Rural Health
Resources by Topic: Rural-urban differences
2022 Communications Marketplace Report
Examines the state of competition across the broader communications marketplace, as well as laws, regulations, regulatory practices, or marketplace practices that pose a barrier to competitive entry and expansion of the marketplace. Identifies an emerging set of issues and opportunities presented by changes made in response to COVID-19. Includes data on tribal and rural areas throughout, including trends in broadband adoption and the percentage of households with multiple provider options between 2018-2021.
Date: 12/2022
Sponsoring organization: Federal Communications Commission
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Examines the state of competition across the broader communications marketplace, as well as laws, regulations, regulatory practices, or marketplace practices that pose a barrier to competitive entry and expansion of the marketplace. Identifies an emerging set of issues and opportunities presented by changes made in response to COVID-19. Includes data on tribal and rural areas throughout, including trends in broadband adoption and the percentage of households with multiple provider options between 2018-2021.
Date: 12/2022
Sponsoring organization: Federal Communications Commission
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National Hospital Ambulatory Medical Care Survey: 2020 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location.
Date: 12/2022
Sponsoring organization: National Center for Health Statistics
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Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location.
Date: 12/2022
Sponsoring organization: National Center for Health Statistics
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Disparities in Current Cigarette Smoking Among US Adults With Mental Health Conditions
Examines the prevalence of smoking among adults with reported mental health conditions. Analyzes 19,398 respondents from the 2019 and 2020 National Survey on Drug Use and Health and breaks down the data state-by-state as well as by age, sex, sexual orientation, education, disability, annual income, marriage status, health insurance and employment status, having been arrested in the past 12 months, and large metro, small metro, and nonmetro/rural area.
Author(s): Caitlin G. Loretan, Teresa W. Wang, Christina V. Watson, Ahmed Jamal
Citation: Preventing Chronic Disease, 19
Date: 12/2022
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Examines the prevalence of smoking among adults with reported mental health conditions. Analyzes 19,398 respondents from the 2019 and 2020 National Survey on Drug Use and Health and breaks down the data state-by-state as well as by age, sex, sexual orientation, education, disability, annual income, marriage status, health insurance and employment status, having been arrested in the past 12 months, and large metro, small metro, and nonmetro/rural area.
Author(s): Caitlin G. Loretan, Teresa W. Wang, Christina V. Watson, Ahmed Jamal
Citation: Preventing Chronic Disease, 19
Date: 12/2022
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COVID-19 Working Paper: Consumer Food Spending Changes During the COVID-19 Pandemic
Examines U.S. consumer food-at-home (FAH) and food-away-from home (FAFH) purchasing behaviors prior to 2016-2019 and during the COVID-19 pandemic (2020). Provides spending data for U.S. households by age, race and ethnicity, household composition, income, and region. Includes budget share data for fruits, vegetables, and protein, and per capita spending on FAH and FAFH by region and urban/rural areas.
Author(s): Abigail Okrent, Eliana Zeballos
Date: 12/2022
Sponsoring organization: USDA Economic Research Service
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Examines U.S. consumer food-at-home (FAH) and food-away-from home (FAFH) purchasing behaviors prior to 2016-2019 and during the COVID-19 pandemic (2020). Provides spending data for U.S. households by age, race and ethnicity, household composition, income, and region. Includes budget share data for fruits, vegetables, and protein, and per capita spending on FAH and FAFH by region and urban/rural areas.
Author(s): Abigail Okrent, Eliana Zeballos
Date: 12/2022
Sponsoring organization: USDA Economic Research Service
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Disparities in Virtual Cardiology Visits Among Veterans Health Administration Patients During the COVID-19 Pandemic
Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L. Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L. Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Mandated Analysis of Home Health Service Utilization From January 2016 Through March 2022
Report evaluates the distribution of rural add-on payments for home health claims. Examines the results of the Centers for Medicare and Medicaid Services's new rural add-on methodology aimed at providing higher add-on percentages for "low population density" categories and explores the effect this methodology has had on "high utilization" categories. Makes comments and recommendations as to how this methodology can be adjusted.
Additional links: Report in Brief
Date: 12/2022
Sponsoring organization: Office of Inspector General (HHS)
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Report evaluates the distribution of rural add-on payments for home health claims. Examines the results of the Centers for Medicare and Medicaid Services's new rural add-on methodology aimed at providing higher add-on percentages for "low population density" categories and explores the effect this methodology has had on "high utilization" categories. Makes comments and recommendations as to how this methodology can be adjusted.
Additional links: Report in Brief
Date: 12/2022
Sponsoring organization: Office of Inspector General (HHS)
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Addressing Behavioral Health Workforce Needs in Kansas
Examines the behavioral health workforce in Kansas by age and rural versus urban geographic distribution. Includes data on population to provider ratios for psychiatrists and licensed special clinical social workers (LSCSWs). Discusses strategies to reduce behavioral workforce shortages such as the utilization of telehealth.
Author(s): Cynthia Snyder, Angela Wu, Hina B. Shah, Wen-Chieh Lin
Date: 12/2022
Sponsoring organization: Kansas Health Institute
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Examines the behavioral health workforce in Kansas by age and rural versus urban geographic distribution. Includes data on population to provider ratios for psychiatrists and licensed special clinical social workers (LSCSWs). Discusses strategies to reduce behavioral workforce shortages such as the utilization of telehealth.
Author(s): Cynthia Snyder, Angela Wu, Hina B. Shah, Wen-Chieh Lin
Date: 12/2022
Sponsoring organization: Kansas Health Institute
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Effect of Health System on the Association of Rurality and Level of Disadvantage with Receipt of Diabetic Eye Screening
Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, sex, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J. Lock, Roomasa Channa, Meghan B. Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10, e003174
Date: 12/2022
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Examines the role of disadvantage related to rural versus urban disparities of eye screenings in Wisconsin. Analyzes 118,707 adults with diabetes who had billed claims recorded in a 2012-2013 all-payer database. Includes demographic information including age, sex, insurance payer, clinic rurality, clinic disadvantage, and hierarchical condition category (HCC) risk score. Discusses the need for health system-level change to address social determinants of health.
Author(s): Loren J. Lock, Roomasa Channa, Meghan B. Brennan, Ying Cao, Yao Liu
Citation: BMJ Open Diabetes Research & Care, 10, e003174
Date: 12/2022
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Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data
Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Mental Health Disorders Among Delivery Inpatient Stays by Patient Race and Ethnicity, 2020
Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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