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Rural Health
Resources by Topic: Rural-urban differences

Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality
Describes the distribution of chronic disease self-management education (CDSME) programs across the U.S. by participants enrolled, workshops delivered, and counties reached. Compares the CDSME program distribution by rural designation, for example metro, nonmetro areas adjacent and not adjacent to metro areas. Includes a map of CDSME program distribution by rurality for every county in the U.S. and provides statistics on CDSME workshops and participants by rurality and workshop type.
Author(s): Matthew Lee Smith, Samuel D. Towne, Jr., Angelica Herrera-Venson, et al.
Citation: International Journal of Environmental Research and Public Health, 14(6), 638
Date: 06/2017
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Demographics of Primary Care Physicians in North Dakota
Analyzes the rural and urban location of family and general practice physicians, general pediatricians, and internal medicine physicians in North Dakota, with demographic information presented in chart and map form.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 06/2017
Sponsoring organization: University of North Dakota Center for Rural Health
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Availability of Primary Care Physicians in North Dakota
Fact sheet providing details about North Dakota's primary care physicians, or those working in family/general practice, general internal medicine, or general pediatrics. Uses 2015 data from the American Medical Association Physician Masterfile and compares physicians by rural/urban status, location of medical school, age, and sex.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 06/2017
Sponsoring organization: University of North Dakota Center for Rural Health
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Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014
Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on rural/urban geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Additional links: Full Report
Date: 06/2017
Sponsoring organization: Government Accountability Office
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Impact of Patient Race and Geographical Factors on Initiation and Adherence to Adjuvant Endocrine Therapy in Medicare Breast Cancer Survivors
Study exploring racial and geographical disparities in adjuvant endocrine therapy for female Medicare patients diagnosed between 2007-2011. Features statistics with breakdowns including race or ethnicity, urban or rural residence, age group, and marital status.
Author(s): Fabian T. Camacho, Xi Tan, Hector E. Alcala, et al.
Date: 06/2017
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Rural Wisconsin Health 2017
Reports on Wisconsin rural health outcomes and factors, including health behaviors, clinical care, and social and economic factors. Covers information on the built and physical environment. Provides rural, urban, and statewide data.
Date: 06/2017
Sponsoring organization: Wisconsin Office of Rural Health
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The Health Care Views and Experiences of Rural Americans: Findings from the Kaiser Family Foundation/Washington Post Survey of Rural America
Examines rural Americans' political views as they relate to healthcare and healthcare benefits. Discusses results within the context of the 2016 presidential election, and compares the views of rural residents with the views of those living in urban or suburban settings. Includes a number of charts and graphs highlighting rural residents' perceptions on issues such as the biggest problems facing rural communities, support for Affordable Care Act (ACA) repeal efforts, and the importance of Medicaid in rural America. Linked Topline & Methodology document provides additional information about survey questions, results, and methodology.
Additional links: Topline & Methodology
Author(s): Liz Hamel, Bryan Wu, Mollyann Brodie
Date: 06/2017
Sponsoring organization: KFF
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Rural and Urban Differences in Air Quality, 2008-2012, and Community Drinking Water Quality, 2010-2015 — United States
Examines air- and water-quality data and discusses how these environmental hazards vary across a spectrum of urban to rural counties. Includes rural-urban air pollutant data for ozone and particulate matter and data for 10 water contaminants for rural and urban community water systems.
Author(s): Heather Strosnider, Caitlin Kennedy, Michele Monti, Fuyuen Yip
Citation: MMWR Surveillance Summaries, 66(13), 1-10
Date: 06/2017
Sponsoring organization: Centers for Disease Control and Prevention
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In 2015, Annual Earnings in Rural Areas Were 15 Percent Lower than Earnings in Urban Areas
Bar chart showing rural and urban median earnings by industry, covering a variety of industries including mining, manufacturing, finance, agriculture, and recreation.
Date: 06/2017
Sponsoring organization: USDA Economic Research Service
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CMS Hospital Quality Star Rating: For 762 Rural Hospitals, No Stars Is the Problem
Examines the characteristics of rural hospitals with and without quality star ratings, and explains how the current methodology disproportionately affects rural hospitals. Makes recommendations for improving the utility of the Hospital Quality Star Rating system, especially for the purpose of comparing quality among rural hospitals or between rural and urban hospitals.
Author(s): Kristie W. Thompson, Randy K. Randolph, Kristin L. Reiter, George H. Pink, G. Mark Holmes
Date: 06/2017
Sponsoring organization: North Carolina Rural Health Research Program
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