Rural Health
Resources by Topic: Rural-urban differences
Broadband: Observations on Past and Ongoing Efforts to Expand Access and Improve Mapping Data
Reviews previous and ongoing industry and federal government investments in the deployment of broadband in the United States. Compares the availability of fixed broadband services in urban, rural, and tribal areas. Describes federal programs to expand and support broadband access, as well as proposed reforms for mapping broadband deployment data.
Additional links: Full Report
Date: 06/2020
Sponsoring organization: Government Accountability Office
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Reviews previous and ongoing industry and federal government investments in the deployment of broadband in the United States. Compares the availability of fixed broadband services in urban, rural, and tribal areas. Describes federal programs to expand and support broadband access, as well as proposed reforms for mapping broadband deployment data.
Additional links: Full Report
Date: 06/2020
Sponsoring organization: Government Accountability Office
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Supply and Distribution of the Primary Care Workforce in Rural America: 2019
Details the supply of primary care providers in rural and urban areas in the U.S. Compares rates of physicians, nurse practitioners, and physician assistants per 100,000 people by county across the country. Features a state-level analysis.
Additional links: State-level Analysis
Author(s): Eric H. Larson, C. Holly A. Andrilla, Lisa A. Garberson, et al.
Date: 06/2020
Sponsoring organization: WWAMI Rural Health Research Center
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Details the supply of primary care providers in rural and urban areas in the U.S. Compares rates of physicians, nurse practitioners, and physician assistants per 100,000 people by county across the country. Features a state-level analysis.
Additional links: State-level Analysis
Author(s): Eric H. Larson, C. Holly A. Andrilla, Lisa A. Garberson, et al.
Date: 06/2020
Sponsoring organization: WWAMI Rural Health Research Center
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The Supply and Rural-Urban Distribution of the Obstetrical Care Workforce in the U.S
Highlights the supply of obstetrical care workers in rural and urban areas in the U.S. Compares rates of midwives, advanced practice midwives, obstetricians, and family practice physicians who deliver babies per 100,000 women of childbearing age in rural counties. Features a state-by state analysis and state-level profiles.
Additional links: State-level Reports
Author(s): Davis Patterson, Holly Andrilla, Lisa Garberson
Date: 06/2020
Sponsoring organization: WWAMI Rural Health Research Center
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Highlights the supply of obstetrical care workers in rural and urban areas in the U.S. Compares rates of midwives, advanced practice midwives, obstetricians, and family practice physicians who deliver babies per 100,000 women of childbearing age in rural counties. Features a state-by state analysis and state-level profiles.
Additional links: State-level Reports
Author(s): Davis Patterson, Holly Andrilla, Lisa Garberson
Date: 06/2020
Sponsoring organization: WWAMI Rural Health Research Center
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CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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Heat-Related Deaths — United States, 2004–2018
Examines heat-related deaths in the U.S. Includes data by level of urbanization for metropolitan, micropolitan, and noncore areas. Also includes data on selected underlying causes of death for which heat-related conditions were a contributing factor.
Author(s): Ambarish Vaidyanathan, Josephine Malilay, Paul Schramm, Shubhayu Saha
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(24), 729-734
Date: 06/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines heat-related deaths in the U.S. Includes data by level of urbanization for metropolitan, micropolitan, and noncore areas. Also includes data on selected underlying causes of death for which heat-related conditions were a contributing factor.
Author(s): Ambarish Vaidyanathan, Josephine Malilay, Paul Schramm, Shubhayu Saha
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(24), 729-734
Date: 06/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Urban-Rural Inequities in Acute Stroke Care and In-Hospital Mortality
Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Community Susceptibility and Resiliency to COVID‐19 Across the Rural‐Urban Continuum in the United States
Presents a county-level susceptibility scale for COVID-19. Highlights 7 susceptibility factors related to health and socioeconomic resiliency and discusses the different concerns of rural and urban communities.
Additional links: COVID-19 Susceptibility Map
Author(s): David J. Peters
Citation: Journal of Rural Health, 36(3), 446-456
Date: 06/2020
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Presents a county-level susceptibility scale for COVID-19. Highlights 7 susceptibility factors related to health and socioeconomic resiliency and discusses the different concerns of rural and urban communities.
Additional links: COVID-19 Susceptibility Map
Author(s): David J. Peters
Citation: Journal of Rural Health, 36(3), 446-456
Date: 06/2020
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Spatial Disparities in Coronavirus Incidence and Mortality in the United States: An Ecological Analysis as of May 2020
Explores the spread of COVID-19 across the U.S. Details the virus's relation to different levels of socioeconomic status by mapping the spatial patterns of its spread through both rural and urban communities. Aims to inform first responders and policy makers.
Author(s): Charlie H. Zhang, Gary G. Schwartz
Citation: Journal of Rural Health, 36(3), 433-445
Date: 06/2020
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Explores the spread of COVID-19 across the U.S. Details the virus's relation to different levels of socioeconomic status by mapping the spatial patterns of its spread through both rural and urban communities. Aims to inform first responders and policy makers.
Author(s): Charlie H. Zhang, Gary G. Schwartz
Citation: Journal of Rural Health, 36(3), 433-445
Date: 06/2020
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All Counties with Extreme Poverty in 2018 Were Rural (Nonmetro) Counties
Map showing high and extreme poverty counties by nonmetro and metro county designation.
Date: 06/2020
Sponsoring organization: USDA Economic Research Service
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Map showing high and extreme poverty counties by nonmetro and metro county designation.
Date: 06/2020
Sponsoring organization: USDA Economic Research Service
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National Hospital Care Survey Demonstration Projects: Opioid-Involved Emergency Department Visits, Hospitalizations, and Deaths
Demonstrates a method for linking three data sets to examine opioid-involved emergency department (ED) visits, hospitalizations, and mortality. Reported results are not nationally representative. Includes analysis of opioid-involved and nonopioid-involved ED-only visits for rural and urban areas.
Author(s): Merianne Rose Spencer, Lee Anne Flagg, Geoff Jackson, Carol DeFrances, Holly Hedegaard
Date: 06/2020
Sponsoring organization: National Center for Health Statistics
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Demonstrates a method for linking three data sets to examine opioid-involved emergency department (ED) visits, hospitalizations, and mortality. Reported results are not nationally representative. Includes analysis of opioid-involved and nonopioid-involved ED-only visits for rural and urban areas.
Author(s): Merianne Rose Spencer, Lee Anne Flagg, Geoff Jackson, Carol DeFrances, Holly Hedegaard
Date: 06/2020
Sponsoring organization: National Center for Health Statistics
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