Rural Health
Resources by Topic: Rural-urban differences
Train Derailments in Rural and Urban Pennsylvania, 2018 to 2022
Fact sheet analyzing train derailments in Pennsylvania and the U.S. from 2018 to November 30, 2022, using data from the Federal Railroad Administration's Office of Safety Analysis. Features state-level and Pennsylvania county-level maps showing locations and numbers of derailments, and statistics on types, costs, and speeds of derailments, with breakdowns by rural and urban locations.
Date: 03/2023
Sponsoring organization: Center for Rural Pennsylvania
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Fact sheet analyzing train derailments in Pennsylvania and the U.S. from 2018 to November 30, 2022, using data from the Federal Railroad Administration's Office of Safety Analysis. Features state-level and Pennsylvania county-level maps showing locations and numbers of derailments, and statistics on types, costs, and speeds of derailments, with breakdowns by rural and urban locations.
Date: 03/2023
Sponsoring organization: Center for Rural Pennsylvania
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Financial Burden of Medical Care Among Veterans Aged 25–64, by Health Insurance Coverage: United States, 2019–2021
Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Sponsoring organization: National Center for Health Statistics
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2022 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety
Summarizes trends in healthcare quality and disparities for metro (urban) to noncore (rural) populations. Includes quality measures for patient safety, person-centered care, care coordination, effective treatment, healthy living, and affordability.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Summarizes trends in healthcare quality and disparities for metro (urban) to noncore (rural) populations. Includes quality measures for patient safety, person-centered care, care coordination, effective treatment, healthy living, and affordability.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Financial Risk Acceptance among Rural Health Care Providers Participating in the Quality Payment Program
Summarizes nonmetropolitan and metropolitan providers' participation in different Quality Payment Program tracks and subdivisions, and evaluates provider and patient-panel characteristics associated with financial risk acceptance. Features statistics on risk acceptance with breakdowns by specialty type and metropolitan status, and patient panel characteristics by risk type.
Author(s): Xi Zhu, Mina Shrestha, Fred Ullrich, Keith Mueller
Date: 03/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Summarizes nonmetropolitan and metropolitan providers' participation in different Quality Payment Program tracks and subdivisions, and evaluates provider and patient-panel characteristics associated with financial risk acceptance. Features statistics on risk acceptance with breakdowns by specialty type and metropolitan status, and patient panel characteristics by risk type.
Author(s): Xi Zhu, Mina Shrestha, Fred Ullrich, Keith Mueller
Date: 03/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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VA Health Care: Improved Data, Planning, and Communication Needed for Infrastructure Modernization and Realignment
Describes the Asset and Infrastructure Review Commission and Department of Veterans Affairs (VA) recommendations to modernize and realign its infrastructure. Examines the data that the VA used to inform its recommendations, any plans that VA has to improve such data, and the extent of the VA's planning to modernize and realign its infrastructure. Discusses rural-specific recommendations and compares data on facility closure and service line change recommendations by rurality.
Additional links: Full Report
Date: 03/2023
Sponsoring organization: Government Accountability Office
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Describes the Asset and Infrastructure Review Commission and Department of Veterans Affairs (VA) recommendations to modernize and realign its infrastructure. Examines the data that the VA used to inform its recommendations, any plans that VA has to improve such data, and the extent of the VA's planning to modernize and realign its infrastructure. Discusses rural-specific recommendations and compares data on facility closure and service line change recommendations by rurality.
Additional links: Full Report
Date: 03/2023
Sponsoring organization: Government Accountability Office
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Dental Care Use in the Midwest: Metro vs. Nonmetro
Examines dental care use in metro and nonmetro populations of the Midwest. Discusses reasons for seeking dental care and breaks down usage according to sex, race, and geography.
Author(s): Adee Athiyaman
Date: 03/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines dental care use in metro and nonmetro populations of the Midwest. Discusses reasons for seeking dental care and breaks down usage according to sex, race, and geography.
Author(s): Adee Athiyaman
Date: 03/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Your Neighborhood Matters: An Ecological Social Determinant Study of the Relationship Between Residential Racial Segregation And the Risk of Firearm Fatalities
Examines the impact of county-level social determinants of health (SDOH) on firearm fatalities. Analyzes 802 firearm fatalities that occurred in Wisconsin counties in 2019 and their relationship to SDOH, such as segregation, income inequality, community resilience, and rural versus urban classification. Includes county-level maps depicting geographic distribution of segregation and firearm fatalities per 100,000 people.
Author(s): Abdul R. Shour, Ronald Anguzu, Yuhong Zhou, et al.
Citation: Injury Epidemiology, 10, 14
Date: 03/2023
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Examines the impact of county-level social determinants of health (SDOH) on firearm fatalities. Analyzes 802 firearm fatalities that occurred in Wisconsin counties in 2019 and their relationship to SDOH, such as segregation, income inequality, community resilience, and rural versus urban classification. Includes county-level maps depicting geographic distribution of segregation and firearm fatalities per 100,000 people.
Author(s): Abdul R. Shour, Ronald Anguzu, Yuhong Zhou, et al.
Citation: Injury Epidemiology, 10, 14
Date: 03/2023
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Use of Telemedicine among Office-Based Physicians, 2021
Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Worker Burnout in Healthcare: Metro vs. Non-Metro
Examines job satisfaction and turnover intentions by metro and nonmetro location, as well as additional characteristics related to burnout including job category, education, geography, income, and more.
Author(s): Adee Athiyaman
Date: 03/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines job satisfaction and turnover intentions by metro and nonmetro location, as well as additional characteristics related to burnout including job category, education, geography, income, and more.
Author(s): Adee Athiyaman
Date: 03/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Unemployment Rates Have Recovered to Pre-pandemic Levels but Remain Higher in Persistently Poor Rural and Urban Counties
Line chart showing unemployment rates from July 2019 through December 2022 for rural persistent poverty counties, urban persistent poverty counties, other rural counties, and other urban counties.
Date: 03/2023
Sponsoring organization: USDA Economic Research Service
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Line chart showing unemployment rates from July 2019 through December 2022 for rural persistent poverty counties, urban persistent poverty counties, other rural counties, and other urban counties.
Date: 03/2023
Sponsoring organization: USDA Economic Research Service
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