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Rural Health
Resources by Topic: Rural-urban differences

Rural Health in Indiana: Challenges and Strategies
Presentation slides that provide an overview of rural health in Indiana, along with challenges and the strategies to overcome them. Focuses on rural versus urban data on workforce shortages, hospital closures, access to various services, school-based health, and more, with comparative information on the state and national level.
Author(s): Sierra Vaughn
Date: 08/2024
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Divergent Mortality Patterns Associated With Dementia in the United States: 1999–2020
Examines dementia-related mortality in the United States according to sociodemographic and regional indicators. Utilizes 1999-2020 data from the U.S. Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) database to examine mortality by sex, race/ethnicity, state, and location, including large central metro, large fringe metro, medium metro, small metro, micropolitan, or noncore.
Author(s): Mohsan Ali, Muhammad Talha, Bisal Naseer, Sanobar Jaka, Sasidhar Gunturu
Citation: Primary Care Companion for CNS Disorders, 26(4)
Date: 08/2024
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Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence
Compares availability of dialysis and diabetes self-management education and support (DSMES) services at the county level, and discusses impacts of DSMES access on prevalence of end stage renal disease. Analyzes county-level characteristics associated with availability of dialysis or DSMES, including rurality, diabetes prevalence, presence of a Federally Qualified Health Center or Rural Health Clinic, and more.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel A. Benavidez, et al.
Citation: Preventing Chronic Disease, 21, 240052
Date: 08/2024
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2024 Workforce Survey Report: The Status of Kentucky's Hospital Workforce
Provides an in-depth look at non-physician direct care positions in inpatient or hospital-related outpatient departments in Kentucky as of 2023. Includes statistics on vacancies, benefits, and pay, with breakdowns by rural and urban areas.
Author(s): Maik Schutze
Date: 08/2024
Sponsoring organization: Kentucky Hospital Association
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Integrated Behavioral Health Implementation and Chronic Disease Management Inequities: An Exploratory Study of Statewide Data
Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J. R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
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The Rural Mortality Penalty in U.S. Hospital Patients with COVID-19
Examines whether rural-urban disparities in patient condition at hospital admission affect all-cause mortality among patients hospitalized with COVID-19 from March 2020 to February 2023, utilizing Epic Cosmos data of 1,119,199 patients. Provides data on rural versus urban differences in patient condition at admission, overall health, vaccination status, age, and other demographics. Discusses factors associated with reduced access to care in rural areas.
Author(s): Jeffrey A. Thompson, Dinesh Pal Mudaranthakam, Lynn Chollet-Hinton
Citation: Population Health Metrics, 22, 20
Date: 08/2024
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Exposure to Climate Events and Mental Health: Risk and Protective Factors from the California Health Interview Survey
Examines the association between personal characteristics and negative mental health effects following exposure to extreme weather, utilizing data from the 2021 California Health Interview survey. Analyzes characteristics including age, race, sex, education, housing stability, neighborhood safety, level of rurality, and more.
Author(s): Daniel Zhao, Elissa Epel, Elaine Allen, Alison R. Hwong
Citation: PLoS Climate, 3(8), e0000387
Date: 08/2024
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Vital Signs: Trends and Disparities in Childhood Vaccination Coverage by Vaccines for Children Program Eligibility — National Immunization Survey-Child, United States, 2012–2022
Reports on trends in vaccination coverage of measles, mumps, and rubella vaccine (MMR), rotavirus vaccine, and a combined 7-vaccine series, among children eligible for the Vaccines for Children (VFC) program and those not eligible. Includes data on VFC eligibility and vaccine coverage by urbanicity for metropolitan and nonmetro locations.
Author(s): Madeleine R. Valier, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(33), 722-730
Date: 08/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Racial and Ethnic Differences in Inpatient Stays Involving Sepsis, 2016–2021
Offers national statistics on inpatient hospital stays involving sepsis by race and ethnicity. Discusses trends over time, comorbidities, mortality, and more. Table 1 includes data by rural or urban residence, among other measures.
Author(s): Melissa A. Miller, Kimberly Martin, Molly Hensche, Carrie Goetsch
Date: 08/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural and Urban Hospital Differences in Inpatient Stays Involving Sepsis, 2019 and 2021
Explores inpatient hospital stays related to sepsis using the 2019 and 2021 State Inpatient Databases (SID) for 47 States and the District of Columbia. Presents data on the percentage of stays related to sepsis, lengths of stay, costs of stay, and outcomes for sepsis stays for over 4,200 community hospitals. Compares data for rural and urban hospitals by ownership, bed size, teaching hospital status, and safety net designation.
Author(s): Joanna Jiang, Lan Liang, Meghana Chandra, Sai Loganathan
Date: 08/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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