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Rural Health
Resources by Topic: Rural-urban differences

Physical Therapists and Physical Therapist Assistants in North Dakota
Explores the supply and distribution of physical therapists and physical therapist assistants in North Dakota. Includes a breakdown of rural and urban distribution and retention.
Date: 05/2020
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Spatial Patterns in Prostate Cancer-Specific Mortality in Pennsylvania Using Pennsylvania Cancer Registry Data, 2004–2014
Analyzes data from the Pennsylvania Cancer Registry between 2004 and 2014 to examine the mortality risk of prostate cancer for men aged 40 or older living in rural and urban Appalachian areas in Pennsylvania.
Author(s): Ming Wang, Emily Wasserman, Nathaniel Geyer, et al.
Citation: BMC Cancer, 20, 394
Date: 05/2020
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Use of Small-Area Estimates to Describe County-Level Geographic Variation in Prevalence of Extreme Obesity among US Adults
Study examining the variability in prevalence of extreme obesity at the county level, using small-area estimation to pinpoint specific areas of high and low prevalence. Uses data from the 2012 Behavioral Risk Factor Surveillance System and the U.S. Census Bureau to create county-level estimates for adults over 18 years of age. Discusses contrasting pictures of extreme obesity at a broad state level and at the county level, highlighting ranges of prevalence in select states and noting some areas of rural prevalence.
Author(s): Carrie W. Mills, Glen Johnson, Terry T. K. Huang, et al.
Citation: JAMA Network Open, 3(5), e204289
Date: 05/2020
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Arizona Health Workforce Profile: Physician Assistants
Brief reporting on the physician assistant (PA) workforce in Arizona, including a county map with information on PAs per 100,000 residents and distribution in rural and urban areas.
Author(s): B. Koch, S. Coates, B. Coplan, et al.
Date: 05/2020
Sponsoring organization: Arizona Center for Rural Health
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Revealing Rural Realities: What Fuels Inaccurate and Incomplete Coverage of Rural Issues?
Report discussing the representation and misrepresentation of rural issues and prosperity in national and regional news media and journalism. Offers recommendations to journalists based on interviews in 2019 with rural experts, activists, and journalists, and a media scan to analyze coverage of rural America in national and regional news. Identifies rural healthcare as a common topic of coverage, noting media emphasis on negative aspects of rural life including hospital closures, health disparities, and suicide.
Date: 05/2020
Sponsoring organizations: Aspen Institute, Center for Rural Strategies, Hattaway Communications, Rural Housing Assistance Council
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A Cohort Comparison of Differences Between Regional and Buncombe County Patients of a Comprehensive Perinatal Substance Use Disorders Program in Western North Carolina
Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Availability of Hospice in Rural Pennsylvania
Compares the distribution and number of hospices in rural and urban Pennsylvania counties, provides a descriptive profile of rural Pennsylvania's hospice users, and projects the number of future Pennsylvania hospice users. Includes information from interviews with hospice providers and administrators to help understand challenges and opportunities for stakeholders. Features statistics with breakdowns by rural and urban location and nonprofit or for-profit status, and a county-level map showing locations of Pennsylvania hospices as of 2019.
Additional links: Executive Summary
Author(s): Lisa Kitko, Joel Segel, Elizabeth Thiede
Date: 05/2020
Sponsoring organization: Center for Rural Pennsylvania
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Washington State's 2019 Licensed Practical Nurse Workforce
Highlights the licensed practical nurse (LPN) workforce supply in the state of Washington in 2019. Explores the demographics, distribution, education, and work setting of LPNs using data collected from a survey conducted by the National Council of State Boards of Nursing (NCSBN) and from state license renewals.
Additional links: Supplemental Report
Author(s): Benjamin A. Stubbs, Susan M. Skillman
Date: 05/2020
Sponsoring organization: UW Center for Health Workforce Studies
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Integrating Rural into the New Reality of Healthcare
Discusses service consolidations implemented by healthcare systems to control costs, and examines the resulting cuts to rural healthcare services, especially in Minnesota. Offers recommendations to help policymakers respond to the negative effects of healthcare acquisitions and mergers on healthcare access in rural communities. Includes rural/urban comparisons on profit margins for hospitals, patient demographics, miles traveled for inpatient and outpatient services, and more.
Additional links: Webinar Recording
Author(s): Kelly Asche, Marnie Werner
Date: 05/2020
Sponsoring organization: Center for Rural Policy and Development
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