Rural Health
Resources by Topic: Rural-urban differences
Disparities in Mental Health Care and Outcomes: A Healthy Metric Report for Wisconsin 2023
Provides an overview of mental health disparities in Wisconsin according to race/ethnicity, insurance type, age, and rural versus urban location. Utilizes 2021 Wisconsin Collaborative for Healthcare Quality (WCHQ) member organization data to report on mental health screenings, diagnoses, telehealth, and opportunities to improve mental healthcare in Wisconsin.
Date: 06/2023
Sponsoring organizations: Advancing a Healthier Wisconsin Endowment, Wisconsin Partnership Program
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Provides an overview of mental health disparities in Wisconsin according to race/ethnicity, insurance type, age, and rural versus urban location. Utilizes 2021 Wisconsin Collaborative for Healthcare Quality (WCHQ) member organization data to report on mental health screenings, diagnoses, telehealth, and opportunities to improve mental healthcare in Wisconsin.
Date: 06/2023
Sponsoring organizations: Advancing a Healthier Wisconsin Endowment, Wisconsin Partnership Program
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Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021
Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Predicting Firm Creation in Rural Texas: A Multi-Model Machine Learning Approach to a Complex Policy Problem
Evaluates Texas counties between 2008 and 2018 to identify factors contributing to entrepreneurship for rural areas. Discusses how healthcare, elder care, and child care predict growth in entrepreneurship. Compares predictive factors for rural areas with urban predictive factors. Makes recommendations for research, policy, and scholarship for rural entrepreneurship.
Author(s): Mark C. Hand, Vivek Shastry, Varun Rai
Citation: PLOS ONE, 18(6), e0287217
Date: 06/2023
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Evaluates Texas counties between 2008 and 2018 to identify factors contributing to entrepreneurship for rural areas. Discusses how healthcare, elder care, and child care predict growth in entrepreneurship. Compares predictive factors for rural areas with urban predictive factors. Makes recommendations for research, policy, and scholarship for rural entrepreneurship.
Author(s): Mark C. Hand, Vivek Shastry, Varun Rai
Citation: PLOS ONE, 18(6), e0287217
Date: 06/2023
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Advancing Economic Development in Persistent-Poverty Communities
Examines census tracts to identify areas of "persistent poverty," defined as an area with at least a 20% poverty rate for at least 30 years. Discusses the distribution of the persistently poor population between rural and urban areas and highlights specific regions such as the Southeast, Tribal areas, and Appalachia. Outlines contributors to persistent poverty including workforce development, lack of infrastructure, race and ethnicity, economic conditions, and more. Presents 4 case studies, including 2 rural studies, to highlight overall themes and make recommendations for improving conditions in persistently poor locations. Interactive map provides information and data on persistent poverty counties.
Additional links: Executive Summary, Interactive Map
Author(s): August Benzow, Kenan Fikri, Joanne Kim, Daniel Newman
Date: 06/2023
Sponsoring organization: Economic Innovation Group
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Examines census tracts to identify areas of "persistent poverty," defined as an area with at least a 20% poverty rate for at least 30 years. Discusses the distribution of the persistently poor population between rural and urban areas and highlights specific regions such as the Southeast, Tribal areas, and Appalachia. Outlines contributors to persistent poverty including workforce development, lack of infrastructure, race and ethnicity, economic conditions, and more. Presents 4 case studies, including 2 rural studies, to highlight overall themes and make recommendations for improving conditions in persistently poor locations. Interactive map provides information and data on persistent poverty counties.
Additional links: Executive Summary, Interactive Map
Author(s): August Benzow, Kenan Fikri, Joanne Kim, Daniel Newman
Date: 06/2023
Sponsoring organization: Economic Innovation Group
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Prevalence and Geographic Patterns of Self-Reported Short Sleep Duration Among US Adults, 2020
Discusses sleep duration and its impact on chronic conditions in U.S. adults across sociodemographic characteristics, including age, sex, race and ethnicity, marital status, education, income, and urbanicity, utilizing 2020 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes county-level U.S. maps showing percentages of short sleep duration as well as data comparisons across the rural-urban continuum.
