Rural Health
Resources by Topic: Rural-urban differences
Change in Site of Children's Primary Care: A Longitudinal Population-Based Analysis
Results of a study examining the proportion of children seen at family practice and pediatrician practices in Vermont over time, and the influence of demographics and rurality on this trend. Features statistics on change in site of children's primary care for the years between 2009-2016, with breakdowns by patient home locations in urban, large town, small town, or isolated rural area.
Author(s): Richard C. Wasserman, Susan E. Varni, Matthew C. Hollander
Citation: Annals of Family Medicine, 17(5), 390-395
Date: 2019
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Results of a study examining the proportion of children seen at family practice and pediatrician practices in Vermont over time, and the influence of demographics and rurality on this trend. Features statistics on change in site of children's primary care for the years between 2009-2016, with breakdowns by patient home locations in urban, large town, small town, or isolated rural area.
Author(s): Richard C. Wasserman, Susan E. Varni, Matthew C. Hollander
Citation: Annals of Family Medicine, 17(5), 390-395
Date: 2019
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Health Status and Access to Care among Maine's Low-Income Childless Adults: Implications for State Medicaid Expansion
Examines access to care for low-income adults without children in Maine, along with their health status and demographics. Includes breakdowns by rural residence and a discussion of challenges for rural areas. Offers recommendations to policymakers and others working to implement Maine's Medicaid expansion.
Author(s): Zach Croll, Erika C. Ziller
Date: 2019
Sponsoring organization: Maine Rural Health Research Center
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Examines access to care for low-income adults without children in Maine, along with their health status and demographics. Includes breakdowns by rural residence and a discussion of challenges for rural areas. Offers recommendations to policymakers and others working to implement Maine's Medicaid expansion.
Author(s): Zach Croll, Erika C. Ziller
Date: 2019
Sponsoring organization: Maine Rural Health Research Center
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Leapfrog Never Events Report 2019
Examines hospital adherence to Leapfrog's Never Events Policy, which asks hospitals to commit to 9 actions if a "never event" happens, defined as one of 29 serious reportable events that should never happen listed by the National Quality Forum. Identifies rural/urban hospital performance on the initial 5 actions and expanded 9 Never Events Policy actions for 2014-2018.
Date: 2019
Sponsoring organization: Leapfrog Group
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Examines hospital adherence to Leapfrog's Never Events Policy, which asks hospitals to commit to 9 actions if a "never event" happens, defined as one of 29 serious reportable events that should never happen listed by the National Quality Forum. Identifies rural/urban hospital performance on the initial 5 actions and expanded 9 Never Events Policy actions for 2014-2018.
Date: 2019
Sponsoring organization: Leapfrog Group
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Systemic Overuse of Health Care in a Commercially Insured US Population, 2010-2015
Examines geographic variation in systemic overuse of health care, using commercial insurance claims data from 375 metropolitan areas and 47 rural regions. Features statistics with breakdowns by overuse indicators, and U.S. maps showing regional variations in overuse.
Author(s): Allison H. Oakes, Hsien-Yen Chang, Jodi B. Segal
Citation: BMC Health Services Research, 19, 280
Date: 2019
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Examines geographic variation in systemic overuse of health care, using commercial insurance claims data from 375 metropolitan areas and 47 rural regions. Features statistics with breakdowns by overuse indicators, and U.S. maps showing regional variations in overuse.
Author(s): Allison H. Oakes, Hsien-Yen Chang, Jodi B. Segal
Citation: BMC Health Services Research, 19, 280
Date: 2019
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2018 National Survey of Health Attitudes: Description and Top-Line Summary Data
Results of a survey designed to provide insight into how people in the U.S. think about, value, and prioritize health and issues of health equity. Appendix A shows survey results comparing populations by city size, with breakdowns by rural areas, small towns, midsized cities, and large cities, and Appendix B features statistics comparing urban and rural areas.
Additional links: Appendix A: Survey Results Comparing Populations by City Size, Appendix B: Survey Results Comparing Urban and Rural Populations
Author(s): Katherine Grace Carman, Anita Chandra, Sarah Weilant, Carolyn Miller, Margaret Tait
Date: 2019
Sponsoring organizations: RAND Corporation, Robert Wood Johnson Foundation
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Results of a survey designed to provide insight into how people in the U.S. think about, value, and prioritize health and issues of health equity. Appendix A shows survey results comparing populations by city size, with breakdowns by rural areas, small towns, midsized cities, and large cities, and Appendix B features statistics comparing urban and rural areas.
Additional links: Appendix A: Survey Results Comparing Populations by City Size, Appendix B: Survey Results Comparing Urban and Rural Populations
Author(s): Katherine Grace Carman, Anita Chandra, Sarah Weilant, Carolyn Miller, Margaret Tait
Date: 2019
Sponsoring organizations: RAND Corporation, Robert Wood Johnson Foundation
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Comparing Buprenorphine-Prescribing Physicians Across Nonmetropolitan and Metropolitan Areas in the United States
Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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The Poverty-Reducing Effect of Five Key Government Programs in Rural and Urban America
Examines rural and urban residents' income from five social programs: Social Security, disability benefits, federal and state cash assistance, the Earned Income Tax Credit (EITC), and the Supplemental Nutrition Assistance Program (SNAP). Looks at the role of these programs in reducing poverty and reports how much poverty would increase in rural and urban areas without each program.
Author(s): Jessica Carson Marybeth Mattingly
Date: 2019
Sponsoring organization: Carsey School of Public Policy
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Examines rural and urban residents' income from five social programs: Social Security, disability benefits, federal and state cash assistance, the Earned Income Tax Credit (EITC), and the Supplemental Nutrition Assistance Program (SNAP). Looks at the role of these programs in reducing poverty and reports how much poverty would increase in rural and urban areas without each program.
Author(s): Jessica Carson Marybeth Mattingly
Date: 2019
Sponsoring organization: Carsey School of Public Policy
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Proposed Rural-Specific Objectives for Healthy People 2030
Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Date: 2019
Sponsoring organization: National Organization of State Offices of Rural Health
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Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Date: 2019
Sponsoring organization: National Organization of State Offices of Rural Health
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Behavioral and Subjective Health Changes in US and Mexico Border Residing Participants in Two Promotora-Led Chronic Disease Prevention Interventions
Study of two community health worker (CHW) chronic disease prevention programs serving Mexico-born residents of the U.S-Mexico border region: one in a rural Arizona community and one in an urban community in Sonora, Mexico. Discusses challenges related to healthy diet, physical activity, and social support as risk factors for obesity and diabetes. Analyzes data from self-report assessments to evaluate behavioral and subjective health improvements over 6 months of the intervention programs.
Author(s): S C Carvajal, S Huang, M L Bell, et al.
Citation: Health Education Research, 33(6), 522-534
Date: 12/2018
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Study of two community health worker (CHW) chronic disease prevention programs serving Mexico-born residents of the U.S-Mexico border region: one in a rural Arizona community and one in an urban community in Sonora, Mexico. Discusses challenges related to healthy diet, physical activity, and social support as risk factors for obesity and diabetes. Analyzes data from self-report assessments to evaluate behavioral and subjective health improvements over 6 months of the intervention programs.
Author(s): S C Carvajal, S Huang, M L Bell, et al.
Citation: Health Education Research, 33(6), 522-534
Date: 12/2018
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