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Rural Health
Resources by Topic: Rural-urban differences

How to Transform the U.S. Mental Health System: Evidence-based Recommendations
Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Type: Document
Sponsoring organization: RAND Corporation
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Medicare Severe Wound Care: Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on Quality
Reports on an analysis of where Medicare beneficiaries received care for severe wounds in 2018 and Medicare payment for these services. Provides an overview of the implementation of a dual payment system for long-term care hospitals in 2016, and examines how the dual payment system affected the availability and quality of severe wound care for Medicare beneficiaries. Includes data on severe wound care by facility type in addition to Medicare spending by urban and rural location.
Additional links: Full Report
Date: 01/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Deaths From COVID‐19 in Rural, Micropolitan, and Metropolitan Areas: A County‐Level Comparison
Presents a study on the difference in rates of mortality from COVID-19 in rural versus urban areas from February 10, 2020, to June 12, 2020. Discusses the factors that predict COVID-19 mortality, such as elderly populations and limited access to healthcare, among others. Breaks down data in rural, metropolitan, and micropolitan counties and highlights COVID-19 cases, hospital beds, and unemployment rate, among other mortality measures in those counties.
Author(s): Saleema A. Karim, Hsueh-Fen Chen
Citation: Journal of Rural Health, 37(1), 124-132
Date: 01/2021
Type: Document
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Tele‐ICUs for COVID‐19: A Look at National Prevalence and Characteristics of Hospitals Providing Teleintensive Care
Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health, 37(1), 133-141
Date: 01/2021
Type: Document
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Statewide Stay‐At‐Home Directives on the Spread of COVID‐19 in Metropolitan and Nonmetropolitan Counties in the United States
Explores the rate of COVID-19 cases by county in states with stay-at-home directives and attempts to chart their effectiveness in slowing the spread of the disease. Compares rates in metropolitan and nonmetropolitan counties.
Author(s): Ge Lin, Tonglin Zhang, Ying Zhang, Quanyi Wang
Citation: Journal of Rural Health, 37(1), 222-223
Date: 01/2021
Type: Document
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Strategies for Disseminating and Implementing COVID-19 Public Health Prevention Practices in Rural Areas
Describes strategies to communicate public health information about COVID-19 in rural areas. Outlines three areas important in tailoring messages to rural audiences: explaining COVID-19 risk and prevention in a rural context, involving community leaders, and utilizing strengths-based messaging.
Author(s): Beth Prusaczyk
Citation: Journal of Rural Health, 37(1), 142-144
Date: 01/2021
Type: Document
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The State of the Nurse Practitioner Profession, 2020: Results from the National Nurse Practitioner Sample Survey
Analyzes data from the 2020 National Sample Survey of Nurse Practitioners to describe the nurse practitioner (NP) workforce in the U.S. Covers education, certification, practice patterns, and compensation, including statistics on NPs who practice in Rural Health Clinics.
Date: 2021
Type: Document
Sponsoring organization: American Association of Nurse Practitioners
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National Health Service Corps Report to Congress for the Year 2020
Details program accomplishments of the National Health Service Corps (NHSC), provides updates on Health Professional Shortage Area designations, explains recruitment efforts for NHSC Scholarship and Loan Repayment Programs, provides estimates on number of patients seen by NHSC clinicians, and details short- and long-term retention rates. Features state-by-state data with breakdowns by urban and rural locations.
Date: 2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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The Future of Wisconsin's Healthcare Workforce
Examines number of healthcare professionals and their distribution across Wisconsin. Forecasts potential issues in the healthcare workforce and projected workforce supply. Includes rural versus urban percentage distribution of nurse professionals, physician assistants, pharmacists, and physicians.
Date: 2021
Type: Document
Sponsoring organization: Wisconsin Council on Medical Education and Workforce
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Arizona Health Workforce Profile: Occupational Therapists
Offers an overview of the Occupational Therapy (OT) workforce in Arizona, comparing rural and non-rural areas based on 2021 National Plan and Provider Enumeration System data. Breaks down population and OT distribution in urban focused, large rural, small rural, and isolated small rural towns.
Author(s): B. Koch, S. Coates, C. Drake, D. Derksen
Date: 2021
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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