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Rural Health
Resources by Topic: Rural-urban differences

The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Sponsoring organization: Center for Health Workforce Studies
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Access to Care among Medicare Beneficiaries Aged 65 and Over Living with High-Impact Chronic Pain
Examines access to care and its association with high-impact chronic pain among Medicare recipients over 65 and not living in a long-term care facility between 2018 and 2020. Includes data breakdown between metro area and non-metro area residents. Discusses delay in seeking medical care due to cost and general access to care.
Author(s): Jared Sawyer, Laura Stoff, Carrie Goetsch, et al.
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Progress and Ongoing Challenges to Electronic Public Health Reporting Among Non-Federal Acute Care Hospitals
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2022. Discusses challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Appendix Table A4 contains data on the number of hospitals surveyed that reported at least one reporting challenge by state.
Author(s): Chelsea Richwine
Date: 06/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Minnesota Hospital Association 2023 Workforce Report
Provides an overview of Minnesota's healthcare workforce from 2019 to 2023, with interactive information on vacancies, hiring rates, and workforce demographics, including metro-area versus non-metro-area diversity rates in healthcare workers.
Date: 06/2023
Sponsoring organization: Minnesota Hospital Association
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2023
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 7 presents a report on the use, payment, and quality of telehealth services that Medicare pays for separately under the physician fee schedule (PFS). Also includes chapters on the cost of drugs covered under Medicare Part B, postsale rebates for prescription drugs in Medicare Part D, standardized benefits in Medicare Advantage plans, future directions for Medicare Advantage payment policy, disparities in outcomes for beneficiaries with different social risks, Medicare behavioral health services, the alignment of fee-for-service payment rates across ambulatory settings, and the evaluation of a post-acute care prospective payment system prototype.
Date: 06/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Mental Health Treatment Among Children Aged 5–17 Years: United States, 2021
Reports on U.S. children between the ages of 5 and 17 who had counseling or therapy from a mental health professional or took prescription medication for mental health in the past 12 months. Includes data for children living in nonmetropolitan areas, small or medium metro areas, and large metro areas.
Author(s): Benjamin Zablotsky, Amanda E. Ng
Date: 06/2023
Sponsoring organization: National Center for Health Statistics
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Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022
Explores mental health access associated with state-level telehealth policy changes due to COVID-19. Highlights disparities in mental health via telehealth access before and after COVID-related policy changes and details access rates in counties based on rurality, among other measures.
Author(s): Ryan K. McBain, Megan S. Schuler, Nabeel Qureshi, et al.
Citation: JAMA Network Open, 6(6), e2318045
Date: 06/2023
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Inflation Does Vary Between Rural and Urban Minnesota
Examines inflation differences between rural and urban Minnesota and discusses issues such as demand, supply chain, and workforce shortages. Includes rural versus urban comparisons of expenses, discretionary income, and total income.
Author(s): Marnie Werner
Date: 06/2023
Sponsoring organization: Center for Rural Policy and Development
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Colorectal Cancer Screening in Rural and Urban Primary Care Practices Amid Implementation of the Medicare Access and CHIP Reauthorization Act
Analyzes the rate of colorectal cancer screening in 139 primary care practices between 2016 and 2020, following the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), which provides financial incentives for screening. Includes colorectal cancer screening rates by year and quarter, social deprivation, age, race, region, and rurality, with comparisons between rural and urban primary care practices.
Author(s): Tyrone F. Borders, Zachary J. Morgan, Lars E. Peterson
Citation: Journal of Primary Care & Community Health, 14
Date: 06/2023
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How Often Do Households in the North Central Region Run out of Food?
Provides 2022 data on the percentage of households in the North Central Region who run out of food before they have funds to purchase groceries. Examines households by frequency of food insecurity, specific North Central Region state, race, marital status, income, education, and rural, urban, or suburban location.
Author(s): Antara Chowdhury
Date: 06/2023
Sponsoring organization: North Central Regional Center for Rural Development
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