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Rural Health
Resources by Topic: Rural-urban differences

Kentucky Physician Report 2022
Reports on the Kentucky primary care physician workforce distribution and shortages as of 2022. Features statistics on provider-to-population ratios and geographic distribution, with breakdowns by urban, rural, Delta, and Appalachian areas, and includes a county-level map showing numbers of physicians.
Author(s): Sydney P. Howard, Kaden Boots, Frances Feltner
Date: 08/2023
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Urban and Rural Patterns of Health Care Utilization Among People With Rheumatoid Arthritis and Osteoarthritis in a Large US Patient Registry
Explores if there is a relationship between geographic residence and in-person healthcare utilization outcomes for people with rheumatoid arthritis (RA) and osteoarthritis (OA). Analyzes data from a national rheumatic disease longitudinal cohort of 45,000 RA and OA patients to examine healthcare utilization by patients' diagnosis and urban, large rural, and small rural residence.
Author(s): Luke W. Desilet, Sofia Pedro, Patricia Katz, Kaleb Michaud
Citation: Arthritis Care & Research, 77(3), 412-418
Date: 07/2023
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North Carolina Rural and Urban Counties
North Carolina county-level map with shadings showing urban and rural counties.
Date: 07/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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Racial and Rural-Urban Disparities in Maternal Cardiac Disease Care in North Carolina: A Call to Action
Analyzes cardiac-specific severe maternal morbidity of rural and urban, as well as Black and White, populations using data from the 2019 North Carolina State Inpatient Database. Provides statistics on delivery hospitalizations in North Carolina, including births with pre-existing maternal cardiac disease, maternal cardiac disease outcomes, and patient characteristics. Discusses disparities in comorbidities, cardiac categories, and health outcomes.
Author(s): Julia M. Moyett, Linda M. Zambrano Guevara, Divya P. Mallampati, et al.
Citation: North Carolina Medical Journal, 84(4), 249-256
Date: 07/2023
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Research Insight: How Do Workforce Challenges and Strategies Vary Across Area Agencies on Aging?
Report analyzing workforce data for Area Agencies on Aging (AAAs) to identify connections between workforce challenges and organizational characteristics. Includes rural and urban comparisons.
Date: 07/2023
Sponsoring organization: USAging
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Sociodemographic and Geographic Risk Factors for All-Cause Mortality in Patients with COPD
Analyzes factors related to chronic obstructive pulmonary disease (COPD) mortality while considering both individual characteristics and community risk factors. Examines 2021 COPD patient data according to sex, race/ethnicity, comorbidities, area deprivation index, and location by highly rural, rural, and urban.
Author(s): C. Robichaux, J. Aron, C.H. Wendt, et al.
Citation: International Journal of Chronic Obstructive Pulmonary Disease, 18, 1587-1593
Date: 07/2023
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OMB Bulletin No. 23-01, Revised Delineations of Metropolitan Statistical Areas, Micropolitan Statistical Areas, and Combined Statistical Areas, and Guidance on Uses of the Delineations of These Areas
Outlines the Metropolitan Statistical Areas, Micropolitan Statistical Areas, Combined Statistical Areas, and Metropolitan Division – collectively called Core Based Statistical Areas (CBSAs) – for the United States and Puerto Rico. Reflects the 2020 Standards for Delineating Core Based Statistical Areas published by the Office of Management and Budget (OMB) in July 2021 and the application of those standards to Census population and journey-to-work data, including the 2020 Decennial Census, American Community Survey, and Census Population Estimates Program data. Also provides guidance on the use of these delineations.
Date: 07/2023
Sponsoring organization: Office of Management and Budget
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How Do Dual-Eligible Individuals Get Their Medicare Coverage?
Issue brief using the 2020 Medicare Beneficiary Summary File to present data on Medicare coverage for dual-eligible people. Compares data by dual-eligible individuals' characteristics, including rural residence.
Author(s): Maria T. Peña, Maiss Mohamed, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 07/2023
Sponsoring organization: KFF
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Predictive Risk Factors for Childbirth-Associated Breast Infections in the United States: A 10-Year Perspective
Analyzes factors associated with breast infections in mothers by type of infection, type of hospital admission, and associated length of stay (LOS) in hospital. Utilizes 2005-2014 National Inpatient Sample (NIS) data to examine infection according to demographic factors, comorbidities, severity of illness, and hospital location, such as teaching urban, non-teaching urban, and rural.
Author(s): Klaudia J. Koziol, Abbas Smiley, Rifat Latifi, Maria T. Castaldi
Citation: International Journal of Environmental Research and Public Health, 20(14), 6333
Date: 07/2023
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Rural-Urban Disparities in Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans
Compares the use of video telehealth for mental healthcare between American Indian/Alaska Native (AI/AN) and non–AI/AN veterans by urban and rural residence from October 2019 through December 2020. Provides an overview of health disparities among AI/AN veterans. Presents monthly data on the number and percent of mental health encounters by type, rurality, and AI/AN status.
Author(s): Isabelle S. Kusters, Amber B. Amspoker, Kristen Frosio, et al.
Citation: JAMA Psychiatry
Date: 07/2023
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