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Rural Health
Resources by Topic: Rural-urban differences

Support and Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016
Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Author(s): Amy Kandilov, Vincent Keyes, Noëlle Siegfried, et al.
Date: 07/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Unintentional Injury Death Rates in Rural and Urban Areas: United States, 1999–2017
Examines trends in unintentional injury deaths from 1999 through 2017. Provides urban versus rural age-adjusted death rates related to motor vehicle traffic injuries, unintentional drug overdoses, and unintentional falls, with data for 2014 and 2017.
Author(s): R. Henry Olaisen, Lauren M. Rossen, Margaret Warner, Robert N. Anderson
Date: 07/2019
Sponsoring organization: National Center for Health Statistics
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Level of Agreement on Health Information Technology Adoption and Use in Survey Data: A Mixed-Methods Analysis of Ambulatory Clinics in 1 US State
Results of a study using 2016 data from 2 surveys of ambulatory providers in Minnesota, related to health information technology functionalities. Features statistics with breakdowns by rural and urban location.
Author(s): Robert S. Rudin, Yunfeng Shi, Shira H. Fischer, et al.
Citation: JAMIA Open, 2(2), 231-237
Date: 07/2019
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Determining Spatial Access to Opioid Use Disorder Treatment and Emergency Medical Services in New Hampshire
Highlights a study on the effect of geospatial determinants on access to opioid use disorder treatment and emergency medical services in New Hampshire. Breaks down data by metropolitan, micropolitan, small town, and rural communities.
Author(s): Yanjia Cao, Kathleen Stewart, Eric Wish, et al.
Citation: Journal of Substance Abuse Treatment, 101, 55-66
Date: 06/2019
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Data Report: 2018 Indiana Physician Assistant Licensure Survey
Provides demographic and practice characteristics of the Indiana physician assistant (PA) workforce as well as supply and distribution information, intended to improve the quality and accessibility to primary care. Features statistics including county-level PA geographic distribution with breakdowns by urban and rural location.
Author(s): Analise Dickinson, Sierra Vaughn, Hannah Maxey
Date: 06/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Long-Term Services and Supports Scorecard: Emerging Innovations - Mobility Managers
Report highlights the role of mobility managers in coordinating transportation services for older adults allowing them to age in place. Features examples of mobility managers functioning in both rural and urban settings.
Author(s): Doug Birnie, James McLary, Wendy Fox-Grage, Jana Lynott
Date: 06/2019
Sponsoring organization: AARP Public Policy Institute
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Pain in the Nation: Building a National Resilience Strategy: Alcohol and Drug Misuse and Suicide and the Millennial Generation - a Devastating Impact
Report highlights the rates of alcohol and drug misuse and suicide among the millennial generation (people in their 20s and 30s). Discusses the role of the opioid crisis in the increases in "deaths of despair" among millennials. Chart on page 6 compares rates in rural and metro areas.
Date: 06/2019
Sponsoring organizations: Trust for America's Health, Well Being Trust
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Homelessness in Early Childhood
Estimates the number of homeless children under age 4 in Michigan by county and rural/urban location. Discusses the potential impacts of homelessness on children's emotional and cognitive development as well as programs that can help, such as Head Start.
Author(s): Sarah Ostyn
Date: 06/2019
Sponsoring organization: Michigan League for Public Policy
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Nursing Homes: Improved Oversight Needed to Better Protect Residents from Abuse
Examines Centers for Medicare and Medicaid Services (CMS) data on nursing home complaints and incidents. Addresses the process for reporting and investigating abuse, deficiencies in the process and actions for enforcing it, as well as data on abuse type (physical, mental/verbal, sexual), perpetrator type (staff, resident, other), and severity over time. Table 2 includes rural/urban data on nursing home abuse deficiencies.
Additional links: Full Report
Date: 06/2019
Sponsoring organization: Government Accountability Office
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Housing Across the Life Span: Consumer Knowledge, Preferences, and Barriers
Results of a survey of 668 residents of North Dakota and South Dakota, measuring the perceived importance of housing traits that will enable people to age in place, including access to healthcare. Features demographic statistics with breakdowns by urban and rural location.
Author(s): Leacey E. Brown, Jane Strommen, Susan Ray-Degges
Date: 06/2019
Sponsoring organization: South Dakota State University Extension
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