Rural Health
                Resources by Topic: Rural definitions
    
                    Defining Rural: Making Choices Among Different Definitions of Rural
        
Webinar outlining the various definitions of rural with a focus on Texas. Includes a demonstration of the Rural Health Information Hub's "Am I Rural?" tool. See video description for transcript.
Date: 06/2022
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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    Webinar outlining the various definitions of rural with a focus on Texas. Includes a demonstration of the Rural Health Information Hub's "Am I Rural?" tool. See video description for transcript.
Date: 06/2022
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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                    Definition and Categorization of Rural and Assessment of Realized Access to Care
        
Examines Health Information National Trends Survey data to determine how 3 different definitions of rural change healthcare utilization, perceived quality, and perceived provider attentiveness metrics. Considers Urban Influence Codes (UIC), Rural-Urban Continuum Codes (RUCC), and Rural-Urban Commuting Area (RUCA).
Author(s): Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, et al.
Citation: Health Services Research, 57(3), 693-702
Date: 06/2022
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    Examines Health Information National Trends Survey data to determine how 3 different definitions of rural change healthcare utilization, perceived quality, and perceived provider attentiveness metrics. Considers Urban Influence Codes (UIC), Rural-Urban Continuum Codes (RUCC), and Rural-Urban Commuting Area (RUCA).
Author(s): Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, et al.
Citation: Health Services Research, 57(3), 693-702
Date: 06/2022
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                    Health Panel Comment Letter – Promoting Telehealth in Rural America
        
Offers comments in response to the Federal Communications Commission's proposed rule for Promoting Telehealth in America. Discusses rural classifications for healthcare providers, defining rural areas for program participation, and an alternative method to determine degrees of rurality.
Date: 04/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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    Offers comments in response to the Federal Communications Commission's proposed rule for Promoting Telehealth in America. Discusses rural classifications for healthcare providers, defining rural areas for program participation, and an alternative method to determine degrees of rurality.
Date: 04/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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                    Reimagining Rural: Shifting Paradigms About Health and Well-Being in the Rural United States
        
Discusses ways to address health needs in rural areas with a focus on shifting away from the deficit narrative of rural places. Explores definitions of rural, the intersectionality of rural citizens, and how to conduct participatory community research to promote partnerships and health access in rural communities.
Author(s): R.A. Afifi, E.A. Parker, G. Dino, D.M. Hall, B. Ulin
Citation: Annual Review of Public Health, 43, 135-154
Date: 04/2022
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    Discusses ways to address health needs in rural areas with a focus on shifting away from the deficit narrative of rural places. Explores definitions of rural, the intersectionality of rural citizens, and how to conduct participatory community research to promote partnerships and health access in rural communities.
Author(s): R.A. Afifi, E.A. Parker, G. Dino, D.M. Hall, B. Ulin
Citation: Annual Review of Public Health, 43, 135-154
Date: 04/2022
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                    Urban Area Criteria for the 2020 Census-Final Criteria
        
Outlines the final criteria for defining urban areas based on the 2020 decennial census. Adopts a housing unit density threshold of 385 housing units per square mile as the primary criterion for determining whether a census block qualifies for inclusion in an urban area and that an area will qualify as urban if it contains at least 2,000 housing units or has a population of at least 5,000. Explains that the Census Bureau will no longer differentiate urbanized areas from smaller urban areas.
Date: 03/2022
Sponsoring organization: U.S. Census Bureau
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    Outlines the final criteria for defining urban areas based on the 2020 decennial census. Adopts a housing unit density threshold of 385 housing units per square mile as the primary criterion for determining whether a census block qualifies for inclusion in an urban area and that an area will qualify as urban if it contains at least 2,000 housing units or has a population of at least 5,000. Explains that the Census Bureau will no longer differentiate urbanized areas from smaller urban areas.
Date: 03/2022
Sponsoring organization: U.S. Census Bureau
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                    North Dakota Behavioral Health Epidemiological Profile
        
Reports on the effects of alcohol, tobacco, and illicit drug use on the lives and families of North Dakotans and the economy of the state. Discusses the rural culture of substance abuse throughout.
Date: 01/2022
Sponsoring organization: North Dakota Department of Health and Human Services
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    Reports on the effects of alcohol, tobacco, and illicit drug use on the lives and families of North Dakotans and the economy of the state. Discusses the rural culture of substance abuse throughout.
Date: 01/2022
Sponsoring organization: North Dakota Department of Health and Human Services
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                    Colorado: County Designations, 2022
        
Map of Colorado identifying counties based on urban, rural, or frontier designation.
Date: 01/2022
Sponsoring organization: Colorado Rural Health Center
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    Map of Colorado identifying counties based on urban, rural, or frontier designation.
Date: 01/2022
Sponsoring organization: Colorado Rural Health Center
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                    Defining Rural Rhode Island
        
Detailed definition of rural areas in Rhode Island, developed by the Rhode Island Office of Primary Care and Rural Health for the purposes of identifying areas that are potentially at risk for health disparities and limits on access to healthcare. Includes a list of Rhode Island cities and towns, with their population and population density as of 2020.
Date: 2022
Sponsoring organization: Rhode Island Department of Health
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    Detailed definition of rural areas in Rhode Island, developed by the Rhode Island Office of Primary Care and Rural Health for the purposes of identifying areas that are potentially at risk for health disparities and limits on access to healthcare. Includes a list of Rhode Island cities and towns, with their population and population density as of 2020.
Date: 2022
Sponsoring organization: Rhode Island Department of Health
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                    Population Denominator Data Sources and Data for Use with HCUP Databases (Updated with 2021 Population Data)
        
Identifies sources of population data that can be used with Healthcare Cost and Utilization Project (HCUP) databases to calculate rates of hospital care events per population. Includes rural-urban population data sources. Appendix A, Tables A.6 and A.7 provide U.S. population figures from 2000 through 2021 for a 4-category urban-rural definition and a 6-category urban-rural definition.
Date: 2022
Sponsoring organization: Agency for Healthcare Research and Quality
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    Identifies sources of population data that can be used with Healthcare Cost and Utilization Project (HCUP) databases to calculate rates of hospital care events per population. Includes rural-urban population data sources. Appendix A, Tables A.6 and A.7 provide U.S. population figures from 2000 through 2021 for a 4-category urban-rural definition and a 6-category urban-rural definition.
Date: 2022
Sponsoring organization: Agency for Healthcare Research and Quality
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                    Defining "Rural" for the Study on Human Services Programs in Rural Contexts
        
Report describing the impacts of rural definitions on research design and methods for a study of human services delivery in rural areas. Addresses U.S. Department of Agriculture Rural-Urban Continuum Codes, rural regions, and the limitations of certain definitions.
Author(s): Dallas Elgin, James Murdoch, Corianne Payton Scally, Heather Hahn
Date: 11/2021
Sponsoring organizations: 2M Research, Administration for Children and Families, U.S. Department of Health and Human Services, Urban Institute
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    Report describing the impacts of rural definitions on research design and methods for a study of human services delivery in rural areas. Addresses U.S. Department of Agriculture Rural-Urban Continuum Codes, rural regions, and the limitations of certain definitions.
Author(s): Dallas Elgin, James Murdoch, Corianne Payton Scally, Heather Hahn
Date: 11/2021
Sponsoring organizations: 2M Research, Administration for Children and Families, U.S. Department of Health and Human Services, Urban Institute
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