Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Rural-urban differences

Inequitable Access to General and Behavioral Healthcare in the US During the COVID-19 Pandemic: A Role for Telehealth?
Examines general and behavioral healthcare access and disparities during the first year of the pandemic, using data from the 2019–2020 U.S. National Alcohol Survey and its COVID follow-up survey conducted January 30 to March 28, 2021. Explores the role of telehealth in providing an important bridge to healthcare for certain medically underserved groups during the pandemic. Features statistics with breakdowns by urban and rural location.
Author(s): Nina Mulia, Yu Ye, Thomas K. Greenfield, et al.
Citation: Preventive Medicine, 169
Date: 04/2023
Type: Document
view details
Crowded Housing and Housing Cost Burden by Disability, Race, Ethnicity, and Rural-Urban Location
Examine rates of crowded housing and housing cost burden, using data from the 2015-2019 American Community Survey. Features statistics on housing characteristics, with breakdowns by race or ethnicity and disability status, and rural or urban location.
Author(s): Alexis Swendener, Katie Rydberg, Mariana Tuttle, Hawking Yam, Carrie Henning-Smith
Date: 03/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Dental Care Use in the Midwest: Metro vs. Nonmetro
Examines dental care use in metro and nonmetro populations of the Midwest. Discusses reasons for seeking dental care and breaks down usage according to gender, race, and geography.
Author(s): Adee Athiyaman
Date: 03/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
view details
MedPAC Report to the Congress: Medicare Payment Policy: Home Health Care Services: Chapter 8
Discusses payment adequacy for home health care services and information on supplemental payments for home health services provided in low-use rural areas. Features statistics on Medicare margins for home health agencies between 2019-2021 with breakdowns by urban and rural areas and the number of home health periods provided to rural beneficiaries by state Review Choice Demonstration status in 2021.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 10
Discusses payment adequacy for hospice and palliative support services. Includes statistics with breakdowns by urban and rural locations and demographics on Medicare decedents who used hospice during 2010 and between 2017-2021. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates. Presents data on costs by day, aggregate margins, and the aggregate cap by urban and rural status.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Access to Health Services Across Rural and Urban Minoritized Racial/Ethnic Group Areas
Summarizes results from a series of reports documenting disparities in access to health services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Presents data on the distance to care from the population center of rural and urban ZCTAs to the nearest provider. Covers first line, higher acuity, and home-based services.
Date: 03/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
view details
Your Neighborhood Matters: An Ecological Social Determinant Study of the Relationship Between Residential Racial Segregation And the Risk of Firearm Fatalities
Examines the impact of county-level social determinants of health (SDOH) on firearm fatalities. Analyzes 802 firearm fatalities that occurred in Wisconsin counties in 2019 and their relationship to SDOH, such as residential racial segregation, income inequality, community resilience, and rural versus urban classification. Includes county-level maps depicting geographic distribution of racial segregation and firearm fatalities per 100,000 people.
Author(s): Abdul R. Shour, Ronald Anguzu, Yuhong Zhou, et al.
Citation: Injury Epidemiology, 10, 14
Date: 03/2023
Type: Document
view details
Assessing Geographic Variability in Key Indicators of Air Quality: A Rural vs. Urban Comparison of Pollution and Socio-Economic Factors
Results of a study to examine rates of air pollution between rural and urban census tracts, using data from the Environmental Protection Agency (EPA) Air Quality System web portal for the years 2000-2020. Features statistics including mean concentrations of fine particulate matter air pollution (PM2.5) and ozone in rural and urban census tracts, and maps showing concentrations of PM2.5 for census tracts by EPA region.
Author(s): Daniel Kilpatrick, Jeremy Cothran, Stella Self, et al.
Date: 03/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
view details
Use of Telemedicine among Office-Based Physicians, 2021
Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
view details
Worker Burnout in Healthcare: Metro vs. Non-Metro
Examines job satisfaction and turnover intentions by metro and non-metro location, as well as additional characteristics related to burnout including job category, education, geography, income, and more.
Author(s): Adee Athiyaman
Date: 03/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
view details