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Rural Health
Resources by Topic: Rural-urban differences

Remote Eye Care Screening for Rural Veterans with Technology-Based Eye Care Services: A Quality Improvement Project
Highlights the improvement in access to eye care and screening services for veterans as a result of the Technology-based Eye Care Services (TECS), a quality improvement project developed by the Atlanta Veterans Affairs (VA). Provides data on patient demographics, eye care service, and diagnoses broken down by Rural Urban Commuting Area.
Author(s): April Maa, Barbara Wojciechowski, Kelly Hunt, et al.
Citation: Rural and Remote Health, 17(1), 4045
Date: 01/2017
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Veterans in Rural America: 2011-2015
Reports detailed demographic, social, and economic characteristics of rural veterans, based primarily on 2011–2015 American Community Survey (ACS) 5-year estimates. Includes comparisons of rural veterans to both urban veterans and rural nonveterans. Topics addressed include health insurance coverage, disability status and service-connected disability, and use of VA healthcare.
Additional links: Rural Veterans State Tables
Author(s): Kelly Ann Holder
Date: 01/2017
Sponsoring organization: U.S. Census Bureau
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State Data Accompanying MMWR Surveillance Summary 66 (No. SS-1): 1-8: Potentially Excess Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Areas, United States, 2005-2015
Interactive data visualization that provides state-level metropolitan and non-metro data on expected and potentially excess deaths from cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury. Under the Options heading, select "Numbers of Potentially Excess Deaths by State" or "Potentially Excess and Expected Deaths by State and Locality" to access the data.
Citation: MMWR Surveillance Summaries, 66(SS-1), 1-8
Date: 01/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Leading Causes of Death in Nonmetropolitan and Metropolitan Areas — United States, 1999–2014
Investigates the differences in metropolitan and nonmetropolitan regions of the U.S. for the 5 leading causes of death (heart disease, cancer, unintentional injury, chronic lower respiratory disease, and stroke) by analyzing and comparing mortality data derived from the National Vital Statistics System. Discusses the trends in annual age-adjusted death rates for unintentional injury for metropolitan and nonmetropolitan areas of the U.S.
Additional links: Supplemental Maps: Figure 5, Supplemental Tables: Figures 2-5
Author(s): Ernest Moy, Macarena C. Garcia, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 66(1), 1-8
Date: 01/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Reducing Potentially Excess Deaths from the Five Leading Causes of Death in the Rural United States
Reports on rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Discusses factors impacting the rural-urban gap, and offers suggestions for reducing these disparities and improving health. Updated in a November 2019 report.
Author(s): Macarena C. Garcia, Mark Faul, Greta Massetti, et al.
Citation: MMWR Surveillance Summaries, 66(2), 1-7
Date: 01/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Georgia State Health Improvement Plan 2016-2021
Describes a plan for the improvement of public health in Georgia. Discusses trends in state demographics and health outcomes, and establishes health improvement priorities, strategies, and targets. Major topics include access, chronic disease prevention, and maternal and child health. Highlights health disparities and health workforce shortages in rural areas.
Date: 2017
Sponsoring organization: Georgia Department of Public Health
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Antifibrinolytics in a Rural Trauma State: Assessing the Opportunities
Retrospective review evaluating the use of tranexamic acid (TXA) at a level 1 trauma center located in a rural area as a treatment to improve mortality and prevent hemorrhagic death in trauma patients. Documents the number of rural trauma patients who met the criteria for receiving TXA treatment, and determines if patients experiencing longer transport times and/or transfers from other hospitals such as Critical Access Hospitals (CAHs) would be regarded as ineligible for effective TXA treatment.
Author(s): James M Bardes, Amanda Palmer, Jorge Con, Alison Wilson, Gregory Schaefer
Citation: Trauma Surgery and Acute Care Open, 2(1)
Date: 2017
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New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices: A Survey of Practicing Ob-Gyns
Discusses the results of a survey of obstetrics and gynecology practices in rural and urban areas located in 5 Northwestern states to examine their recruitment efforts. Information and data about their background, practice setting, partner recruitment, and retention was collected and analyzed, with comparisons noted between rural, suburban, and urban providers.
Author(s): Michael F. Fialkow, Carrie M. Snead, Jay Schulkin
Citation: Health Services Research and Managerial Epidemiology, 2017(4)
Date: 2017
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Social Determinants of Health in the United States: Addressing Major Health Inequality Trends for the Nation, 1935-2016
Results of a study analyzing key health inequality trends in areas including maternal and child health, HIV/AIDS, mental and behavioral health, chronic disease prevention, and health promotion. Examines social determinants and features statistics with breakdowns by race/ethnicity, education, mortality rates, poverty, unemployment, housing, rural or urban location, and geographic area.
Author(s): Gopal K. Singh, Gem P. Daus, Michelle Allender, Christine T. Ramey, Elijah K. Martin, et al.
Citation: International Journal of MCH and AIDS, 6(2), 139-164
Date: 2017
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Research that Leads to Solutions for Rural Americans with Disabilities
Describes the research efforts of the University of Montana Research & Training Center on Disability in Rural Communities, including a section on Health and Rural Disability. Features a U.S. county-level map showing disability rates, and statistics on the disability rate by age group, with breakdowns by rural and urban location.
Additional links: Executive Summary
Date: 2017
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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