Rural Health
Resources by Topic: Rural-urban differences
Trends in Supply of Nursing Home Beds, 2011-2019
Examines the change in the supply of nursing home beds between 2011 and 2019 while adjusting for the change in the number of older adults in the population. Presents data on the characteristics of counties where the supply of nursing home beds has changed, including rurality and census region. Describes the characteristics of the nursing home beds in counties where the supply has changed, including the percent change in 4- and 5-star beds, for-profit beds, and chain-affiliated beds.
Author(s): Katherine E.M. Miller, Paula Chatterjee, Rachel M. Werner
Citation: JAMA Network Open, 6(3), e230640
Date: 01/2023
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Examines the change in the supply of nursing home beds between 2011 and 2019 while adjusting for the change in the number of older adults in the population. Presents data on the characteristics of counties where the supply of nursing home beds has changed, including rurality and census region. Describes the characteristics of the nursing home beds in counties where the supply has changed, including the percent change in 4- and 5-star beds, for-profit beds, and chain-affiliated beds.
Author(s): Katherine E.M. Miller, Paula Chatterjee, Rachel M. Werner
Citation: JAMA Network Open, 6(3), e230640
Date: 01/2023
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Childcare Need and Availability in Rural Areas: Policy Brief and Recommendations to the Secretary
Presents the findings from the 90th meeting of the National Advisory Committee on Rural Health and Human Services examining the availability and accessibility of childcare services in rural communities. Provides recommendations to the Secretary of the Department of Health and Human Services on actions supporting rural childcare. Discusses the efforts of the American Rescue Plan Act funding, and the effects of COVID-19 and the Public Health Emergency on childcare access and availability.
Date: 01/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Presents the findings from the 90th meeting of the National Advisory Committee on Rural Health and Human Services examining the availability and accessibility of childcare services in rural communities. Provides recommendations to the Secretary of the Department of Health and Human Services on actions supporting rural childcare. Discusses the efforts of the American Rescue Plan Act funding, and the effects of COVID-19 and the Public Health Emergency on childcare access and availability.
Date: 01/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Social Determinants of Cardiovascular Health: A Longitudinal Analysis of Cardiovascular Disease Mortality in US Counties From 2009 to 2018
Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
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Analyzes how social determinants of health (SDOH) are related to cardiovascular disease (CVD) mortality over time. Analyzes county-level data of 17 SDOH from 2009 to 2018 which are further broken down by rural versus urban status.
Author(s): Heejung Son, Donglan Zhang, Ye Shen, et al.
Citation: Journal of the American Heart Association, 12(2)
Date: 01/2023
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Academic Achievement and Competency in Rural and Urban Family Medicine Residents
Analyzes differences in the quality of preparation in rural versus urban family medicine (FM) residencies. Examines medical knowledge across 22 core competencies utilizing 2016-2018 American Board of Family Medicine (ABFM) data from 11,790 residency graduates. Provides data and discussion on differences between rural and urban programs.
Author(s): Lars Peterson, Zachary J. Morgan, C. Holly A. Andrilla, et al.
Citation: Family Medicine, 55
Date: 01/2023
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Analyzes differences in the quality of preparation in rural versus urban family medicine (FM) residencies. Examines medical knowledge across 22 core competencies utilizing 2016-2018 American Board of Family Medicine (ABFM) data from 11,790 residency graduates. Provides data and discussion on differences between rural and urban programs.
Author(s): Lars Peterson, Zachary J. Morgan, C. Holly A. Andrilla, et al.
Citation: Family Medicine, 55
Date: 01/2023
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Rural Versus Urban Family Medicine Residency Scope of Training and Practice
Compares rural and urban residency programs related to graduates' perceptions of preparation for practice as well as postgraduation scope of practice (SOP). Examines 6,483 physicians surveyed 3 years after residency graduation and 44,325 physicians surveyed every 7 to 10 years after certification. Provides data on rural versus urban residency graduates and discusses differences in graduates' experiences by residency location.
Author(s): Samantha W. Pollack, C. Holly A. Andrilla, Lars Peterson, et al.
Citation: Family Medicine, 55
Date: 01/2023
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Compares rural and urban residency programs related to graduates' perceptions of preparation for practice as well as postgraduation scope of practice (SOP). Examines 6,483 physicians surveyed 3 years after residency graduation and 44,325 physicians surveyed every 7 to 10 years after certification. Provides data on rural versus urban residency graduates and discusses differences in graduates' experiences by residency location.
