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Rural Health
Resources by Topic: Rural-urban differences

Prevalence of Children Aged 3-17 Years With Developmental Disabilities, by Urbanicity: United States, 2015-2018
Results of a study examining geographic disparities in diagnoses of developmental disabilities and use of related services. Features statistics with breakdowns by prevalence of various conditions and by urban or rural location.
Author(s): Benjamin Zablotsky, Lindsey I. Black
Date: 02/2020
Sponsoring organization: National Center for Health Statistics
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Growing Stress on the Farm: The Expanding Economic and Mental Health Disparities in Rural Missouri
Identifies disparities in mental health outcomes and economic factors for farmers and other rural Missourians. Presents opportunities to promote access to mental health services, improve outcomes, and reduce stigma. Includes statistics on suicides in Missouri with breakdowns by metropolitan and rural areas, age, and sex, and hospital emergency visits by rural Missourians for psychiatric disorders, substance use disorder, and suicidality.
Author(s): M. Reidhead, J. Medows, K. Dothage, et al.
Date: 02/2020
Sponsoring organizations: Missouri Coalition for Community Behavioral Healthcare, Missouri Department of Mental Health, Missouri Farm Bureau, Missouri Hospital Association, University of Missouri Extension
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Health Disparities in Rural America: Current Challenges and Future Solutions
Describes health risks experienced by rural people and the problems they face in accessing healthcare in shortage areas, and offers possible solutions. Includes a map showing Primary Care Health Professional Shortage Areas by county, and a list of states allowing full practice authority for nurse practitioners as of 2019.
Author(s): Theresa Capriotti, Tiffany Pearson, Lillian Dufour
Date: 02/2020
Sponsoring organization: Clinical Advisor
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Variation in Use of Home Health Care among Fee-for-Service Medicare Beneficiaries by Rural-Urban Status and Geographic Region: Assessing the Potential for Unmet Need
County-level analysis of home healthcare use by Medicare beneficiaries in 2013. Explores characteristics of beneficiaries and their communities. Features statistics with breakdowns by geographic region and 5 levels of population density.
Author(s): Tracy M. Mroz, Lisa A. Garberson, Jennifer L. Wong, et al.
Date: 02/2020
Sponsoring organization: WWAMI Rural Health Research Center
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Telehealth Use among Rural Individuals with Disabilities
Presents a review of literature on telehealth use by people with disabilities in rural areas, covering research published in the period 2000-2019. Identifies benefits, limitations, and challenges, including barriers associated with regulation and funding, and identifies areas for further study.
Author(s): Keith M. Christensen, Jill Bezyak
Date: 01/2020
Sponsoring organization: Rocky Mountain ADA Center (RMADAC)
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Healthy North Carolina 2030: A Path Toward Health
Discusses population health in North Carolina, identifying disparities in health outcomes and social determinants of health and highlighting strategies for improvement. Provides data for selected indicators, including unemployment, access to healthy food, and primary care workforce availability, among others. Mentions people in rural areas throughout.
Date: 01/2020
Sponsoring organization: North Carolina Institute of Medicine
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Barriers to Palliative and Hospice Care Utilization in Older Adults with Cancer: A Systematic Review
Shares the results of a literature review analyzing various sociodemographic variables, including rural residence, to describe challenges older adults with cancer experience when accessing hospice and palliative care services.
Author(s): Jyotsana Parajuli, Aluem Tark, Ying-Ling Jao, Judith Hupcey
Citation: Journal of Geriatric Oncology, 11(1), 8-16
Date: 01/2020
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Trends in the Size and Distribution of the South Carolina Physician Workforce: 2009-2017
Fact sheet describing trends in the supply and distribution of the physician workforce in South Carolina, using information provided by physicians during their biennial license renewal process. Features statistics with breakdowns by metropolitan, micropolitan, and nonmetropolitan locations.
Date: 01/2020
Sponsoring organization: South Carolina Area Health Education Consortium
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Trends in Mortality for Medicare Beneficiaries Treated in the Emergency Department From 2009 to 2016
Examines mortality rates during and after emergency department (ED) visits among Medicare beneficiaries between 2009-2016. Explores mortality trends by differences in disposition from the ED, the severity of ED visit, and hospital characteristics. Includes a discussion of ED outcomes in rural settings.
Author(s): Laura G. Burke, Stephen K. Epstein, Ryan C. Burke, E. John Orav, Ashish K. Jha
Citation: JAMA Internal Medicine, 180(1), 80-88
Date: 01/2020
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Rural Availability of the Obstetrician-Gynecologist Physician and Certified Nurse Midwife Workforce
Brief examining Obstetrician-Gynecologist workforce and maternal care in rural Arizona by county, discussing impacts of workforce shortages on rural mothers.
Author(s): B. Koch, S. Coates, S. Brady, H. Carter, D. Derksen
Date: 01/2020
Sponsoring organization: Arizona Center for Rural Health
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