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Rural Health
Resources by Topic: Research methods and resources

Issues in Developing Multidimensional Indices of State-level Health Inequalities: National Health Interview Survey, 2013–2015
Examines methodological issues related to developing and estimating health inequality measures that span multiple dimensions of health. One of the inequality attributes included in the discussion is urbanicity, based on the NCHS urban-rural classification scheme.
Author(s): Makram Talih, Maria A. Villarroel
Date: 06/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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The History and Future of Rural Health Research: Celebrating 30 Years
Recording and slides from a June 4, 2018 webinar with Tom Morris of the Federal Office of Rural Health Policy, Eric Larsen of the WWAMI Rural Health Research Center, and Marcia M. Ward of the Center for Health Policy and Research. They explore how rural health research has changed over time and discuss recent work on telemedicine and emergency and trauma care.
Additional links: Presentation Slides, Transcript, Webinar Recording
Date: 06/2018
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Wireless Substitution: Early Release of Estimates From the National Health Interview Survey, July-December 2017
Provides data on households that rely on wireless telephones rather than landlines. Indicates trends by providing figures for 6-month periods from July 2014 to December 2017. Includes data for nonmetropolitan compared to metropolitan areas. Telephone surveys conducted using only landline numbers could be biased if the wireless-only population differs in relevant ways from the landline population.
Author(s): Stephen J. Blumberg, Julian V. Luke
Date: 06/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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Reporting of Indian Health Service Coverage in the American Community Survey
Evaluates the extent to which American Indians and Alaska Natives (AIANs) misreport Indian Health Services (IHS) coverage in the American Community Services (ACS), as well as characteristics associated with false negative and false positive misreporting. Includes data on urban/rural residence. Findings based on a comparison of the IHS portion of the 2014 ACS health insurance question to whether or not individuals are in the 2014 IHS Patient Registration data.
Author(s): Renuka Bhaskar, Rachel M. Shattuck, James Noon
Date: 05/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2017 National Healthcare Quality and Disparities Report (QDR)
Describes the preparation of the Healthcare Cost and Utilization Project (HCUP) databases for data years 2000–2015 for use in the 2017 National Healthcare Quality and Disparities Report, which includes information on priority populations such as rural residents. Includes information on HCUP-based measures related urban-rural location.
Author(s): M. Barrett, R. Coffey, R. Houchens, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Improving Health Research on Small Populations: Proceedings of a Workshop
Summary of a January 2018 workshop focused on health research with small population groups, including rural populations. Discusses the challenges of small population health research and innovative approaches related to study design, data collection, and statistical analysis to address these challenges.
Additional links: Read Online
Date: 05/2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Use of the National Health Interview Survey Linked to Medicaid Analytic eXtract Data to Identify Children With Medicaid-covered Births
Explains a method for longitudinal follow-up of children who were enrolled in Medicaid at birth through linked National Health Interview Survey and Medicaid Analytic eXtract data files. Includes NHIS data on health insurance coverage, health status, and healthcare access for children with Medicaid-covered births, including data by urban-rural county of residence.
Author(s): Patricia C. Lloyd, Anne K. Driscoll, Alan E. Simon, Jennifer D. Parker
Date: 04/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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Making Better Use of Health Care Data
Describes the development of the Sanford Data Collaborative, a partnership between a rural hospital system and academic institutions to collaborate on data analysis to improve healthcare quality and lower costs. Strategies to improving care include predictive algorithms to evaluate clinical and behavioral characteristics in order to better manage chronic conditions and algorithms to measure patient engagement in their healthcare based on a patient's pre-existing behavior.
Author(s): Benson S. Hsu, Emily Griese
Date: 03/2018
Type: Document
Sponsoring organization: Harvard Business Review
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Range Matters: Rural Averages Can Conceal Important Information
Findings brief showing how research focusing on averages without considering data range can conceal important information about average rural hospital profitability, distance between hospitals, and HIV prevalence by county.
Author(s): Meagan Clawar, Kristie Thompson, George H. Pink
Date: 01/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Informing the Tribal Health Profession Opportunity Grants (HPOG) 2.0 Evaluation Design: A Brief Review of the Literature
Summarizes results of a literature review on approaches to conducting research and evaluation in American Indian and Alaska Native (AI/AN) communities. Also examines strategies for recruitment and retention in tribal post-secondary education, AI/AN career pathways, and tribal college workforce development programs. Describes how the literature review informed the Tribal Tribal Health Profession Opportunity Grants (HPOG) 2.0 evaluation design.
Author(s): Michael Meit, Carol Hafford, Catharine Fromknecht, et al.
Date: 11/2017
Type: Document
Sponsoring organization: Administration for Children and Families
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