Rural Health
Resources by Topic: Rural-urban differences
Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Changes of Ownership of Hospital and Skilled Nursing Facilities: An Analysis of Newly-Released CMS Data
Examines data from the Centers for Medicare & Medicaid Services (CMS) regarding changes in hospital and skilled nursing facility (SNF) ownership between 2016 and 2021. Presents data on rates of hospital ownership changes by hospital characteristics, including rural and urban location and Critical Access Hospital status. Discusses how future research can support policymaking and research on consolidation, healthcare quality, and healthcare costs.
Author(s): W. Pete Welch, Joel Ruhter, Arielle Bosworth, Nancy De Lew, Benjamin D. Sommers
Date: 04/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Examines data from the Centers for Medicare & Medicaid Services (CMS) regarding changes in hospital and skilled nursing facility (SNF) ownership between 2016 and 2021. Presents data on rates of hospital ownership changes by hospital characteristics, including rural and urban location and Critical Access Hospital status. Discusses how future research can support policymaking and research on consolidation, healthcare quality, and healthcare costs.
Author(s): W. Pete Welch, Joel Ruhter, Arielle Bosworth, Nancy De Lew, Benjamin D. Sommers
Date: 04/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Dental Care Utilization Among Adults Aged 18−64: United States, 2019 and 2020
Describes changes in the prevalence of dental visits among adults aged 18-64 between 2019 and 2020, when the COVID-19 pandemic began and many dental practices limited hours and services. Includes information by location for large metropolitan, large fringe metro, small and medium metro, and nonmetro areas.
Author(s): Amy E. Cha, Robin A. Cohen
Date: 04/2022
Sponsoring organization: National Center for Health Statistics
view details
Describes changes in the prevalence of dental visits among adults aged 18-64 between 2019 and 2020, when the COVID-19 pandemic began and many dental practices limited hours and services. Includes information by location for large metropolitan, large fringe metro, small and medium metro, and nonmetro areas.
Author(s): Amy E. Cha, Robin A. Cohen
Date: 04/2022
Sponsoring organization: National Center for Health Statistics
view details
Assessment of Community-Level Vulnerability and Access to Medications for Opioid Use Disorder
Study examining access to medication for opioid use disorder (MOUD) in relation to social vulnerability to disasters based on ZIP code tabulation data (ZCTA) for 32,434 counties in the continental U.S. Discusses differences in geographic access to MOUD for rural and urban areas and the potential impacts of disasters on that access, highlighting potential interventions to bolster access to treatment.
Author(s): Paul J. Joudrey, Marynia Kolak, Qinyun Lin, et al.
Citation: JAMA Network Open, 5(4), e227028
Date: 04/2022
view details
Study examining access to medication for opioid use disorder (MOUD) in relation to social vulnerability to disasters based on ZIP code tabulation data (ZCTA) for 32,434 counties in the continental U.S. Discusses differences in geographic access to MOUD for rural and urban areas and the potential impacts of disasters on that access, highlighting potential interventions to bolster access to treatment.
Author(s): Paul J. Joudrey, Marynia Kolak, Qinyun Lin, et al.
Citation: JAMA Network Open, 5(4), e227028
Date: 04/2022
view details
Factors Associated With Clinician Recommendations for Colorectal Cancer Screening Among Average-Risk Patients: Data From a National Survey
Examines if and when primary care clinicians (PCCs) and gastroenterologists (GIs) recommend colorectal cancer (CRC) screenings according to results from a 2019 online survey of 814 PCCs and 159 GIs. Discusses factors such as provider characteristics, number of patients, and practice location, including rural, suburban, or urban. Includes rural versus urban differences in routine CRC screening recommendation practices.
Author(s): Xuan Zhu, Emily Weiser, Debra J. Jacobson, et al.
Citation: Preventing Chronic Disease, 19
Date: 04/2022
view details
Examines if and when primary care clinicians (PCCs) and gastroenterologists (GIs) recommend colorectal cancer (CRC) screenings according to results from a 2019 online survey of 814 PCCs and 159 GIs. Discusses factors such as provider characteristics, number of patients, and practice location, including rural, suburban, or urban. Includes rural versus urban differences in routine CRC screening recommendation practices.
Author(s): Xuan Zhu, Emily Weiser, Debra J. Jacobson, et al.
