Rural Health
Resources by Topic: Medical debt
Associations of Medical Debt With Health Status, Premature Death, and Mortality in the US
Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
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Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
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Material Financial Hardship and Insurance-Related Experiences among Utah's Rural and Urban Cancer Survivors
Examines material financial hardship, insurance type and suitability, insurance-related job lock, and access to care among 1,793 rural and urban cancer survivors in Utah, utilizing 2018-2021 survey data. Includes data breakdowns by race and ethnicity, treatment method, and other demographic and clinical factors.
Author(s): Heydon K. Kaddas, Morgan M. Millar, Kimberly A. Herget
Citation: Journal of Cancer Survivorship Research and Practice, 19, 1236-1243
Date: 02/2024
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Examines material financial hardship, insurance type and suitability, insurance-related job lock, and access to care among 1,793 rural and urban cancer survivors in Utah, utilizing 2018-2021 survey data. Includes data breakdowns by race and ethnicity, treatment method, and other demographic and clinical factors.
Author(s): Heydon K. Kaddas, Morgan M. Millar, Kimberly A. Herget
Citation: Journal of Cancer Survivorship Research and Practice, 19, 1236-1243
Date: 02/2024
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Medical Debt in Missouri
Analyzes the impact of medical debt on the finances, physical health, and mental and emotional health of Missouri citizens. Utilizes feedback from 8 focus groups to discuss issues such as medical debt circumstances, financial consequences and strategies to lower debt, and debt's impact on health and mental well-being. Includes feedback from participants in rural areas.
Date: 01/2024
Sponsoring organization: Missouri Foundation for Health
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Analyzes the impact of medical debt on the finances, physical health, and mental and emotional health of Missouri citizens. Utilizes feedback from 8 focus groups to discuss issues such as medical debt circumstances, financial consequences and strategies to lower debt, and debt's impact on health and mental well-being. Includes feedback from participants in rural areas.
Date: 01/2024
Sponsoring organization: Missouri Foundation for Health
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An Empirical Analysis of Financial Hardship Associated with Alzheimer's Disease and Related Dementia: Metro and Nonmetro Patients
Examines financial hardships among those with Alzheimer's Disease and Related Dementia (ADRD). Utilizes National Health and Aging Trends Study data to present ADRD financial hardship according to metro versus nonmetro location, race, and age.
Author(s): Adee Athiyaman
Date: 09/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines financial hardships among those with Alzheimer's Disease and Related Dementia (ADRD). Utilizes National Health and Aging Trends Study data to present ADRD financial hardship according to metro versus nonmetro location, race, and age.
Author(s): Adee Athiyaman
Date: 09/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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The Interplay of Financial Toxicity, Health Care Team Communication, and Psychosocial Well-being among Rural Cancer Patients and Survivors
Examines the relationship among financial toxicity, healthcare team communication, and psychosocial health among rural oncology patients. Analyzes 273 patients who participated in the Cancer Support Community's Cancer Experience Registry between 2017-2023 by demographic information, depression, anxiety, social functioning, and healthcare team communication variables and their correlation with financial toxicity.
Author(s): Melissa F. Miller, Julie S. Olson, Kara Doughtie, Alexandra K. Zaleta, Kimberly P. Rogers
Citation: Journal of Rural Health, 40(1), 128-137
Date: 07/2023
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Examines the relationship among financial toxicity, healthcare team communication, and psychosocial health among rural oncology patients. Analyzes 273 patients who participated in the Cancer Support Community's Cancer Experience Registry between 2017-2023 by demographic information, depression, anxiety, social functioning, and healthcare team communication variables and their correlation with financial toxicity.
Author(s): Melissa F. Miller, Julie S. Olson, Kara Doughtie, Alexandra K. Zaleta, Kimberly P. Rogers
Citation: Journal of Rural Health, 40(1), 128-137
Date: 07/2023
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Informal and Formal Financial Assistance to Rural Women During Cancer Treatment
Interviews 36 rural women with cancer to explore their methods for handling financial hardship stemming from the costs of cancer. Discusses both informal assistance from the patients' support systems and formal assistance from healthcare systems and organizations. Highlights areas for potential financial disparities within existing inequalities.
