Rural Health
Resources by Topic: Rural-urban differences
2023 Technical Expert Panel Meetings: Expanded Home Health Value-Based Purchasing Model Summary Report
Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Use of Primary Care and Emergency Departments for Substance Use Treatment: The Rural and Urban Divide
Explores the use of primary care and emergency departments for substance use treatment in rural and urban areas. Draws from the National Survey on Drug Use and Health from 2015-2019 and breaks down data by age and rurality, among other measures.
Author(s): Nathaniel Albright, Christina Dyar, Ethan Morgan
Citation: Substance Use & Misuse, 59(2), 300-305
Date: 12/2023
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Explores the use of primary care and emergency departments for substance use treatment in rural and urban areas. Draws from the National Survey on Drug Use and Health from 2015-2019 and breaks down data by age and rurality, among other measures.
Author(s): Nathaniel Albright, Christina Dyar, Ethan Morgan
Citation: Substance Use & Misuse, 59(2), 300-305
Date: 12/2023
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Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Urban and Rural Healthcare Providers' Perspectives on HPV Vaccination in Minnesota
Reports findings from a set of 20 qualitative interviews with urban and rural adolescent healthcare providers and clinic staff in Minnesota. Examines provider strategies used when discussing HPV, COVID-19, and other adolescent vaccines, as well as perceptions of parental opinions on adolescent vaccination. Discusses rural cultural values that impact rural provider strategies for promoting vaccination.
Author(s): Elizabeth J. Polter, Ben Christianson, Anne Steinberg, et al.
Citation: Human Vaccines & Immunotherapeutics, 19(3), 2291859
Date: 12/2023
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Reports findings from a set of 20 qualitative interviews with urban and rural adolescent healthcare providers and clinic staff in Minnesota. Examines provider strategies used when discussing HPV, COVID-19, and other adolescent vaccines, as well as perceptions of parental opinions on adolescent vaccination. Discusses rural cultural values that impact rural provider strategies for promoting vaccination.
Author(s): Elizabeth J. Polter, Ben Christianson, Anne Steinberg, et al.
Citation: Human Vaccines & Immunotherapeutics, 19(3), 2291859
Date: 12/2023
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Breast Cancer Disparity and Outcomes in Underserved Women
Provides an overview of breast cancer disparities experienced by different groups of women, including rural women, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Başak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
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Provides an overview of breast cancer disparities experienced by different groups of women, including rural women, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Başak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
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Disparities in Mortality Between Appalachian and Non-Appalachian Regions of Kentucky
Compares all-cause, drug-related, and opioid-related mortality in Kentucky, with breakdowns by metropolitan/nonmetropolitan and Appalachian/non-Appalachian counties. Utilizes 2000-2019 CDC WONDER mortality data. Identifies mortality trends, and discusses related demographic, geographic, and socioeconomic factors.
Author(s): Sonali S. Salunkhe, Sahal Alzahrani, Beatrice Ugiliweneza
Citation: Journal of Appalachian Health, 5(3), 38-52
Date: 12/2023
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Compares all-cause, drug-related, and opioid-related mortality in Kentucky, with breakdowns by metropolitan/nonmetropolitan and Appalachian/non-Appalachian counties. Utilizes 2000-2019 CDC WONDER mortality data. Identifies mortality trends, and discusses related demographic, geographic, and socioeconomic factors.
Author(s): Sonali S. Salunkhe, Sahal Alzahrani, Beatrice Ugiliweneza
Citation: Journal of Appalachian Health, 5(3), 38-52
Date: 12/2023
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Influenza, Updated COVID-19, and Respiratory Syncytial Virus Vaccination Coverage Among Adults — United States, Fall 2023
Reports on vaccination coverage among adults 18 years and older as of December 9, 2023 for influenza, COVID-19, and respiratory syncytial virus (RSV). Figure 2 includes data on vaccination and intent to be vaccinated for rural, suburban, and urban areas.
Author(s): Carla L. Black, Jennifer L. Kriss, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(51), 1377-1382
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports on vaccination coverage among adults 18 years and older as of December 9, 2023 for influenza, COVID-19, and respiratory syncytial virus (RSV). Figure 2 includes data on vaccination and intent to be vaccinated for rural, suburban, and urban areas.
Author(s): Carla L. Black, Jennifer L. Kriss, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(51), 1377-1382
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural, Regional, Racial Disparities in Telemedicine Use During the COVID-19 Pandemic Among US Adults: 2021 National Health Interview Survey (NHIS)
Analyzes telemedicine use among rural and urban adults in context of the COVID-19 pandemic using 2021 National Health Interview Survey data. Presents data on telemedicine use and level of rurality, region, income, and other demographic characteristics. Highlights access disparities, and discusses COVID-19's influence on telehealth adoption.
Author(s): Jeong-Hui Park, Min Jee Lee, Meng-Han Tsai, Huan-Ju Shih, Jongwha Chang
Citation: Patient Preference and Adherence, 17, 3477-3487
Date: 12/2023
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Analyzes telemedicine use among rural and urban adults in context of the COVID-19 pandemic using 2021 National Health Interview Survey data. Presents data on telemedicine use and level of rurality, region, income, and other demographic characteristics. Highlights access disparities, and discusses COVID-19's influence on telehealth adoption.
Author(s): Jeong-Hui Park, Min Jee Lee, Meng-Han Tsai, Huan-Ju Shih, Jongwha Chang
Citation: Patient Preference and Adherence, 17, 3477-3487
Date: 12/2023
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2023 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Disparities in LTSS Needs and Supportive Resources at Age 55, and Outcome Disparities During the Next Decade
Reports on disparities in long-term services and supports (LTSS) needs and resources of adults at age 55, and analyzes outcomes over the next 10 years of their lives, using 2008-2018 longitudinal Health and Retirement Study data. Includes data on demographics, including rural or urban setting. Highlights financial resources, health insurance, social supports, cognitive decline, assets, and more.
Date: 12/2023
Sponsoring organizations: ATI Advisory, Robert Wood Johnson Foundation
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Reports on disparities in long-term services and supports (LTSS) needs and resources of adults at age 55, and analyzes outcomes over the next 10 years of their lives, using 2008-2018 longitudinal Health and Retirement Study data. Includes data on demographics, including rural or urban setting. Highlights financial resources, health insurance, social supports, cognitive decline, assets, and more.
Date: 12/2023
Sponsoring organizations: ATI Advisory, Robert Wood Johnson Foundation
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