Rural Health
Resources by Topic: Rural-urban differences
Lack of Health Insurance Coverage Among Employed Individuals Increased As the COVID-19 Pandemic Intensified
Line chart showing the percent of workers who lacked health insurance from April 23, 2020 through December 21, 2020, with data for metropolitan and nonmetropolitan self-employed individuals and those otherwise employed.
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Line chart showing the percent of workers who lacked health insurance from April 23, 2020 through December 21, 2020, with data for metropolitan and nonmetropolitan self-employed individuals and those otherwise employed.
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Types of Rural and Urban Hospitals and Counties Where They Are Located
Offers a snapshot of the types of rural and urban hospitals and the counties where they are located. Presents data on the number and percent of acute care hospitals and average daily census by hospital type, special payment designation, and county size. Includes descriptions of Medicare special payment designations for hospitals.
Date: 07/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Offers a snapshot of the types of rural and urban hospitals and the counties where they are located. Presents data on the number and percent of acute care hospitals and average daily census by hospital type, special payment designation, and county size. Includes descriptions of Medicare special payment designations for hospitals.
Date: 07/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Urban–Rural Differences in Health Care Utilization and COVID-19 Outcomes in Patients With Type 2 Diabetes
Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
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Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
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Pandemic-Triggered Adoption of Telehealth in Underserved Communities: Descriptive Study of Pre- and Postshutdown Trends
Examines telehealth utilization before and during the COVID-19 pandemic based on Medicaid reimbursement data for Alabama from March 2019 to June 2021. Breaks down data by race/ethnicity, sex, rurality, age, and service and provider type.
Author(s): Pei Xu, Matthew Hudnall, Sidi Zhao, et al.
Citation: Journal of Medical Internet Research, 24(7), e38602
Date: 07/2022
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Examines telehealth utilization before and during the COVID-19 pandemic based on Medicaid reimbursement data for Alabama from March 2019 to June 2021. Breaks down data by race/ethnicity, sex, rurality, age, and service and provider type.
Author(s): Pei Xu, Matthew Hudnall, Sidi Zhao, et al.
Citation: Journal of Medical Internet Research, 24(7), e38602
Date: 07/2022
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Urban–Rural Differences in Drug Overdose Death Rates, 2020
Examines 2020 drug overdose deaths by sex and type of drug, among other factors, with data broken down by rural versus urban county status. Includes a U.S. map that depicts if overall urban or rural counties in a state have a higher rate of age-adjusted overdose death.
Author(s): Merianne Rose Spencer, Matthew F. Garnett, Arialdi M. Miniño
Date: 07/2022
Sponsoring organization: National Center for Health Statistics
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Examines 2020 drug overdose deaths by sex and type of drug, among other factors, with data broken down by rural versus urban county status. Includes a U.S. map that depicts if overall urban or rural counties in a state have a higher rate of age-adjusted overdose death.
Author(s): Merianne Rose Spencer, Matthew F. Garnett, Arialdi M. Miniño
Date: 07/2022
Sponsoring organization: National Center for Health Statistics
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The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
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Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
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Rural Health Disparities in Health Care Utilization for Dementia in Minnesota
Examines emergency department (ED) and inpatient hospitalization rates for older adults with dementia in rural and urban areas of Minnesota. Utilizes 2016-2018 Centers for Disease Control and Prevention disease-specific mortality data to compare to chronologically related H-CUP's State Inpatient Database (SID) and State Emergency Department Database (SEDD) hospital and ED visit data. Includes rural versus urban breakdowns of hospitalizations and ED visits by demographics such as age, sex, income, education, minority status, health behaviors, and access to healthcare providers.
Author(s): Sung Han Rhew, Kristen Jacklin, Patrick Bright, et al.
Citation: Journal of Rural Health, 39(3), 656-665
Date: 07/2022
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Examines emergency department (ED) and inpatient hospitalization rates for older adults with dementia in rural and urban areas of Minnesota. Utilizes 2016-2018 Centers for Disease Control and Prevention disease-specific mortality data to compare to chronologically related H-CUP's State Inpatient Database (SID) and State Emergency Department Database (SEDD) hospital and ED visit data. Includes rural versus urban breakdowns of hospitalizations and ED visits by demographics such as age, sex, income, education, minority status, health behaviors, and access to healthcare providers.
Author(s): Sung Han Rhew, Kristen Jacklin, Patrick Bright, et al.
Citation: Journal of Rural Health, 39(3), 656-665
Date: 07/2022
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Counties With High Levels of Self-Employed Workers Dominate the Great Plains and Upper Mountain West
Map showing metro and nonmetro counties with a proportion of self-employed workers in the top 25% for 2014-2018.
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Map showing metro and nonmetro counties with a proportion of self-employed workers in the top 25% for 2014-2018.
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Achieving Health Equity in US Suicides: A Narrative Review and Commentary
Discusses suicide mortality disparities by different demographics, such as age, race, veteran status, and rurality, among others. Tracks suicide rates from 1999-2019 and highlights rates by specific demographic group.
Author(s): Seth W. Perry, Jacob C. Rainey, Stephen Allison, et al.
Citation: BMC Public Health, 22, 1360
Date: 07/2022
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Discusses suicide mortality disparities by different demographics, such as age, race, veteran status, and rurality, among others. Tracks suicide rates from 1999-2019 and highlights rates by specific demographic group.
Author(s): Seth W. Perry, Jacob C. Rainey, Stephen Allison, et al.
Citation: BMC Public Health, 22, 1360
Date: 07/2022
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County-Level Availability of Obstetric Care and Economic Implications of Hospital Closures on Obstetric Care
Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Sponsoring organization: Center for Economic Analysis of Rural Health
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Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Sponsoring organization: Center for Economic Analysis of Rural Health
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