Rural Health
Resources by Topic: Rural-urban differences
Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Trajectory of COVID-19 Vaccine Hesitancy Over Time and Association of Initial Vaccine Hesitancy With Subsequent Vaccination
Assesses the association between baseline vaccine hesitancy and vaccine receipt at study follow-up, using data from 3,439 participants surveyed between August-December 2020 and again between March-April 2021. Also explores the validity of vaccine self-report. Features demographic statistics with breakdowns by metropolitan or nonmetropolitan location.
Author(s): Aaron J. Siegler, Nicole Luisi, Eric W. Hall, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
Type: Document
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Assesses the association between baseline vaccine hesitancy and vaccine receipt at study follow-up, using data from 3,439 participants surveyed between August-December 2020 and again between March-April 2021. Also explores the validity of vaccine self-report. Features demographic statistics with breakdowns by metropolitan or nonmetropolitan location.
Author(s): Aaron J. Siegler, Nicole Luisi, Eric W. Hall, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
Type: Document
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Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks
Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
Type: Document
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Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
Type: Document
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Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Type: Document
Sponsoring organization: KFF
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Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Type: Document
Sponsoring organization: KFF
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Trends in Death Rates in Urban and Rural Areas: United States, 1999-2019
Examines national trends for age-adjusted death rates in urban and rural areas by sex. Includes data for the 10 leading causes of death in 2019 by urban and rural status.
Author(s): Sally C. Curtin, Merianne Rose Spencer
Date: 09/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines national trends for age-adjusted death rates in urban and rural areas by sex. Includes data for the 10 leading causes of death in 2019 by urban and rural status.
Author(s): Sally C. Curtin, Merianne Rose Spencer
Date: 09/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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Strengthening SNAP and TANF is Essential to Support Children in Early Childhood
Research brief examining participation in the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) in Virginia during children's first six years of life. Uses administrative data from the Virginia Longitudinal Data System to explore differences in participation by race and residence in rural versus urban counties.
Author(s): Colleen Heflin, Michah W. Rothbart, Mattie Mackenzie-Liu
Date: 09/2021
Type: Document
Sponsoring organization: Lerner Center for Public Health Promotion
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Research brief examining participation in the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) in Virginia during children's first six years of life. Uses administrative data from the Virginia Longitudinal Data System to explore differences in participation by race and residence in rural versus urban counties.
Author(s): Colleen Heflin, Michah W. Rothbart, Mattie Mackenzie-Liu
Date: 09/2021
Type: Document
Sponsoring organization: Lerner Center for Public Health Promotion
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Availability of Post-Acute Care and Long-Term Care Services in Rural Areas
September 14, 2021 webinar discussing the availability of post-acute care and long-term services in rural areas. Shares information on nursing home closures, nursing home deserts, and data describing nursing homes characteristics by metro and nonmetro location. Includes an analysis of hospitals with swing beds that provide coverage for post-acute care and long-term services in rural areas and home health services in rural areas without nursing homes.
Additional links: Presentation Slides, Transcript
Author(s): Hari Sharma
Date: 09/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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September 14, 2021 webinar discussing the availability of post-acute care and long-term services in rural areas. Shares information on nursing home closures, nursing home deserts, and data describing nursing homes characteristics by metro and nonmetro location. Includes an analysis of hospitals with swing beds that provide coverage for post-acute care and long-term services in rural areas and home health services in rural areas without nursing homes.
Additional links: Presentation Slides, Transcript
Author(s): Hari Sharma
Date: 09/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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2021 Final Marketplace Special Enrollment Period Report
Provides data on the 2021 Special Enrollment Period (SEP), describing the number of Americans who enrolled in the individual, federally-sponsored Health insurance Marketplace. Table 4 provides demographic and plan characteristics by gender, age, rural status, household income, and more.
Date: 09/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides data on the 2021 Special Enrollment Period (SEP), describing the number of Americans who enrolled in the individual, federally-sponsored Health insurance Marketplace. Table 4 provides demographic and plan characteristics by gender, age, rural status, household income, and more.
Date: 09/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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QuickStats: Age-Adjusted Death Rates for Cancer, by Urban-Rural Status and Sex — National Vital Statistics System, United States, 1999–2019
Line chart showing urban and rural cancer death rates for men and women from 1999 through 2019.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(37), 1312
Date: 09/2021
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Line chart showing urban and rural cancer death rates for men and women from 1999 through 2019.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(37), 1312
Date: 09/2021
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Mental Health System Development in Rural and Remote Areas during COVID-19
Report highlights the barriers faced by rural, remote, and tribal communities to accessing mental healthcare during the COVID-19 pandemic. Details rates of mental health treatment over the past year and compares rural and urban communities. Discusses factors affecting access in rural areas such as workforce shortages, lack of telehealth services, and lack of culturally competent care for American Indian and Alaska Native populations, among others.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Report highlights the barriers faced by rural, remote, and tribal communities to accessing mental healthcare during the COVID-19 pandemic. Details rates of mental health treatment over the past year and compares rural and urban communities. Discusses factors affecting access in rural areas such as workforce shortages, lack of telehealth services, and lack of culturally competent care for American Indian and Alaska Native populations, among others.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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