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Rural Health
Resources by Topic: Rural-urban differences

Fourteenth Broadband Deployment Report
Reports on broadband deployment in the U.S., with information specific to broadband access in rural and tribal communities and the U.S. territories. Includes rural broadband deployment data by state and county.
Date: 01/2021
Sponsoring organization: Federal Communications Commission
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COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment
Uses nationally representative survey results to assess COVID-19 vaccine hesitancy among adults in the U.S. Features data and statistics on vaccine hesitancy for various groups, including African American, Hispanic, and rural residents, those with children at home, and others.
Author(s): Jagdish Khubchandani, Sushil Sharma, James H. Price, et al.
Citation: Journal of Community Health, 46(2), 270-277
Date: 01/2021
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One in Three Adults Used Telehealth during the First Six Months of the Pandemic, but Unmet Needs for Care Persisted
Examines the use of telehealth among nonelderly adults during the first 6 months of the COVID-19 pandemic. Explores overall telehealth utilization, patient satisfaction, wanting telehealth services but not receiving them, the share of patients who went without care, and reasons for not using telehealth. Includes data on sociodemographic factors, health status, and number of chronic conditions.
Author(s): Laura Barrie Smith, Fredric Blavin
Date: 01/2021
Sponsoring organization: Urban Institute
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Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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How to Transform the U.S. Mental Health System: Evidence-based Recommendations
Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Sponsoring organization: RAND Corporation
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Medicare Severe Wound Care: Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on Quality
Reports on an analysis of where Medicare beneficiaries received care for severe wounds in 2018 and Medicare payment for these services. Provides an overview of the implementation of a dual payment system for long-term care hospitals in 2016, and examines how the dual payment system affected the availability and quality of severe wound care for Medicare beneficiaries. Includes data on severe wound care by facility type in addition to Medicare spending by urban and rural location.
Additional links: Full Report
Date: 01/2021
Sponsoring organization: Government Accountability Office
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Tele‐ICUs for COVID‐19: A Look at National Prevalence and Characteristics of Hospitals Providing Teleintensive Care
Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health, 37(1), 133-141
Date: 01/2021
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Statewide Stay‐At‐Home Directives on the Spread of COVID‐19 in Metropolitan and Nonmetropolitan Counties in the United States
Explores the rate of COVID-19 cases by county in states with stay-at-home directives and attempts to chart their effectiveness in slowing the spread of the disease. Compares rates in metropolitan and nonmetropolitan counties.
Author(s): Ge Lin, Tonglin Zhang, Ying Zhang, Quanyi Wang
Citation: Journal of Rural Health, 37(1), 222-223
Date: 01/2021
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Strategies for Disseminating and Implementing COVID-19 Public Health Prevention Practices in Rural Areas
Describes strategies to communicate public health information about COVID-19 in rural areas. Outlines three areas important in tailoring messages to rural audiences: explaining COVID-19 risk and prevention in a rural context, involving community leaders, and utilizing strengths-based messaging.
Author(s): Beth Prusaczyk
Citation: Journal of Rural Health, 37(1), 142-144
Date: 01/2021
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The State of the Nurse Practitioner Profession, 2020: Results from the National Nurse Practitioner Sample Survey
Analyzes data from the 2020 National Sample Survey of Nurse Practitioners to describe the nurse practitioner (NP) workforce in the U.S. Covers education, certification, practice patterns, and compensation, including statistics on NPs who practice in Rural Health Clinics.
Date: 2021
Sponsoring organization: American Association of Nurse Practitioners
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