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Rural Health
Resources by Topic: Rural-urban differences

Maternal Morbidity among Women in Medicaid
Provides an overview of severe maternal morbidity and mortality (SMMM) among Medicaid beneficiaries. Presents data on SMMM rates by insurance payer, race/ethnicity, and geography, including differences among rural and urban residents.
Author(s): Katy B. Kozhimannil
Date: 01/2020
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Status Report of the Alabama Primary Care Physician Workforce, 2019
Discusses distribution of Alabama's primary care physicians and their availability to state residents. Features a county-level map identifying Alabama towns and cities with shortages or adequate supplies of physicians, and statistics on physician need in Alabama population centers, with breakdowns by urban or rural location.
Date: 01/2020
Type: Document
Sponsoring organization: Alabama Rural Health Association
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Community Health Center Chartbook 2020
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' financial health, workforce status, economic impact, challenges to meeting the demand for healthcare needs, and more. Includes statistics on telehealth service offerings with breakdowns by urban or rural status. Contains maps with data by state throughout.
Date: 01/2020
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Marketplace Premiums and Insurer Participation: 2017-2020
Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Assessment of Rural-Urban Differences in Postacute Care Utilization and Outcomes Among Older US Adults
Results of a study of 2,044,231 Medicare beneficiaries who were hospitalized in 2011-2015 for pneumonia, stroke, heart failure, hip fracture, or COPD. Examines the frequency, type, and duration of postacute care, as well as readmission and mortality rates in people discharged to a community or to postacute care. Features statistics with breakdowns by urban area, rural community adjacent to urban area, or rural community nonadjacent to urban area.
Author(s): Cyrus M. Kosar, Lacey Loomer, Nasim B. Ferdows, et al.
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Trends in Opioids Prescribed at Discharge From Emergency Departments Among Adults: United States, 2006–2017
Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Student Interest in a Primary Care of Underserved Populations Course
Results of a study assessing students' interest in a potential Michigan State University course on skills needed to care for and advocate for rural patients and the underserved. Features demographic statistics on survey respondents, with breakdowns by rural or metropolitan hometowns.
Author(s): Jennifer Edwards-Johnson, Julie P. Phillips, Andrea Wendling
Citation: Family Medicine, 52(1), 17-23
Date: 01/2020
Type: Document
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An Analysis of Utah's Emergency Department Non-traumatic Dental Visits 2007-2017
Report explores the non-traumatic oral healthcare visits handled by emergency departments in Utah from 2007 to 2017. Looks at data by rural and urban hospital location, diagnosis, and payers, among other measures.
Author(s): Michelle Martin, Michelle Silver, Brittney Okada, et al.
Date: 12/2019
Type: Document
Sponsoring organization: Utah Department of Health
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Congestive Heart Failure-Related Hospital Deaths Across the Urban-Rural Continuum in the United States
Examines current trends in congestive heart failure (CHF)-related hospital deaths with an emphasis on rural-urban differences for each census region. 2009-2014 data from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) was used, focusing on adult hospital admissions with CHF identified as the principal diagnosis. Results from this study may aid in identifying geographic areas needing interventions to improve access to care and to reduce CHF mortality.
Author(s): Kristin Primm, Alva O. Ferdinand, Timothy Callaghan, et al.
Citation: Preventive Medicine Reports, 16
Date: 12/2019
Type: Document
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