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Rural Health
Resources by Topic: Rural-urban differences

An Algorithm Using Administrative Data to Measure Adverse Childhood Experiences (ADM‐ACE)
Article discussing the development and methodology of an administrative data tool to measure adverse childhood experiences (ADM-ACE), which researchers applied to 2018 claims and enrollment data for the Tennessee Medicaid program (TennCare). Presents ADM-ACE statistics drawn from the Tennessee data, and outlines how measures of adverse childhood experiences were defined and applied in the study. Offers rural/urban comparisons for rates of ADM-ACE prevalence.
Author(s): Laura E. Henkhaus, Gilbert Gonzales, Melinda B. Buntin
Citation: Health Services Research, 57(4), 963-972
Date: 08/2022
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National Hospital Ambulatory Medical Care Survey: 2019 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. Table 2 includes metro/nonmetro ED visit data by location of patient residence. Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 08/2022
Sponsoring organization: National Center for Health Statistics
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Cumulative Barriers to Retention in Methadone Treatment among Adults from Rural and Small Urban Communities
Highlights a study on the barriers to retention in methadone treatment for opioid use disorder in rural and small urban communities. Breaks down data by participant characteristics and treatment barriers, such as housing instability, lack of transportation, and physical and mental health needs, among others.
Author(s): Emily Pasman, Rachel Kollin, Michael Broman, et al.
Citation: Addiction Science and Clinical Practice, 17, 35
Date: 07/2022
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Reconnecting the Patient: Why Telehealth Policy Solutions Must Consider the Deepening Digital Divide
Discusses the digital divide and telehealth for specific populations including rural residents and people with disabilities in context of the COVID-19 pandemic. Describes federal and state legislation around the digital divide and telehealth, and provides policy recommendations for a variety of populations.
Author(s): Laura C. Hoffman
Citation: Indiana Health Law Review, 19(2), 351-385
Date: 07/2022
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An Overview of the Current Health Care Climate in Rural TX
Webinar discussing the healthcare needs of rural residents in Texas. Outlines the healthcare challenges for people living in rural areas including provider shortages, insurance, and more. Offers data on the characteristics of rural and urban residents in Texas. Discusses healthy behaviors, access to healthcare, social and economic factors, and environmental health. See video description for transcript.
Date: 07/2022
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Hospice Care Index Technical Report
Provides an overview of the Hospice Care Index (HCI), a new Hospice Quality Reporting Program (HQRP) quality measure. Presents data and descriptive trends for the overall index score and each of the ten claims-based indicators that make up the HCI using Medicare claims data from fiscal years 2019-2021. Includes comparisons of hospices by the number of claims, decade of certification, ownership, facility type, region, and urban/rural location.
Date: 07/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Speech Language Pathology and Audiology Workforce in Kentucky
Examines the distribution of speech language pathologists (SLPs) and audiologists (AUDs) across Kentucky. Explores unique challenges faced by rural communities in accessing hearing and speech specialists. Features statistics on numbers of SLPs and AUDs in Kentucky, with breakdowns by Appalachian, rural, urban, and Delta areas.
Author(s): Sydney P. Howard, Melissa Slone, Austin Huff, Frances Feltner
Date: 07/2022
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Longitudinal Assessment of Indiana Dentists' Participation in Medicaid Before and After Expansion
Examines trends related to dentists in Indiana who provided services to Medicaid patients before and after Medicaid expansion, from 2014 through 2017. Analyzes 2,037 Indiana-licensed dentists by Medicaid engagement status, practice type and setting, job status, and demographic characteristics, including rurality.
Author(s): Hannah L. Maxey, Sierra X. Vaughn, Courtney R. Medlock, Analise Dickinson, Yumin Wang
Citation: Journal of the American Dental Association, 153(7), 659-667
Date: 07/2022
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Firearm Safety in Rural America
Policy brief describing the prevalence of firearm-related injuries and death in rural areas. Offers policy recommendations to mitigate the risk of rural firearm injury and death.
Author(s): Eneka Lamb, Ada Pariser, Andy Fosmire
Date: 07/2022
Sponsoring organization: National Rural Health Association
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Indiana's Registered Nurse Workforce: Data Report
Information on demographics, education and practice characteristics, license status, and distribution of Indiana registered nurses (RNs) and advanced practice registered nurses (APRNs). Includes county-by-county data on capacity and distribution of Indiana RNs and APRNs, with breakdowns by urban or rural location.
Author(s): Analise Dickinson, Mykayla Tobin, Sierra Vaughn, Hannah Maxey
Date: 07/2022
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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