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Rural Health
Resources by Topic: Rural-urban differences

Urban and Rural Hospitalizations in Mississippi: Overview and Trend Analyses, 2014-2018
Results of a rural health surveillance system established by the Mississippi State Department of Health to monitor and report on the health status of rural residents and the capacity of the local healthcare systems serving this population. Features county-level maps and statistics from 2014-2018 on inpatient care, numbers of hospitals, hospital beds, percent of hospitalizations, and payment models, with breakdowns by metropolitan, micropolitan, and rural areas.
Date: 10/2019
Sponsoring organization: Mississippi State Department of Health
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Preparing Physicians for Rural Practice: Availability of Rural Training in Rural-Centric Residency Programs
Results of a 2015 survey of residency programs that were located in rural areas or had rural tracks in 7 specialties and had classified training locations as rural or urban by using Rural-Urban Commuting Area codes. Features statistics for various specialties and types of sponsoring institutions, with breakdowns by rural-centric or nonrural-centric programs.
Author(s): Davis G. Patterson, Holly A. Andrilla, Lisa A. Garberson
Citation: Journal of Graduate Medical Education, 11(5), 550–557
Date: 10/2019
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Drive Times to Opioid Treatment Programs in Urban and Rural Counties in 5 U.S. States
Examines the driving times to opioid treatment programs in urban and rural counties in Indiana, Kentucky, Ohio, Virginia, and West Virginia. Compares drive times to Federally Qualified Health Centers and dialysis centers as possible prescribing and treatment locations.
Author(s): Paul J. Joudrey, E. Jennifer Edelman, Emily A. Wang
Citation: JAMA, 322(13), 1310-1312
Date: 10/2019
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Behavioral Health Service Provision by Primary Care Physicians
Results of a 2019 survey of 313 physicians, examining physician medical specialty and practice characteristics, patient population characteristics, physician practices for screening and diagnosing patients for behavioral health disorders, and roles in managing patients with behavioral health disorders. Features statistics on various types of disorders, with breakdowns by rural and nonrural settings.
Additional links: Policy Brief
Author(s): Angela J. Beck, Cory Page, Jessica Buche, Victoria Schoebel, Caitlyn Wayment
Date: 10/2019
Sponsoring organization: University of Michigan Behavioral Health Workforce Research Center
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Indian Health Disparities
Fact sheet providing statistics on American Indian and Alaska Native health disparities and mortality disparities.
Date: 10/2019
Sponsoring organization: Indian Health Service
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Maternal Health Begins Where Moms Live, Learn, and Work
Discusses the social and healthcare influences, particularly in rural areas, on maternal health and its effect on maternal mortality. Compares rural county and urban county data for Arizona state Medicaid coverage, amount of prenatal care received and when it was received, and the poverty rate.
Author(s): Bryna Koch, Benjamin Brady, Susan Coates, et al.
Date: 10/2019
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Association Between Environmental Quality and Diabetes in the USA
Results of a study comparing diabetes prevalence in 3,134 urban or rural counties from 2004-2012, taking into account the possible effects of environmental pollutants. Features statistics with breakdowns by 4 levels of urban or rural status.
Author(s): Jyotsna S. Jagai, Alison K. Krajewski, Sabina Shaikh, Danelle T. Lobdell, Robert M. Sargis
Citation: Journal of Diabetes Investigation, 11(2), 315-324
Date: 10/2019
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Subcommittee on Health Oversight Hearing: Native Veterans' Access to Healthcare
Discusses the current state of healthcare access for Native American veterans. Features testimonies from representatives from the National Indian Health Board, the National Congress of American Indians, and the Alaska Native Health Board, among others.
Additional links: Witness Testimonies
Date: 10/2019
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
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Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Use and Suicide
Report discusses different methods for adolescent substance use and suicide prevention. Highlights rates of suicide and substance use, such as binge drinking, misuse of pain medication, and vaping. Explores differences in rates for youth in rural and urban areas.
Date: 10/2019
Sponsoring organization: Trust for America's Health
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Obstetric Delivery Inpatient Stays Involving Substance Use Disorders and Related Clinical Outcomes, 2016
Presents statistics from the 2016 National Inpatient Sample (NIS) on delivery-related inpatient stays involving substance use disorders (SUDs). Types of SUDs reported include the use of opioids, cocaine, and other stimulants in urban and rural areas. Examines clinical outcomes at delivery including preterm delivery, severe preeclampsia/eclampsia, obstetric hemorrhage, and placental abruption. Compares delivery outcomes with or without SUD diagnosis, and by rural or urban residence of patient.
Author(s): Anita Soni, Kathryn R. Fingar, Lawrence D. Reid
Date: 10/2019
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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