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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Socioeconomic and Urban-Rural Disparities in Genome-Matched Treatment Receipt and Survival after Genomic Tumor Testing
Analyzes social advantage in cancer treatment and the relationship to genome-matched treatment and survival rate. Utilizes data from 1,258 patients participating in the Maine Cancer Genomics Initiative with breakdowns according to education, income, and urban, large rural, or small/isolated rural location.
Author(s): Jessica F. DiBiase, Elizabeth Scharnetzki, Emily Edelman, et al.
Citation: JNCI Cancer Spectrum, 8(5)
Date: 09/2024
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Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016–2021
Examines severe maternal morbidity (SMM) in U.S. women by patient characteristics and type of SMM complication. Utilizes 2016-2021 National Inpatient Sample (NIS) data to analyze yearly trends, with breakdowns for patient age, race/ethnicity, insurance status, income, and residence by large metro, medium/small metro, or nonmetro. Discusses impacts of COVID-19 on SMM trends.
Author(s): Lawrence D. Reid
Date: 09/2024
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Costs of Treat-and-Release Emergency Department Visits in the United States, 2021
Explores the cost of treat-and-release emergency department (ED) visits in the United States in 2021. Describes findings from an analysis of the 2021 Healthcare Cost and Utilization Project (HCUP) Nationwide Emergency Department Sample. Presents data on the aggregate costs, average cost, and number of ED visits by patient and hospital characteristics, including patient age; sex; primary expected payer; community-level income; and metropolitan, micropolitan, or rural status.
Author(s): Marc Roemer
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Training a Rural Oral Health Workforce: Effects of Rural Background on Dentist Practice Choice
Assesses outcomes from 2012-2021 of the Regional Initiatives in Dental Education (RIDE) program, an educational track of the University of Washington School of Dentistry that aims to produce graduates who practice in rural areas of the Pacific Northwest. Features demographics and statistics with breakdowns by rural or nonrural upbringing.
Author(s): Anna R. Forsyth, Arsen A. Melkonyan, Kristopher Kerns, et al.
Citation: Journal of Dental Education, 89(2), 177-185
Date: 09/2024
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States Could Better Leverage Coverage and Access Requirements To Promote Maternal Health Care Access in Medicaid Managed Care
Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
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Health Care Worker Recruitment and Retention in New York State: What Are the Issues?
Report summarizing health workforce recruitment and retention difficulties experienced by providers in New York State, and reasons for these difficulties. Examines challenges in hospitals, nursing homes, Federally Qualified Health Centers, and other facilities, especially in rural areas of New York.
Additional links: Infographic
Author(s): Robert Martiniano, Sage Shirey
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
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Intakes of Lean Proteins and Processed Meats and Differences in Mental Health between Rural and Metro Adults 50 Years and Older
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
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The Health and Well-Being of Women in Farming: A Systematic Scoping Review
A scoping review of 93 studies published between 1990 and 2023 from the Global North (including 73 studies from the United States) investigating the health and well-being of women in farming. Summarizes key findings including the relationship between health and chemical exposures, physical health, safety, mental health, equality, sex-based violence, childcare, and help-seeking behaviors. Discusses the disparity in research for women farmers compared with male farmers.
Author(s): Rebecca Wheeler, Caroline Nye
Citation: Journal of Agromedicine, 30(1), 132-152
Date: 09/2024
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