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Rural Health
Resources by Topic: Rural-urban differences

Financial Performance of Rural and Urban Hospitals in the Medicare Shared Savings Program
Presents financial performance trends of hospitals that participated in Medicare's Shared Savings Program (SSP) from 2011-2018. Compares trends in 6 financial outcomes between SSP and non-SSP hospitals, and differences in these trends among rural and urban hospitals.
Author(s): Huang Huang, Xi Zhu, Fred Ullrich, A. Clinton MacKinney, Keith Mueller
Date: 09/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Evaluating Fentanyl Test Strips as a Harm Reduction Strategy in Rural and Urban Counties: Study Protocol for a Randomized Controlled Trial
Protocol for a study examining a harm reduction intervention which will provide education and distribute fentanyl test strips to people with recent use of illicit or street-purchased drugs in rural and urban Ohio communities. Describes study design, including selection and comparison of rural versus urban subgroups.
Author(s): Ashley Short Mejia, Gary A. Smith, Soledad A. Fernandez, et al.
Citation: Trials, 25, 587
Date: 09/2024
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Prescription Medication Use, Coverage, and Nonadherence Among Adults Age 65 and Older: United States, 2021–2022
Reports on medication use, prescription drug insurance coverage, and nonadherence due to cost for older adults between 2021 and 2022. Includes data breakdown of various demographic and health status characteristics including 4 levels of urbanization.
Author(s): Robin A. Cohen, Laryssa Mykyta
Date: 09/2024
Sponsoring organization: National Center for Health Statistics
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Household Food Security in the United States in 2023
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2022. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Statistical Supplement, Summary
Author(s): Matthew P. Rabbitt, Madeline Reed-Jones, Laura J. Hales, Michael P. Burke
Date: 09/2024
Sponsoring organization: USDA Economic Research Service
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An Increasing Number of States Filled Conrad 30 Waivers for Recruiting International Medical Graduates
Examines the Conrad 30 visa waiver program between 2001 and 2020 and offers findings related to variations by specialty and geography at the state level. Discusses disparate distribution of Conrad physicians in rural areas.
Author(s): Tarun Ramesh, Sarah E. Brotherton, Gregory D. Wozniak, Hao Yu
Citation: Health Affairs Scholar, 2(9)
Date: 09/2024
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Medical Visits and Mortality among Dementia Patients during the COVID-19 Pandemic Compared to Rates Predicted from 2019
Evaluates actual versus predicted changes in medical visits and mortality during the COVID-19 pandemic among adults aged 66 and older with Alzheimer's disease and related dementias (ADRD). Utilizes 2019-2022 Centers for Medicare and Medicaid Services (CMS) data. See table 3 for a bar graph displaying differences in COVID-related and COVID-unrelated excess mortality for selected sociodemographic factors, including level of rurality, during the pandemic.
Author(s): Kaushik Ghosh, Susan T. Stewart, Trivellore Raghunathan, David M. Cutler
Citation: BMC Geriatrics, 24, 727
Date: 09/2024
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Where and What Separates Rural from Urban Hospital Closures?
A brief report that compares characteristics of rural and metro hospital closures. Utilizes 2010-2021 American Hospital Association Annual Survey data to examine rural versus metro hospital closures by hospital bed size, hospital type, accreditation status, location in Medicaid expansion state, and more.
Author(s): Sara D. Turbow, Jennifer Lom, Mohammed K. Ali
Citation: Journal of Hospital Medicine, 19(9), 812-815
Date: 09/2024
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Is Access to Optimal Concussion Care for Pediatric Athletes Limited by Geography?
Examines access to optimal concussion care for pediatric patients in metro and rural areas of the United States. Analyzes internet searches written as "concussion care near me" originating from one rural area and one metro area in each state to observe distance to care, if available clinic treats pediatric patients, and if care allows for self-referral and/or is multidisciplinary. Includes data from select states and representative regions across the country.
Author(s): Ryan Powers, Robert Trevino, Holly Erpenbach, Danny Thomas
Citation: Clinical Journal of Sport Medicine 34(5), 425-429
Date: 09/2024
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Rural and Urban Differences in Marijuana Use Following Passages of Medical Marijuana Laws
Presents a study on differences in marijuana use in rural and urban areas after the legalization of medical marijuana. Compares marijuana usage in rural and urban areas and breaks down data by race, sex, sexual orientation, and level of marijuana use, among other factors.
Author(s): E. Morgan, C. Dyar
Citation: Public Health, 234, 64-70
Date: 09/2024
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Prevalence of Food Insecurity, 2022 and 2023
Table and graph showing food insecurity by type of household. Includes data by place of residence for metropolitan and nonmetro areas. Based on 2022 and 2023 Current Population Survey Food Security Supplement data.
Date: 09/2024
Sponsoring organization: USDA Economic Research Service
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