Author(s): Magdalena M. Pankowska, Hua Lu, Anne G. Wheaton, et al.
Citation: Preventing Chronic Disease, 20
Date: 06/2023
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Discusses sleep duration and its impact on chronic conditions in U.S. adults across sociodemographic characteristics, including age, sex, race and ethnicity, marital status, education, income, and urbanicity, utilizing 2020 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes county-level U.S. maps showing percentages of short sleep duration as well as data comparisons across the rural-urban continuum.
Author(s): Magdalena M. Pankowska, Hua Lu, Anne G. Wheaton, et al.
Citation: Preventing Chronic Disease, 20
Date: 06/2023
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NHPCO Pediatric Facts and Figure, 2023 Edition
Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Sponsoring organizations: National Alliance for Care at Home, National Hospice and Palliative Care Organization
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Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Sponsoring organizations: National Alliance for Care at Home, National Hospice and Palliative Care Organization
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Rural Health on Life Support - The State of America's Rural Health Systems
Podcast episode discussing the rural health landscape and how policies affect rural healthcare systems and service delivery. Covers rural hospital closures, payment policy, workforce concerns, emergency medical services (EMS), the Rural Emergency Hospital designation, and more.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the rural health landscape and how policies affect rural healthcare systems and service delivery. Covers rural hospital closures, payment policy, workforce concerns, emergency medical services (EMS), the Rural Emergency Hospital designation, and more.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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Disability Rates Higher in Rural Areas Than Urban Areas
Examines urban and rural differences in disability rates nationally and by region, based on data from the American Community Survey.
Author(s): Katrina Crankshaw
Date: 06/2023
Sponsoring organization: U.S. Census Bureau
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Examines urban and rural differences in disability rates nationally and by region, based on data from the American Community Survey.
Author(s): Katrina Crankshaw
Date: 06/2023
Sponsoring organization: U.S. Census Bureau
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Monthly Excess Mortality Across Counties in the United States During the COVID-19 Pandemic, March 2020 to February 2022
Analyzes all-cause excess mortality between March 2020 and February 2022 by county and month to show trends in mortality by date and location. Highlights patterns seen over time between metropolitan and nonmetropolitan areas. Discusses the impact of COVID-19 vaccination on the trends.
Author(s): Eugenio Paglino, Dielle J. Lundberg, Zhenwei Zhou, et al.
Citation: Science Advances 9(25)
Date: 06/2023
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Analyzes all-cause excess mortality between March 2020 and February 2022 by county and month to show trends in mortality by date and location. Highlights patterns seen over time between metropolitan and nonmetropolitan areas. Discusses the impact of COVID-19 vaccination on the trends.
Author(s): Eugenio Paglino, Dielle J. Lundberg, Zhenwei Zhou, et al.
Citation: Science Advances 9(25)
Date: 06/2023
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Obstetric Volume and Severe Maternal Morbidity Among Low-Risk and Higher-Risk Patients Giving Birth at Rural and Urban US Hospitals
Compares births in rural and urban counties in California, Michigan, Pennsylvania, and South Carolina to identify associations between obstetric volume and morbidity in low and high risk patients. Discusses suggestions for improving morbidity rates.
Author(s): Katy Backes Kozhimannil, Stephanie Leonard, Sara C. Handley, et al.
Citation: JAMA Network Open, 4(6)
Date: 06/2023
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Compares births in rural and urban counties in California, Michigan, Pennsylvania, and South Carolina to identify associations between obstetric volume and morbidity in low and high risk patients. Discusses suggestions for improving morbidity rates.
Author(s): Katy Backes Kozhimannil, Stephanie Leonard, Sara C. Handley, et al.
Citation: JAMA Network Open, 4(6)
Date: 06/2023
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