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Rural Health
Resources by Topic: Rural-urban differences

A Comparison of Point-of-Care Ultrasonography Use in Rural Versus Urban Emergency Departments Throughout Missouri
Examines point-of-care use of ultrasounds in emergency departments in rural and urban Missouri hospitals. Covers data describing the primary uses of ultrasounds in Missouri emergency departments by hospital size.
Author(s): Michael Mengarelli, Anthony Nepusz, Tatyana Kondrashova
Citation: Missouri Medicine, 115(1), 56-60
Date: 01/2018
Type: Document
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Electronic Health Record "Super-Users" and "Under-Users" in Ambulatory Care Practices
Describes a study on Electronic Health Record (EHR) use in ambulatory care practices. Analyzes data by rural versus urban location, practice size, practice type, and other factors. Presents county-level data.
Author(s): Juliet Rumball-Smith, Paul Shekelle, Cheryl L. Damberg
Citation: The American Journal of Managed Care, 24(1), 26-31
Date: 01/2018
Type: Document
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Workforce Outcomes of North Carolina Medical School Graduates: A Report to the Joint Legislative Oversight Committee on Health and Human Services and the Joint Legislative Education Oversight Committee
Describes the identity, location, and number of positions for medical school in North Carolina, identifies the numbers of graduates of medical education in various specialty areas, and tracks outcomes of graduates in primary care, obstetrics and gynecology, and psychiatry 5 years after completing training. Features state-level data through 2016, and includes statistics on percent of graduates in training or practice in rural areas 2008-2011.
Author(s): Julie C. Spero, Erin P. Fraher
Date: 01/2018
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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The Workforce Outcomes of Physicians Completing Residency Programs in North Carolina
Describes the identity, location, and number of graduate medical education (GME) training programs in North Carolina, identifies the numbers of GME program graduates in various medical specialty areas, and tracks outcomes of graduates 5 years after completing training. Includes statistics with breakdowns by urban or rural areas of North Carolina.
Author(s): Erin P. Fraher, Julie C. Spero, Evan Galloway, Jim Terry
Date: 01/2018
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Rural Health Care Costs: Are They Higher and Why Might They Differ from Urban Health Care Costs?
Explores issues surrounding healthcare costs and investigates differences between rural and urban expenditures. Includes statistics on Medicare fee-for-service expenditures in 2014 with breakdowns by metropolitan and non-metropolitan status.
Author(s): Dunc Williams, Mark Holmes
Citation: North Carolina Medical Journal, 79(1), 51-55
Date: 01/2018
Type: Document
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Distance and Networks: A Regional Analysis of Health Insurance Marketplaces
Examines whether Rating Area design and network adequacy standards have contributed to the level of success of Health Insurance Marketplaces (HIMs) in rural areas in terms of enrollment and affordability. Uses 2015-2016 data from 15 Midwestern states, on participation, premiums, and enrollment success.
Author(s): Abigail R. Barker, Alena R. Wheeler, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Telemedicine in the Management of Type 1 Diabetes
Describes a study in which 32 patients with type 1 diabetes who live in rural Alabama and Georgia received endocrinology care from an Atlanta telehealth clinic, from June 2014 to October 2016. Includes demographic statistics on patients and presence of other diseases and medical conditions.
Author(s): Timothy Xu, Shreya Pujara, Sarah Sutton, Mary Rhee
Citation: Preventing Chronic Disease, 15
Date: 01/2018
Type: Document
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2018 OPPS Medicare Part B Payment Impact Analysis
Examines how changes to the CY 2018 Medicare Outpatient Prospective Payment System (OPPS) will impact hospitals' net Part B payments. Discusses the payment reduction for drugs purchased through the 340B Program and how the reduction will affect rural and urban hospitals. Includes a state-by-state analysis of aggregate impacts.
Additional links: Full Report
Date: 01/2018
Type: Document
Sponsoring organization: Avalere
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QuickStats: Percentage of Emergency Department Visits for Acute Viral Upper Respiratory Tract Infection That Had an Antimicrobial Ordered or Prescribed, by Metropolitan Statistical Area — United States, 2008–2015
Bar chart showing metropolitan and nonmetropolitan emergency department visits for acute viral upper respiratory tract infection that had an antimicrobial ordered or prescribed, with data for 2008–2011 compared to 2012–2015.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(3), 111
Date: 01/2018
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Competence Revisited in a Rural Context
Results of a national survey of 171 undergraduate and graduate medical educators and practicing physicians, with the goal of developing a list of competency domains for working in rural communities and assessing their importance in education and practice.
Author(s): Randall L. Longenecker, Andrea Wendling, Joyce Hollander-Rodriguez, John Bowling, David Schmitz
Citation: Family Medicine, 50(1), 28-35
Date: 01/2018
Type: Document
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