Author(s): Samantha W. Pollack, C. Holly A. Andrilla, Lars Peterson, et al.
Citation: Family Medicine, 55
Date: 01/2023
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2022 Missouri Nursing Workforce Report
Presents an overview of the nursing workforce in Missouri, using data from nurses who held active licenses in Missouri as of October 1, 2022. Provides demographics and statistics on advanced practice registered nurses, registered nurses, and licensed practical nurses, with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Bridget Murphy, Jill Lucht, Eric McDavid, et al.
Date: 01/2023
Sponsoring organizations: Missouri State Board of Nursing, University of Missouri Center for Health Policy
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Presents an overview of the nursing workforce in Missouri, using data from nurses who held active licenses in Missouri as of October 1, 2022. Provides demographics and statistics on advanced practice registered nurses, registered nurses, and licensed practical nurses, with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Bridget Murphy, Jill Lucht, Eric McDavid, et al.
Date: 01/2023
Sponsoring organizations: Missouri State Board of Nursing, University of Missouri Center for Health Policy
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
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Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
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Access to Oral Health Workforce Report: Part II
Evaluates and discusses patient access to oral healthcare in Pennsylvania. Provides demographic and well-being information, and analysis of variables affecting workforce outcomes and access to care. Features statistics with breakdowns by urban and rural areas.
Additional links: Executive Summary
Author(s): Sean G. Boynes, Helen Hawkey, Kelly A. Braun, et al.
Date: 01/2023
Sponsoring organization: Pennsylvania Coalition for Oral Health
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Evaluates and discusses patient access to oral healthcare in Pennsylvania. Provides demographic and well-being information, and analysis of variables affecting workforce outcomes and access to care. Features statistics with breakdowns by urban and rural areas.
Additional links: Executive Summary
Author(s): Sean G. Boynes, Helen Hawkey, Kelly A. Braun, et al.
Date: 01/2023
Sponsoring organization: Pennsylvania Coalition for Oral Health
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COVID-19 Impacts on Primary Care Clinic Care Management Processes
Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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Examines the relationship between COVID-19 primary care disruptions and worsened health outcomes for patients with chronic diseases. Analyzes 269 primary care clinics in Minnesota in 2017, 2019, and 2021 to observe changes in care management processes (CMPs). Presents rural versus urban clinic data related to CMPs reported on the Physician Practice Connections Readiness Survey (PPC-RS).
Author(s): Leif I. Solberg, Caroline S. Carlin, Kevin A. Peterson
Citation: The Annals of Family Medicine, 21(1), 40-45
Date: 01/2023
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Geographic Access to Pediatric Cancer Care in the US
Examines estimated travel time for various populations to access pediatric cancer care in the United States. Analyzes data from more than 90 million children and adolescents and young adults (AYAs) extracted from 2015-2019 American Community Survey 5-year estimates. Includes demographic breakdowns of median travel time by race/ethnicity, age, health insurance status, area deprivation index (ADI), U.S. region, and urban, large town, small town, or rural location. Provides maps that show travel time from population centroids of U.S. ZIP code tabulation areas as well as per capita pediatric oncologist supply by Census division and state.
Author(s): Xiaohui Liu, Mark N. Fluchel, Anne C. Kirchhoff, Haojie Zhu, Tracy Onega
Citation: JAMA Network Open, 6(1), e2251524
Date: 01/2023
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Examines estimated travel time for various populations to access pediatric cancer care in the United States. Analyzes data from more than 90 million children and adolescents and young adults (AYAs) extracted from 2015-2019 American Community Survey 5-year estimates. Includes demographic breakdowns of median travel time by race/ethnicity, age, health insurance status, area deprivation index (ADI), U.S. region, and urban, large town, small town, or rural location. Provides maps that show travel time from population centroids of U.S. ZIP code tabulation areas as well as per capita pediatric oncologist supply by Census division and state.
Author(s): Xiaohui Liu, Mark N. Fluchel, Anne C. Kirchhoff, Haojie Zhu, Tracy Onega
Citation: JAMA Network Open, 6(1), e2251524
Date: 01/2023
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