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Rural Health
Resources by Topic: Rural-urban differences

Health Value and Belief Differences Among Rural Americans
Results of a study to better understand how Americans differ in their beliefs about health at individual, community, and societal levels. Appendix features survey question responses with breakdowns by rural and urban residence.
Additional links: American Health Values Survey: Rural Typology
Author(s): Larry L. Bye, Alyssa Ghirardelli, Angela Fontes, Mike Meit, Kristin Dwan
Date: 04/2019
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Testing and Improving the Acceptability of a Web-Based Platform for Collective Intelligence to Improve Diagnostic Accuracy in Primary Care Clinics
Explores use of the Human Dx collective intelligence tool among 13 primary care providers in community-based clinics, including 3 in rural areas. Includes statistics on characteristics of participating clinicians, with breakdown by urban or rural location.
Author(s): Valy Fontil, Kate Radcliffe, Helena C. Lyson, et al.
Citation: JAMIA Open, 2(1), 40-48
Date: 04/2019
Type: Document
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The Changing Burden of Diabetes in Rural and Urban America
Recording and slides from an April 29, 2019 webinar with Timothy Callaghan and Alva O. Ferdinand from the Texas A&M University School of Public Heath. Provides an overview of diabetes mortality and trends in rural and urban areas. Covers data on in-hospital diabetes mortality, predictors of emergency department initiated diabetes care, and progress towards Healthy People 2020 goals to reduce diabetes mortality.
Additional links: Presentation Slides, Transcript, Webinar Recording
Date: 04/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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American Farm Bureau Federation Rural Stress Polling Presentation
Summarizes the results of a survey of rural adults, farmers, and farmworkers regarding mental health. Includes statistics and data describing access to mental health resources, mental health concerns for farmers, ways to reduce stigma, general impressions of mental health, and more.
Date: 04/2019
Type: Document
Sponsoring organizations: American Farm Bureau Federation, Morning Consult
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Rural Health Research Recap: State of Rural Women's Healthcare Utilization and Health Indicators
Summarizes rural and urban statistics describing health indicators and healthcare utilization for women, maternal and obstetric healthcare services, and maternal substance use. Includes information regarding barriers to accessing care.
Author(s): Shawnda Schroeder
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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An Evaluation Report: Senior Food-Assistance, Related Programming, and Seniors' Experiences Across the Feeding America Network
Discusses characteristics of 17 food bank programs in rural and urban areas of 9 states, through interviews, observations, and document reviews. Examines challenges faced by food-insecure rural seniors and profiles food-assistance programs in rural areas of Montana, Alabama, and Minnesota.
Additional links: Executive Summary
Author(s): Edward A. Frongillo, Andrea M. Warren
Date: 04/2019
Type: Document
Sponsoring organization: Feeding America
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Preventive Health Service Use among Rural Women
A study of national data to understand whether health status and sociodemographic characteristics explain the differences in use of preventive services among women in rural and urban areas from 2014-2016. Features statistics including receipt of various services, health status indicators, sociodemographic characteristics, and predictions of women's health service receipt, with breakdowns by rural or urban residence.
Author(s): Erika Ziller, Jennifer Lenardson, Nathan Paluso, Jaclyn Janis
Date: 04/2019
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Using Population Health Measures to Evaluate the Environmental Burden of Cancer at the County Level
Results of a study using population health indicators and county-level factor analysis to examine rates of cancer from 2010 to 2014. Includes maps with shadings to show burden index and age-adjusted cancer mortality rates. Variables included poverty, income, food insecurity, isolation in rural areas, and long commutes.
Author(s): Lia C. Scott, Lawrence E. Barker, Lisa C. Richardson
Citation: Preventing Chronic Disease, 16
Date: 04/2019
Type: Document
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Primary Care Clinician Participation in the CMS Quality Payment Program
Analyzes primary care clinician participation in the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP). Provides data by provider type, specialty, practice location for metro and nonmetro areas, and Advanced Alternative Payment Model (A-APM) or Merit-Based Incentive Payment System (MIPS) program participation.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 04/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Trends in Emergency Department Use by Rural and Urban Populations in the United States
Describes urban and rural differences in emergency department (ED) use from January 2005 to December 2016. Features statistics including demographics, payers, and characteristics of care, such as trends in ambulatory care–sensitive conditions and ED safety-net status.
Author(s): Margaret B. Greenwood-Ericksen, Keith Kocher
Citation: JAMA Network Open 2(4)
Date: 04/2019
Type: Document
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