Rural Health
Resources by Topic: Rural-urban differences
COVID-19 Mortality Rates across Noncore, Micropolitan, and Metropolitan Counties by Community Characteristics, December 2020-January 2021
Explores differences in COVID-19 mortality rates across rural-urban designations and stratifications by geography, county-level sociodemographic factors, and county-level healthcare factors. Features statistics on mortality rates by rurality and U.S. census region, racial/ethnic composition, and ICU and nursing home bed density, as well as state-level maps showing mortality rates per 100,000 with breakdowns by metropolitan, micropolitan, and noncore areas.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Fred Ullrich, Keith J. Mueller
Date: 01/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores differences in COVID-19 mortality rates across rural-urban designations and stratifications by geography, county-level sociodemographic factors, and county-level healthcare factors. Features statistics on mortality rates by rurality and U.S. census region, racial/ethnic composition, and ICU and nursing home bed density, as well as state-level maps showing mortality rates per 100,000 with breakdowns by metropolitan, micropolitan, and noncore areas.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Fred Ullrich, Keith J. Mueller
Date: 01/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Problems Paying Medical Bills: United States, 2021
Reports data on families facing problems paying medical bills by selected sociodemographic and geographic characteristics. Table 2 includes data for metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Amy E. Cha,
Date: 01/2023
Sponsoring organization: National Center for Health Statistics
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Reports data on families facing problems paying medical bills by selected sociodemographic and geographic characteristics. Table 2 includes data for metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Amy E. Cha,
Date: 01/2023
Sponsoring organization: National Center for Health Statistics
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Unmet Needs for Help with Mobility Limitations among Older Adults Aging in Place: The Role of Rurality
Examines unmet mobility needs related to issues of access and appropriate housing in older adult populations. Analyzes data from 3,343 respondents of the National Health and Aging Trends Study (NHATS) by various sociodemographic factors. Includes differences in health characteristics, fall history, and unmet needs with data broken down by rural versus urban location.
Author(s): Carrie Henning-Smith, Megan Lahr, John Mulcahy, Hannah MacDougall
Citation: Journal of Aging and Health, 35(9)
Date: 01/2023
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Examines unmet mobility needs related to issues of access and appropriate housing in older adult populations. Analyzes data from 3,343 respondents of the National Health and Aging Trends Study (NHATS) by various sociodemographic factors. Includes differences in health characteristics, fall history, and unmet needs with data broken down by rural versus urban location.
Author(s): Carrie Henning-Smith, Megan Lahr, John Mulcahy, Hannah MacDougall
Citation: Journal of Aging and Health, 35(9)
Date: 01/2023
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Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021
Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs) from 2018-2021. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 01/2023
Sponsoring organization: Capital Link
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Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs) from 2018-2021. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 01/2023
Sponsoring organization: Capital Link
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Who Cannot Afford to Pay Medical Bills in the North Central Region?
Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, sex, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Author(s): Zuzana Bednarik, Renee D. Wiatt
Date: 01/2023
Sponsoring organization: North Central Regional Center for Rural Development
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Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, sex, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Author(s): Zuzana Bednarik, Renee D. Wiatt
Date: 01/2023
Sponsoring organization: North Central Regional Center for Rural Development
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Vaccination Coverage by Age 24 Months Among Children Born During 2018–2019 — National Immunization Survey–Child, United States, 2019–2021
Examines vaccination coverage for selected vaccines and doses among children born in 2018-2019. Supplementary Table 2 includes data for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, Michael Chen, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(2), 33-38
Date: 01/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Examines vaccination coverage for selected vaccines and doses among children born in 2018-2019. Supplementary Table 2 includes data for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, Michael Chen, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(2), 33-38
Date: 01/2023
Sponsoring organization: Centers for Disease Control and Prevention
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A Study of Arizona Physician Relocation Patterns by Rurality and Primary Care Status
Results of a study examining Arizona physician locations, relocation patterns, and factors associated with relocating between 2014-2019. Features demographics and statistics with breakdowns by urban, large rural, and small rural areas.
Author(s): Benjamin R. Brady, Bryna Koch, Dexter L. Gulick, Heather Carter, Daniel J. Derksen
Citation: Family Medicine, 55(1), 20-26
Date: 01/2023
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Results of a study examining Arizona physician locations, relocation patterns, and factors associated with relocating between 2014-2019. Features demographics and statistics with breakdowns by urban, large rural, and small rural areas.
Author(s): Benjamin R. Brady, Bryna Koch, Dexter L. Gulick, Heather Carter, Daniel J. Derksen
Citation: Family Medicine, 55(1), 20-26
Date: 01/2023
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Examining Rural Telehealth During the Public Health Emergency
Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, CMS Alliance to Modernize Healthcare
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Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, CMS Alliance to Modernize Healthcare
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Spatial Analysis of Access to Psychiatrists for US Military Personnel and Their Families
Examines the location and capacity of psychiatrists within a 30-minute driving time of TRICARE beneficiaries. Explores how geographic access to psychiatrists affects veteran TRICARE beneficiaries in rural and low-income communities. Breaks down community data by region, rural or urban status, and economic makeup, among other measures.
Author(s): Marigee Bacolod, Jennifer Heissel, Yu-Chu Shen
Citation: JAMA Network Open, 6(1), e2249314
Date: 01/2023
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Examines the location and capacity of psychiatrists within a 30-minute driving time of TRICARE beneficiaries. Explores how geographic access to psychiatrists affects veteran TRICARE beneficiaries in rural and low-income communities. Breaks down community data by region, rural or urban status, and economic makeup, among other measures.
Author(s): Marigee Bacolod, Jennifer Heissel, Yu-Chu Shen
Citation: JAMA Network Open, 6(1), e2249314
Date: 01/2023
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Racial and Ethnic Differences in COVID-19 Vaccination Coverage Among Children and Adolescents Aged 5–17 Years and Parental Intent to Vaccinate Their Children — National Immunization Survey–Child COVID Module, United States, December 2020–September 2022
Reports on racial and ethnic differences in COVID-19 vaccination status and parental intent to vaccinate for children and adolescents aged 5-17 years. Includes data by urbanicity for those living in metropolitan and nonmetro areas.
Author(s): Madeleine R. Valier, Laurie D. Elam-Evans, Yi Mu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(1), 1-8
Date: 01/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on racial and ethnic differences in COVID-19 vaccination status and parental intent to vaccinate for children and adolescents aged 5-17 years. Includes data by urbanicity for those living in metropolitan and nonmetro areas.
Author(s): Madeleine R. Valier, Laurie D. Elam-Evans, Yi Mu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(1), 1-8
Date: 01/2023
Sponsoring organization: Centers for Disease Control and Prevention
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