Citation: Preventing Chronic Disease, 19
Date: 04/2022
view details
Agriculture and Local Food Economies in the Appalachian Region
Discusses Appalachia's food systems based on the United States Department of Agriculture's (USDA) 2017 Census of Agriculture, highlighting the connection to economic and community development, environmental health and safety, and public health. Provides case studies of food banks that improve community access to food as well as produce prescription programs that help treat chronic diseases and promote community health.
Date: 04/2022
Sponsoring organization: Appalachian Regional Commission
view details
Discusses Appalachia's food systems based on the United States Department of Agriculture's (USDA) 2017 Census of Agriculture, highlighting the connection to economic and community development, environmental health and safety, and public health. Provides case studies of food banks that improve community access to food as well as produce prescription programs that help treat chronic diseases and promote community health.
Date: 04/2022
Sponsoring organization: Appalachian Regional Commission
view details
Utilization of Z Codes for Social Determinants of Health among a Sample of Medicare Advantage Enrollees, 2017 and 2019
Examines the use of Z codes for social determinants of health in a sample of Medicare Advantage (MA) enrollees from 2016 through 2019. Identifies the five most-used Z codes among MA enrollees, including the percent of enrollees and claims with these Z codes in 2017 and 2019. Presents data on the proportion of MA enrollees with Z code claims in 2017 and 2019 across demographic characteristics, including rurality, place of service, and provider type.
Date: 04/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Examines the use of Z codes for social determinants of health in a sample of Medicare Advantage (MA) enrollees from 2016 through 2019. Identifies the five most-used Z codes among MA enrollees, including the percent of enrollees and claims with these Z codes in 2017 and 2019. Presents data on the proportion of MA enrollees with Z code claims in 2017 and 2019 across demographic characteristics, including rurality, place of service, and provider type.
Date: 04/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Disparity of Ovarian Cancer Survival Between Urban and Rural Settings
Explores disparities in survival rates of 111,627 epithelial ovarian cancer patients in rural, urban, and metropolitan areas of the United States, based on data from the 2004-2016 National Cancer Database (NCDB). Includes demographic information of patients such as age, race, distance to nearest hospital, and more, as well as tables showing survival rates based on geographic locations.
Author(s): Keely Krolikowski Ulmer, Breanna Greteman, Nicholas Cardillo, et al.
Citation: International Journal of Gynecological Cancer, 32(4), 540-546
Date: 04/2022
view details
Explores disparities in survival rates of 111,627 epithelial ovarian cancer patients in rural, urban, and metropolitan areas of the United States, based on data from the 2004-2016 National Cancer Database (NCDB). Includes demographic information of patients such as age, race, distance to nearest hospital, and more, as well as tables showing survival rates based on geographic locations.
Author(s): Keely Krolikowski Ulmer, Breanna Greteman, Nicholas Cardillo, et al.
Citation: International Journal of Gynecological Cancer, 32(4), 540-546
Date: 04/2022
view details
Oversight: The Opioid Crisis in Tribal Communities
Recording of a U.S. House Natural Resources Committee, Subcommittee on Oversight and Investigations, hearing focused on the opioid crisis in tribal communities. Includes testimonies from representatives of the Cherokee Nation, the National Council of Urban Indian Health, the Border Patrol Council, and the Riverside-San Bernardino Indian Health.
Additional links: Art Del Cueto Testimony, Chuck Hoskin, Jr. Testimony, Maureen Rosette Testimony, Wayne Cortez Testimony, YouTube Recording
Date: 04/2022
Sponsoring organization: U.S. House of Representatives
view details
Recording of a U.S. House Natural Resources Committee, Subcommittee on Oversight and Investigations, hearing focused on the opioid crisis in tribal communities. Includes testimonies from representatives of the Cherokee Nation, the National Council of Urban Indian Health, the Border Patrol Council, and the Riverside-San Bernardino Indian Health.
Additional links: Art Del Cueto Testimony, Chuck Hoskin, Jr. Testimony, Maureen Rosette Testimony, Wayne Cortez Testimony, YouTube Recording
Date: 04/2022
Sponsoring organization: U.S. House of Representatives
view details
QuickStats: Rate of Deaths Attributed to Unintentional Injury from Fire or Flames, by Sex and Urban-Rural Status — National Vital Statistics System, United States, 2020
Bar chart showing the rate of deaths due to unintentional injury from fire or flames by sex for rural and urban areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(14), 529
Date: 04/2022
Sponsoring organization: Centers for Disease Control and Prevention
view details
Bar chart showing the rate of deaths due to unintentional injury from fire or flames by sex for rural and urban areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(14), 529
Date: 04/2022
Sponsoring organization: Centers for Disease Control and Prevention
view details