Rural Health
Resources by Topic: Rural-urban differences
Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Care Access for Infants and Toddlers in Rural Areas
Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Sponsoring organization: Child Trends
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Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Sponsoring organization: Child Trends
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Geographic Variation in the Structure of Kentucky's Population Health Systems: An Urban, Rural, and Appalachian Comparison
Examines differences in key characteristics of population health systems in Kentucky, using data from a 2018 statewide survey of community networks. Features statistics on implementation of population health activities, with breakdowns by urban, rural non-Appalachian, and rural Appalachian public health jurisdictions.
Author(s): Rachel Hogg-Graham, Angela Carman, Glen P. Mays, Pierre Martin Dominique Zephyr
Citation: Journal of Appalachian Health, 2(3), 14-25
Date: 07/2020
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Examines differences in key characteristics of population health systems in Kentucky, using data from a 2018 statewide survey of community networks. Features statistics on implementation of population health activities, with breakdowns by urban, rural non-Appalachian, and rural Appalachian public health jurisdictions.
Author(s): Rachel Hogg-Graham, Angela Carman, Glen P. Mays, Pierre Martin Dominique Zephyr
Citation: Journal of Appalachian Health, 2(3), 14-25
Date: 07/2020
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The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014–2018
Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
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Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
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Estimated County-Level Prevalence of Selected Underlying Medical Conditions Associated with Increased Risk for Severe COVID-19 Illness — United States, 2018
Reports on the estimated number and proportion of people with certain underlying medical conditions that put them at risk for severe COVID-19. Provides county-level maps with data on adults with any of these conditions: chronic respiratory conditions, heart disease, diabetes, chronic kidney disease, or obesity. Also discusses the prevalence of underlying conditions in rural counties.
Author(s): Hilda Razzaghi, Yan Wang, Hua Lu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(29), 945-950
Date: 07/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on the estimated number and proportion of people with certain underlying medical conditions that put them at risk for severe COVID-19. Provides county-level maps with data on adults with any of these conditions: chronic respiratory conditions, heart disease, diabetes, chronic kidney disease, or obesity. Also discusses the prevalence of underlying conditions in rural counties.
Author(s): Hilda Razzaghi, Yan Wang, Hua Lu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(29), 945-950
Date: 07/2020
Sponsoring organization: Centers for Disease Control and Prevention
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American Communities Experience Deaths of Despair at Uneven Rates
Analyzes nationally representative data from 2014-2018 on deaths of despair (DoD), or deaths resulting from substance use or suicide. Includes county-level statistics on DoD, with information broken down by rurality.
Author(s): Dante Chinni
Date: 07/2020
Sponsoring organization: American Communities Project
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Analyzes nationally representative data from 2014-2018 on deaths of despair (DoD), or deaths resulting from substance use or suicide. Includes county-level statistics on DoD, with information broken down by rurality.
Author(s): Dante Chinni
Date: 07/2020
Sponsoring organization: American Communities Project
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Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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America at a Glance: COVID-19 and Disability in Rural Areas
Summarizes results of a survey conducted between April-May 2020 exploring rural and urban differences in COVID-19 health risks, adherence to public health recommendations, and trust in different information sources among individuals with disabilities. Includes recommendations for how to better communicate health information to at-risk populations.
Date: 07/2020
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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Summarizes results of a survey conducted between April-May 2020 exploring rural and urban differences in COVID-19 health risks, adherence to public health recommendations, and trust in different information sources among individuals with disabilities. Includes recommendations for how to better communicate health information to at-risk populations.
Date: 07/2020
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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Left Out: Barriers to Health Equity for Rural and Underserved Communities
Summarizes responses to a Request for Information from the U.S. House Ways and Means Committee's Rural and Underserved Communities Health Task Force. Describes factors contributing to healthcare challenges in rural areas, including demographics, social and structural determinants of health, insurance coverage, access to care, and workforce shortages. Highlights promising models of healthcare delivery in rural areas. Includes state-by-state health equity maps.
Additional links: State and Territory Health Equity Maps, Summary
Date: 07/2020
Sponsoring organization: House Ways and Means Committee
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Summarizes responses to a Request for Information from the U.S. House Ways and Means Committee's Rural and Underserved Communities Health Task Force. Describes factors contributing to healthcare challenges in rural areas, including demographics, social and structural determinants of health, insurance coverage, access to care, and workforce shortages. Highlights promising models of healthcare delivery in rural areas. Includes state-by-state health equity maps.
Additional links: State and Territory Health Equity Maps, Summary
Date: 07/2020
Sponsoring organization: House Ways and Means Committee
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Counties with Low Educational Attainment Were Concentrated in Rural Areas
Map showing metropolitan and nonmetro counties where 20% or more of working-age adults (ages 25-64) lacked a high school diploma or equivalent.
Date: 07/2020
Sponsoring organization: USDA Economic Research Service
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Map showing metropolitan and nonmetro counties where 20% or more of working-age adults (ages 25-64) lacked a high school diploma or equivalent.
Date: 07/2020
Sponsoring organization: USDA Economic Research Service
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