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Rural Health Information Hub

Rural Health
Resources by Topic: Population health

A Multi-Year Look at Maternal Mortality in Missouri 2018-2020 Pregnancy-Associated Mortality Review
Provides an overview of maternal mortality in Missouri, with a focus on maternal health, demographic disparities, context surrounding maternal mortality, and prevention strategies. Includes county-level map as well as rural versus urban comparisons of mortality rates.
Date: 07/2023
Sponsoring organization: Missouri Department of Health and Senior Services
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Health Panel Comment Letter – HHS Smoking Cessation Framework 2023
Offers comments in response to the U.S. Department of Health and Human Services (HHS) Request for Information on the draft HHS 2023 Framework to Support and Accelerate Smoking Cessation. Discusses tobacco use in rural areas, incorporating payment strategies to incentivize clinical providers and health plans to address tobacco cessation, the importance of culturally competent interventions, and more.
Date: 07/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Tackling the Maternal and Infant Health Crisis: A Governor's Playbook
Provides an overview of maternal morbidity and mortality trends, including racial and geographic disparities, as well as the underlying causes of poor maternal health in the United States. Outlines 32 recommendations across five priority areas that can be implemented in coordination with critical stakeholders, such as industry and community leaders, community-based organizations, faith-based organizations, and people with lived experience. Priority 3 covers recommendations related to disparities affecting Black and American Indian/Alaska Native individuals. Includes rural references throughout.
Date: 07/2023
Sponsoring organizations: Afton Bloom, Boldly Go Philanthropy, National Governors Association
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Building On CMS's Accountable Care Vision To Improve Care For Medicare Beneficiaries
Describes progress the Centers for Medicare & Medicaid Services (CMS) has made to date in its accountable care strategy. Outlines areas that CMS is exploring to accelerate the growth of and access to accountable care organizations (ACOs) that can support improved care and quality for beneficiaries, especially those in rural and underserved areas. Covers aligning the testing of ACO models and features with the Shared Savings Program (SSP), growth in the SSP, and using ACOs to reach more underserved populations and promote health equity.
Author(s): Purva Rawal, Douglas Jacobs, Elizabeth Fowler, Meena Seshamani
Citation: Health Affairs Forefront
Date: 07/2023
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Rural-Urban Differences in Health Care Unaffordability
Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
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Epidemiology and Outcomes of Choledocholithiasis and Cholangitis in the United States: Trends and Urban-Rural Variations
Analyzes hospitalization, management, and outcomes for U.S. patients who have complications resulting from gallstone disease. Utilizes the National Inpatient Sample between 2005 and 2014 to examine 189,362 patient admissions, procedural interventions, and deaths related to choledocholithiasis and cholangitis in rural versus urban hospitals. Includes data breakdowns according to patient sociodemographic variables.
Author(s): Suqing Li, Leonardo Guizzetti, Christopher Ma, et al.
Citation: BMC Gastroenterology, 23, 254
Date: 07/2023
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Changes in Physical Inactivity Among US Adults Overall and by Sociodemographic Characteristics, Behavioral Risk Factor Surveillance System, 2020 Versus 2018
Analyzes changes in physical activity in U.S. adults during the COVID-19 pandemic by comparing 2020 Behavioral Risk Factor Surveillance System (BRFSS) data to 2018 and 2016 data. Focuses on prevalence of physical inactivity according to age, sex, race/ethnicity, education, income, and rural versus urban geographic location.
Author(s): Miriam E. Van Dyke, Tiffany J. Chen, Jasmine Y. Nakayama, Latetia V. Moore, Geoffrey P. Whitfield
Citation: Preventing Chronic Disease, 20
Date: 07/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Bridging the Gap Between Clinical Care and Community Population Health
Podcast episode with Kevin Barnett, senior investigator at the Public Health Institute and board member for Michigan's Trinity Health, discussing how hospitals can use community benefit spending to promote community health and health equity.
Date: 07/2023
Sponsoring organization: American Hospital Association
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Population Health Outcome Measurement Strategies for State Flex Programs
Presents a framework for population health outcome measurement strategies for State Flex Programs (SFPs). Outlines a series of sequential steps, including identifying the needs to be addressed, educational programming, developing shared learning collaboratives/cohorts to support performance improvement, and implementing interventions. Offers practical examples of population health improvement performance improvement activities with short, intermediate, and long-term outcomes to document program impact over time.
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster
Date: 07/2023
Sponsoring organization: Flex Monitoring Team
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The Frontier of Harm Reduction: Expanding Services for Rural People Who Use Drugs
Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Sponsoring organization: Rural Health Information Hub
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