Rural Health
Resources by Topic: Rural-urban differences
Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Emerging Adults Voice their Lived Experience: State of Hawai`i Substance Use System of Care Needs Assessment focused on Emerging Adults
Reports on a culturally responsive needs assessment focused on the substance use system in Hawaii and the experiences of emerging adults aged 18 to 29. Discusses qualitative data from behavioral health professionals as well as 24 emerging adults who have lived experiences with substance use disorder (SUD). Includes participants from various geographic areas with quotes from respective participants labeled by their rural or urban location.
Author(s): Susana Helm, Tai-An Miao, James Taylor, et al.
Date: 12/2022
Sponsoring organization: State of Hawai`i Department of Health, Alcohol & Drug Abuse Division
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Reports on a culturally responsive needs assessment focused on the substance use system in Hawaii and the experiences of emerging adults aged 18 to 29. Discusses qualitative data from behavioral health professionals as well as 24 emerging adults who have lived experiences with substance use disorder (SUD). Includes participants from various geographic areas with quotes from respective participants labeled by their rural or urban location.
Author(s): Susana Helm, Tai-An Miao, James Taylor, et al.
Date: 12/2022
Sponsoring organization: State of Hawai`i Department of Health, Alcohol & Drug Abuse Division
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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(6), 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(6), e003174
Date: 12/2022
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