatment Gaps for Mental Health, Alcohol, and Drug Use in South Dakota: A Qualitative Study of Rural Perspectives
Details a study on gaps in access to behavioral health treatment in rural South Dakota. Discusses data collected from interviews with people in rural and tribal areas of the state with co-occurring mental health and substance use disorders.
Author(s): Lauren Broffman, Margaret Spurlock, Kristen Dulacki, et al.
Citation: Journal of Rural Health, 22(1), 71-81
Date: 01/2017
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Details a study on gaps in access to behavioral health treatment in rural South Dakota. Discusses data collected from interviews with people in rural and tribal areas of the state with co-occurring mental health and substance use disorders.
Author(s): Lauren Broffman, Margaret Spurlock, Kristen Dulacki, et al.
Citation: Journal of Rural Health, 22(1), 71-81
Date: 01/2017
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Support and Sabotage: A Qualitative Study of Social Influences on Health Behaviors among Rural Adults
Examines the impact of social relationships on health behavior adoption and maintenance by interviewing midlife and older adults in rural Montana at increased risk of chronic disease. Addresses family and peer influences on diet, physical activity, and tobacco use.
Author(s): Urshila Sriram, Emily H. Morgan, Meredith L. Graham, Sara C. Folta, Rebecca A. Seguin
Citation: Journal of Rural Health, 34(1), 88-97
Date: 01/2017
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Examines the impact of social relationships on health behavior adoption and maintenance by interviewing midlife and older adults in rural Montana at increased risk of chronic disease. Addresses family and peer influences on diet, physical activity, and tobacco use.
Author(s): Urshila Sriram, Emily H. Morgan, Meredith L. Graham, Sara C. Folta, Rebecca A. Seguin
Citation: Journal of Rural Health, 34(1), 88-97
Date: 01/2017
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Prescription Opioid Poisoning Across Urban and Rural Areas: Identifying Vulnerable Groups and Geographic Areas
Examines hospital discharge rates for prescription opioid poisoning for rural and urban areas using data from 2001-2011 in California. Identifies hot-spot locations for opioid poisoning and environmental features related to opioid poisoning using a ZIP code level of analysis. Discusses the implications for policymakers and public health officials.
Author(s): Magdalena Cerda, Andrew Gaidus, Katherine M. Keyes, et al.
Citation: Addiction, 112(1), 103-112
Date: 01/2017
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Examines hospital discharge rates for prescription opioid poisoning for rural and urban areas using data from 2001-2011 in California. Identifies hot-spot locations for opioid poisoning and environmental features related to opioid poisoning using a ZIP code level of analysis. Discusses the implications for policymakers and public health officials.
Author(s): Magdalena Cerda, Andrew Gaidus, Katherine M. Keyes, et al.
Citation: Addiction, 112(1), 103-112
Date: 01/2017
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Evaluation of Rural vs Urban Trauma Patients Served by 9-1-1 Emergency Medical Services
Evaluates differences in rural and urban emergency medical services (EMS) using injury severity, care process, and mortality among injured patients based on data from rural and urban Oregon and Washington. Addresses distance to trauma centers, EMS structures, timing of death, and other factors.
Author(s): Craig D. Newgard, Rongwei Fu, Eileen Bulger, et al.
Citation: JAMA Surgery, 152(1), 11-18
Date: 01/2017
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Evaluates differences in rural and urban emergency medical services (EMS) using injury severity, care process, and mortality among injured patients based on data from rural and urban Oregon and Washington. Addresses distance to trauma centers, EMS structures, timing of death, and other factors.
Author(s): Craig D. Newgard, Rongwei Fu, Eileen Bulger, et al.
Citation: JAMA Surgery, 152(1), 11-18
Date: 01/2017
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Health Inequities by Sexual Orientation among New Mexican Adults, 2011-2014
Examines health outcomes and behaviors by sexual orientation for adults in New Mexico. Covers demographics, access to healthcare, chronic health conditions, behavioral risk factors including binge drinking and smoking, protective factors such as HIV and cervical cancer screening, and quality of life differences such as mental health. Includes rural/urban breakdowns for demographics and addresses disparities by race/ethnicity, including American Indian/Alaska Native lesbian, gay, and bisexual adults.
Date: 01/2017
Sponsoring organization: New Mexico Department of Health
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Examines health outcomes and behaviors by sexual orientation for adults in New Mexico. Covers demographics, access to healthcare, chronic health conditions, behavioral risk factors including binge drinking and smoking, protective factors such as HIV and cervical cancer screening, and quality of life differences such as mental health. Includes rural/urban breakdowns for demographics and addresses disparities by race/ethnicity, including American Indian/Alaska Native lesbian, gay, and bisexual adults.
Date: 01/2017
Sponsoring organization: New Mexico Department of Health
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Changes in Individual and Small Group Behavioral Health Coverage Following the Enactment of Parity Requirements: Final Report
Examines the impact of extending parity protections for behavioral health coverage in 2014 to individual and small group plans, requiring them to cover behavioral health treatments at the same level as medical/surgical services. Addresses additional barriers for rural areas, such as network adequacy and shortages of psychiatrists.
Author(s): Alexander J. Cowell, Shivaani Prakash, Alan Barnosky, Brendan Wedehase, Allison Briggs
Date: 01/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of extending parity protections for behavioral health coverage in 2014 to individual and small group plans, requiring them to cover behavioral health treatments at the same level as medical/surgical services. Addresses additional barriers for rural areas, such as network adequacy and shortages of psychiatrists.
Author(s): Alexander J. Cowell, Shivaani Prakash, Alan Barnosky, Brendan Wedehase, Allison Briggs
Date: 01/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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