Author(s): Emily Hallgren, Tess Thompson, Ramey Moore, et al.
Citation: SSM - Qualitative Research in Health
Date: 06/2023
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Interviews 36 rural women with cancer to explore their methods for handling financial hardship stemming from the costs of cancer. Discusses both informal assistance from the patients' support systems and formal assistance from healthcare systems and organizations. Highlights areas for potential financial disparities within existing inequalities.
Author(s): Emily Hallgren, Tess Thompson, Ramey Moore, et al.
Citation: SSM - Qualitative Research in Health
Date: 06/2023
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Financial Burden of Medical Care Among Veterans Aged 25–64, by Health Insurance Coverage: United States, 2019–2021
Examines financial burden for medical care among veterans aged 25–64 for those with VA healthcare alone and combined with different types of health insurance coverage. Table 1 includes data on VA healthcare and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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Examines financial burden for medical care among veterans aged 25–64 for those with VA healthcare alone and combined with different types of health insurance coverage. Table 1 includes data on VA healthcare and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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Problems Paying Medical Bills: United States, 2021
Reports data on families facing problems paying medical bills by selected sociodemographic and geographic characteristics. Table 2 includes data for metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Amy E. Cha,
Date: 01/2023
Sponsoring organization: National Center for Health Statistics
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Reports data on families facing problems paying medical bills by selected sociodemographic and geographic characteristics. Table 2 includes data for metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Amy E. Cha,
Date: 01/2023
Sponsoring organization: National Center for Health Statistics
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Who Cannot Afford to Pay Medical Bills in the North Central Region?
Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, sex, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Author(s): Zuzana Bednarik, Renee D. Wiatt
Date: 01/2023
Sponsoring organization: North Central Regional Center for Rural Development
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Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, sex, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Author(s): Zuzana Bednarik, Renee D. Wiatt
Date: 01/2023
Sponsoring organization: North Central Regional Center for Rural Development
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Lessening the Impact of Financial Toxicity (Lift): A Protocol for a Multi-Site, Single-Arm Trial Examining the Effect of Financial Navigation on Financial Toxicity in Adult Patients with Cancer in Rural and Non-Rural Settings
Describes a trial study that examines financial toxicity (FT) experienced by adults with cancer in both rural and urban settings and implements financial navigation (FN) strategies for the patient. Observes 780 patients over 2 years who are enrolled in the Lessening the Impact of Financial Toxicity (LIFT) study that identifies and screens for FT, connects patients to FN resources, and includes ongoing check-ins and electronic tracking of LIFT patients. Includes rural versus urban breakdowns of oncology settings by organizational characteristics such as cancer program type, hospital ownership structure, presence of satellite locations, number of inpatient beds, and number of counties in catchment area.
Author(s): Stephanie B. Wheeler, Caitlin B. Biddell, Michelle L. Manning, et al.
Citation: Trials, 23, 839
Date: 10/2022
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Describes a trial study that examines financial toxicity (FT) experienced by adults with cancer in both rural and urban settings and implements financial navigation (FN) strategies for the patient. Observes 780 patients over 2 years who are enrolled in the Lessening the Impact of Financial Toxicity (LIFT) study that identifies and screens for FT, connects patients to FN resources, and includes ongoing check-ins and electronic tracking of LIFT patients. Includes rural versus urban breakdowns of oncology settings by organizational characteristics such as cancer program type, hospital ownership structure, presence of satellite locations, number of inpatient beds, and number of counties in catchment area.
Author(s): Stephanie B. Wheeler, Caitlin B. Biddell, Michelle L. Manning, et al.
Citation: Trials, 23, 839
Date: 10/2022
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