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Resources by Topic: Rural-urban differences

Medicare's Mental Health Coverage: How COVID-19 Highlights Gaps and Opportunities for Improvement
Report explores Medicare beneficiaries' access to mental healthcare during the COVID-19 pandemic. Breaks down data by beneficiary type, severity of illness, and rural versus urban location, among other measures. Highlights barriers to care and makes recommendations for the future.
Author(s): Beth McGinty
Date: 07/2020
Sponsoring organization: Commonwealth Fund
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Rurality and Risk of Suicide Attempts and Death by Suicide among People Living in Four English-Speaking High-Income Countries: A Systematic Review and Meta-Analysis
Details a systematic review studies focusing on the correlation of rurality and suicide. Differentiates rates of suicide attempts and completed suicides in rural and urban areas.
Author(s): Rebecca Barry, Jürgen Rehm, Claire de Oliveira, et al.a;
Citation: The Canadian Journal of Psychiatry, 65(7), 441–447
Date: 07/2020
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Key Characteristics of COVID-19 Patients: Profiles Based on Analysis of Private Healthcare Claims
Analyzes private health insurance claims to describe key characteristics of patients diagnosed with COVID-19 between January-May 2020. Characteristics explored include age, sex, rural versus urban area by age, venue of care where first diagnosed, venue of care by age, comorbidities of hospitalized patients, and median costs of hospitalization.
Date: 07/2020
Sponsoring organization: FAIR Health
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Responding to Behavioral Health Needs in Rural America
Presentation slides discussing behavioral health issues and needs in rural America. Describes approaches to enhance behavioral health service delivery and implications for public policy.
Author(s): Keith J. Mueller
Date: 07/2020
Sponsoring organization: Rural Policy Research Institute
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Individual Market Volatility and Vulnerability, 2015 to 2019
Study examining health insurance options and premium prices from 2015-2019, including rural/urban differences. Provides data and statistics on market volatility and vulnerability, with information broken down by population, race, health status, number of hospital beds, and more.
Author(s): Jean Marie Abraham
Citation: RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2): 206-22
Date: 07/2020
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High COVID-19 Mortality Risk in Pennsylvania's Rural Counties
Discusses the risk of COVID-19-related hospitalization or death in Pennsylvania rural counties, due to high prevalence rates of chronic disease and percentage of populations age 65 or older. Features a map showing variation in chronic health comorbidities in Pennsylvania counties.
Additional links: Interactive Map
Author(s): Raeven Faye Chandler, Shannon M. Monnat, Yue Sun
Date: 07/2020
Sponsoring organization: Lerner Center for Public Health Promotion
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Health Care Access for Infants and Toddlers in Rural Areas
Research brief describing how rural children are more likely to face a unique combination of challenges that negatively impact their health and development, such as fewer healthcare providers, barriers to accessing care, and higher rates of poverty. Includes rural/urban comparisons for each state, with information on the percentage of infants and toddlers lacking health insurance, receiving recommended vaccinations, attending a preventive medical appointment, and more.
Author(s): Jessie Laurore, Gayane Baziyants, Sarah Daily
Date: 07/2020
Sponsoring organization: Child Trends
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Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Geographic Variation in the Structure of Kentucky's Population Health Systems: An Urban, Rural, and Appalachian Comparison
Examines differences in key characteristics of population health systems in Kentucky, using data from a 2018 statewide survey of community networks. Features statistics on implementation of population health activities, with breakdowns by urban, rural non-Appalachian, and rural Appalachian public health jurisdictions.
Author(s): Rachel Hogg-Graham, Angela Carman, Glen P. Mays, Pierre Martin Dominique Zephyr
Citation: Journal of Appalachian Health, 2(3), 14-25
Date: 07/2020
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The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014–2018
Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
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