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Rural Health
Resources by Topic: Rural-urban differences

Intersections of Personal Assistance Services for Rural Disabled People and Home Care Workers' Rights
Brief review exploring the intersection of disability rights and personal care labor, including discussion of advocacy and changing public opinion. Provides an overview of historical disability legislation and labor policy at the federal level, with discussion of institutionalization and home-based care. Identifies challenges faced by people with disabilities and care providers in rural areas.
Author(s): Rayna Sage, Krys Standley, Genna M. Mashinchi
Citation: Frontiers in Rehabilitation Sciences, 3, 876038
Date: 04/2022
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Transportation Patterns of Adults with Travel-Limiting Disabilities in Rural and Urban America
Compares transportation strategies among rural and urban adults with disabilities. Provides data on frequency and purpose of travel for all respondents, and details modes of transportation used by non-drivers. Identifies demographic, socioeconomic, and geographic factors associated with giving up driving. Provides suggestions for the improvement of transportation services in rural areas.
Author(s): Andrew Myers, Catherine Ipsen, Krys Standley
Citation: Frontiers in Rehabilitation Sciences, 3, 877555
Date: 04/2022
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Evaluating Access to Pediatric Dental Care in the Southeast States
Analyzed 2019 American Community Survey data to evaluate dental care access for children in 10 southeastern states. Considers insurance type and rurality. Makes recommendations for policymakers considering interventions. Note the abstract to the publisher's final edited version of this article.
Author(s): Nicoleta Serban, Simin Ma, Katrine Pospichel, Lisha Yang
Citation: The Journal of the American Dental Association, 153(4), 330-341
Date: 04/2022
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Primary Care Practice Patterns of UNR Med Graduates – 2005 to 2018
Examines the practice types and locations of 776 primary care graduates from the University of Nevada, Reno School of Medicine undergraduate medical education between 2005 and 2018. Figure 7 contrasts the number of graduates practicing primary care in Nevada overall with the number working in rural Nevada.
Author(s): Jesse Barnes, Tabor Griswold, John Packham
Date: 04/2022
Sponsoring organization: Nevada Health Workforce Research Center
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Reach and Adoption of a Geriatric Emergency Department Accreditation Program in the United States
Examines geriatric emergency departments receiving either Level 1, 2, or 3 Geriatric Emergency Department accreditation by March 1, 2021. Shows rural and urban locations of accredited facilities as well as their distribution compared to the U.S. population aged 65 and older. Lists care processes available at accredited facilities.
Author(s): Maura Kennedy, Adriane Lesser, Juhi Israni, et al.
Citation: Annals of Emergency Medicine: An International Journal 79(4), 367-373
Date: 04/2022
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Rural EMS: Taking the Next Step
Discusses funding, hiring, collaboration, and policy to support emergency medical services (EMS) in rural Minnesota. Utilizes Minnesota Department of Health (MDH) survey data and interview data to discuss issues related to EMS management and sustainability. Provides charts showing recruitment and training barriers in rural versus urban areas.
Additional links: Summary
Author(s): Kelly Asche
Date: 04/2022
Sponsoring organization: Center for Rural Policy and Development
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Health Policy Fact Sheet: Racial and Geographic Disparities In Maternal Morbidity and Mortality
Provides an overview of the racial and geographic healthcare disparities in Ohio related to maternal morbidity and mortality. Discusses the need for access to prenatal care, eliminating toxic stress, and utilizing evidence-based strategies to reduce maternal healthcare disparities. Includes discussions specific to rural communities as well as maternal morbidity data broken down by urban, Appalachian, suburban, and rural.
Date: 04/2022
Sponsoring organization: Health Policy Institute of Ohio
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Cancer Screening Prevalence and Associated Factors Among US Adults
A compilation of Preventing Chronic Disease articles related to cancer screenings published between 2020 and 2022. Covers issues such as colorectal, breast, lung, and cervical cancer; cancer screening disparities in minority groups; and rural versus urban cancer screening disparities, among other topics.
Author(s): Arsham Alamian, Semra Aytur, Ronny A. Bell, et al.
Citation: Preventing Chronic Disease
Date: 04/2022
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The Justice Gap: The Unmet Civil Legal Needs of Low-Income Americans
Reports on civil legal needs experienced by low-income Americans who do not seek professional legal help and the paths they take when facing civil legal problems. Includes information on legal needs related to healthcare access and other issues that impact health, such as housing and COVID-19. Provides details for specific groups, including rural residents, seniors, veterans, people with disabilities, parents of children under 18, and domestic violence survivors.
Additional links: Executive Summary, Full Report, Special Focus Rural
Date: 04/2022
Sponsoring organization: Legal Services Corporation
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Vermont: A Health-Focused Landscape Analysis
Chartbook examining population health and healthcare access in Vermont, identifying strengths and assets as well as opportunities for improvement. Features demographics and statistics on quality of care, health outcomes, health behaviors, and mortality rates and causes, with breakdowns by rural and urban counties. Includes maps showing locations of Health Professional Shortage Areas, substance use treatment facilities, Rural Health Clinics, Federally Qualified Health Centers, and hospitals.
Author(s): Katherine Ahrens, Amanda Burgess, Carly Milkowski, et al.
Date: 04/2022
Sponsoring organizations: Maine Rural Health Research Center, Northern Border Regional Commission
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