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Rural Health
Resources by Topic: Rural-urban differences

Sociodemographic Inequities in Telemedicine Use Among US Patients Initiating Treatment in Community Cancer Centers During the Ongoing COVID-19 Pandemic, 2020-2022
Evaluates demographic factors associated with use of telehealth within 90 days after starting cancer treatment during the COVID-19 pandemic, utilizing March 2020-March 2023 data of 36,993 cancer patients. Includes data on telehealth inequities by race and ethnicity, insurance, socioeconomic status, rurality, and more.
Author(s): Jenny S. Guadamuz, Xiaoliang Wang, Trevor J. Royce, Gregory S. Calip
Citation: JCO Oncology Practice, 19(12), 1206-1214
Date: 09/2023
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Telehealth Use and Access to Neurology Outpatient Clinical Services for Children: An Observational Cohort Study
Analyzes pediatric neurology appointment completion, cancellation, and no-show rates among telehealth users and telehealth non-users at a tertiary care children's hospital in North Carolina. Compares appointment outcomes before and during the first year of the COVID-19 pandemic, including rural versus urban demographic and outcome data.
Author(s): Savithri Nageswaran, Annette Grefe, Shyh-Huei Chen, Eric Kirkendall, Edward H. Ip
Citation: North Carolina Medical Journal, 85(1)
Date: 09/2023
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Rural and Urban Variations in Pap Screening During the COVID-19 Pandemic
Poster presentation that shows data on rural and urban receipt of Pap screenings between 2019 and 2022. Utilizes National Cancer Institutes HINT data to examine demographic differences and disparities in preventative cancer screenings during the COVID-19 pandemic.
Author(s): Amanda T. Wiggins, Tyrone F. Borders
Date: 09/2023
Sponsoring organization: Rural and Underserved Health Research Center
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Measuring Supply Capacity at Center-Based CCEE Programs
Provides information and methodology to estimate enrollment and vacancies at center-based child care and early education (CCEE) programs by utilizing 2019 National Survey of Early Care and Education (NSECE) data. Lists CCEE enrollment expansion potential data for infants and 4-year old children according to provider and community characteristics, including urbanicity.
Author(s): W. Wong, A.R. Datta
Date: 09/2023
Sponsoring organization: Administration for Children and Families
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Exploring Changes in the Supply of Listed Home-based Child Care and Early Education between 2012 and 2018
Examines home-based child care provider attrition from 2012 to 2018. Provides data on providers who stayed versus those who left according to demographic variables, child care characteristics, and community characteristics, including urbanicity.
Author(s): A.R. Datta, W. Wong
Date: 09/2023
Sponsoring organizations: Administration for Children and Families, NORC at the University of Chicago
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Hunger Pains: How Food Insecurity Affects Oral Health
Report discusses the ways food insecurity affects oral health outcomes. Highlights populations suffering from food insecurity and compares rural and urban populations. Details the oral health disparities that correlate with food insecurity.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 09/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Factors Associated with Higher Hemoglobin A1c and Type 2 Diabetes-related Costs: Secondary Data Analysis of Adults 18 to 64 in Texas with Commercial Insurance
Examines factors associated with hemoglobin A1c values and diabetes-related costs in Texas residents with type 2 diabetes. Analyzes 2018-2019 data from 34,992 individuals with type 2 diabetes according to age, sex, comorbidities, health indicators, and metro versus nonmetro location.
Author(s): Marcia G. Ory, Gang Han, Sagar N. Jani, et al.
Citation: PLoS One, 18(9)
Date: 09/2023
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Maternal, Infant, and Early Childhood Home Visiting Program in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) in rural areas. Discusses the history of home visiting and the MIECHV program, Tribal MIECHV, program structure, eligible models, and promising approaches. Highlights three evidence-based home visiting models in Oregon that receive MIECHV funding. Offers policy recommendations related to improving MIECHV for rural families.
Date: 09/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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MedPAC Response to a Congressional Request for Information on Improving Access to Health Care in Rural and Underserved Areas
Letter to the House Committee on Ways and Means responding to a request for information on improving access to healthcare in rural and underserved areas. Covers MedPAC recommendations for policies to target payments to better support rural beneficiaries' access to care, including the Rural Emergency Hospital program and a proposed Medicare Safety-Net Index; changes to the hospital wage index to address geographic inequities; and the alignment of payment rates across ambulatory settings for certain services.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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CDC's State of Vaccine Confidence Insights Report: Vaccination in Rural America Special Report
Examines vaccine confidence and uptake among rural populations in the United States between 2017-2023, with a focus on COVID-19 vaccination. Covers differences in vaccine uptake among rural, suburban, and rural populations. Discusses concerns about vaccination and identifies strategies for successful outreach to rural areas.
Date: 09/2023
Sponsoring organization: Centers for Disease Control and Prevention
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