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Rural Health
Resources by Topic: Rural-urban differences

Navigating Geographical Disparities: Access to Obstetric Hospitals in Maternity Care Deserts and Across the United States
Examines disparities related to maternity care access by analyzing travel distances to obstetric care across the United States. Provides data to nearest obstetric hospital by census tract, with further breakdowns according to maternity care desert (MCD) designation, rurality, race/ethnicity, and travel time. Includes U.S. maps showing spatial clusters of distance and travel time to obstetric care.
Author(s): Jazmin Fontenot, Christina Brigance, Ripley Lucas, Ashley Stoneburner
Citation: BMC Pregnancy and Childbirth, 24, 350
Date: 05/2024
Type: Document
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Community Health Centers: Providers, Partners and Employers of Choice - 2024 Chartbook
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' financial health, workforce status, economic impact, challenges to meeting the demand for healthcare needs, and more. Section 5 presents statistics on telehealth service offerings between 2018 and 2022 with breakdowns by urban or rural status. Contains maps with data by state throughout.
Date: 05/2024
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Discrimination in Healthcare: Perceptions Among LGBTQ Individuals in the Metro and the Nonmetro
Discusses the disparities related to healthcare discrimination of LGBTQ individuals living in metro versus nonmetro areas of the United States. Utilizes 2022 survey data to examines LGBTQ experiences regarding topics such as location of residence, life satisfaction, access to respectful healthcare, trans healthcare issues, and more.
Author(s): Adee Athiyaman
Date: 05/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Risk of Chronic Obstructive Pulmonary Disease and Receipt of a Breathing Test in 26 States and the District of Columbia, 2017–2018
Examines prevalence of having chronic obstructive pulmonary disease (COPD), having risk factors for COPD, and receiving a breathing test according to corresponding risk level. Analyzes 2017-2018 Behavioral Risk Factor Surveillance System (BRFSS) data from 26 states and the District of Columbia, with breakdowns according to sex, race/ethnicity, education, and large central metro, large fringe metro, medium metro, small metro, micropolitan, or rural (noncore) location.
Author(s): Kathleen B. Watson, Janet B. Croft, Anne G. Wheaton, et al.
Citation: Preventing Chronic Disease, 21
Date: 05/2024
Type: Document
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2022 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2022. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, mean and median final scores for 2022 and 2024 payment adjustments, and payment adjustment trends from 2019 through 2022.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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2024 Medicaid in Montana: How Medicaid Impacts Montana's State Budget, Economy, and Health
Report details the effect Medicaid has on healthcare, the economy, and the state budget of Montana, discussing Medicaid enrollment, service utilization, spending, and the impact of expansion. Discusses rural throughout.
Additional links: Databook
Date: 05/2024
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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A Standard Framework for Evaluating Large Health Care Data and Related Resources
Identifies a set of actions, criteria, and tools that can be used in evaluating large healthcare data and related resources. Includes information on evaluating data coverage, representativeness, inclusion, and equity, including the availability of information on rural or urban location.
Author(s): Suad El Burai Felix, Hussain Yusuf, Matthew Ritchey, et al.
Citation: MMWR Supplements, 73(Suppl. 3), 1-13
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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US Hospital Service Availability and New 340B Program Participation
Examines whether participation in the 340B Drug Pricing Program was associated with investment in hospital-based services among newly participating hospitals between 2012 and 2018. Compares the provision of profitable and unprofitable services between 1,074 hospitals newly participating in the 340B program and 1,078 hospitals that never participated in the program by hospital characteristics, including hospital ownership, rural versus urban location, community social vulnerability index, and Critical Access Hospital (CAH) status.
Author(s): Kelsey M. Owsley, Romana Hasnain-Wynia, Ronica N. Rooks, et al.
Citation: JAMA Health Forum, 5(5), e240833
Date: 05/2024
Type: Document
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Impact of the Affordable Care Act on Access to Accredited Facilities for Cancer Treatment
Examines access to cancer care at accredited hospitals in Pennsylvania due to expanded coverage under the Affordable Care Act (ACA). Analyzes patient characteristics before and after ACA implementation, with breakdowns according to sex, age, race/ethnicity, area deprivation, and urban, large town, small town, or rural location, among other characteristics. Provides commentary on ACA impacts for patients in nonurban areas.
Author(s): Lindsay M. Sabik, Youngmin Kwon, Coleman Drake, et al.
Citation: Health Services Research
Date: 05/2024
Type: Document
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Medicare Part D Enrollee Vaccine Use After Elimination of Cost Sharing for Recommended Vaccines in 2023
A report from the Inflation Reduction Act (IRA) Research Series that provides data on Medicare Part D enrollees who received vaccinations after the IRA legislated in 2023 that adult vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP) would be provided at no cost. Includes data breakdowns of total and type of vaccinations received and Medicare Part D enrollee demographic characteristics, such as state and urban versus rural/unknown location.
Author(s): Bisma A. Sayed, Yevgeniy Feyman, Kristen L. King, et al.
Date: 05/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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