Rural Health
Resources by Topic: Rural-urban differences
Reaching the Quadruple Aim: Workforce and Service Delivery Within Certified Community Behavioral Health Clinics
Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Author(s): Dana Foney, Shannon Mace, Adriano Boccanelli
Date: 08/2019
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Author(s): Dana Foney, Shannon Mace, Adriano Boccanelli
Date: 08/2019
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Making Connections: Nationwide Implementation of Video Telehealth Tablets to Address Access Barriers in Veterans
Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 2(3), 323–329
Date: 08/2019
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Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 2(3), 323–329
Date: 08/2019
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Examining Rural Cancer Prevention and Control Efforts: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to cancer in rural areas, including barriers to accessing cancer care. Describes federal programs that support and enhance national and rural cancer control efforts, including funding, and offers policy recommendations. Features statistics on average annual percent change in cancer mortality rates from 2006-2015, with breakdowns by metropolitan and nonmetropolitan areas. Includes a U.S. map showing locations of cancer centers that received Rural Cancer Control Supplements grants in 2018.
Date: 08/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to cancer in rural areas, including barriers to accessing cancer care. Describes federal programs that support and enhance national and rural cancer control efforts, including funding, and offers policy recommendations. Features statistics on average annual percent change in cancer mortality rates from 2006-2015, with breakdowns by metropolitan and nonmetropolitan areas. Includes a U.S. map showing locations of cancer centers that received Rural Cancer Control Supplements grants in 2018.
Date: 08/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Impact of Rural and Urban Hospital Closures on Inpatient Mortality
Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Sponsoring organization: National Bureau of Economic Research
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Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Sponsoring organization: National Bureau of Economic Research
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National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2018
Reports on vaccination coverage among U.S. adolescents by age for ages 13 through 17 and overall for 2017 and 2018. Also includes data on vaccination coverage by metropolitan and nonmetropolitan residence and by health insurance status. Includes nonmetro data related to the following vaccines: Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), MenACWY (quadrivalent meningococcal conjugate), HPV (human papillomavirus), MMR (measles, mumps, and rubella), hepatitis B, and varicella.
Author(s): Tanja Y. Walker, Laurie D. Elam-Evans, David Yankey, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(33), 718-723
Date: 08/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on vaccination coverage among U.S. adolescents by age for ages 13 through 17 and overall for 2017 and 2018. Also includes data on vaccination coverage by metropolitan and nonmetropolitan residence and by health insurance status. Includes nonmetro data related to the following vaccines: Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), MenACWY (quadrivalent meningococcal conjugate), HPV (human papillomavirus), MMR (measles, mumps, and rubella), hepatitis B, and varicella.
Author(s): Tanja Y. Walker, Laurie D. Elam-Evans, David Yankey, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(33), 718-723
Date: 08/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Results from the 2018 National Survey on Drug Use And Health: Detailed Tables
Presents data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth from age 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Additional links: PDF Version
Date: 08/2019
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Presents data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth from age 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Additional links: PDF Version
Date: 08/2019
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Advancing Health Equity and Access Using Telemedicine: A Geospatial Assessment
Highlights a study on the effectiveness of a virtual urgent care (VUC) program in expanding healthcare access and addressing health equity in rural populations in North Carolina. Compares rural versus urban areas and breaks down data by rates of poverty, Medicare and Medicaid enrollment, and broadband access, among other measures.
Author(s): Saif Khairat, Timothy Haithcoat, Songzi Liu, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 796–805
Date: 08/2019
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Highlights a study on the effectiveness of a virtual urgent care (VUC) program in expanding healthcare access and addressing health equity in rural populations in North Carolina. Compares rural versus urban areas and breaks down data by rates of poverty, Medicare and Medicaid enrollment, and broadband access, among other measures.
Author(s): Saif Khairat, Timothy Haithcoat, Songzi Liu, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 796–805
Date: 08/2019
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A Rural Hospital Guide to Improving Chronic Obstructive Pulmonary Disease
A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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Department of Health Care Services: It Has Not Ensured That Medi-Cal Beneficiaries in Some Rural Counties Have Reasonable Access to Care
Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Sponsoring organization: Auditor of the State of California
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Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Sponsoring organization: Auditor of the State of California
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Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018
Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Sponsoring organization: Centers for Disease Control and Prevention
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