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Rural Health
Resources by Topic: Rural-urban differences

Adequacy of EMS Systems of Care Protocols for Adults with OHCA, STEMI & Stroke in Oregon: A Structured Review
Examines the emergency medical services (EMS) treatment protocols practiced in ambulance agencies in Oregon. Focuses on how they align with evidence-based practices for EMS treatment for adult patients with out-of-hospital cardiac arrest (OHCA), STEMI (ST Elevation Myocardial Infarction), and stroke. Includes rural/urban comparisons.
Additional links: Executive Report
Author(s): Paul S. Rostykus
Date: 10/2016
Sponsoring organization: Oregon Office of Rural Health
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Geographic Accessibility of Pulmonologists for Adults with COPD
Examines county-level geographic access to pulmonologists for adults with Chronic Obstructive Pulmonary Disease (COPD). Includes statistics describing the distance in miles to a pulmonologist or primary care physician for adults living in rural areas. Figure 1 overlays locations of pulmonologists with county estimates of adults with COPD. Figure 2 overlays the locations of primary care physician locations with county estimates of adults with COPD.
Author(s): Janet B. Croft, Hua Lu, Xingyou Zhang, James B. Holt
Citation: Chest, 150(3), 544-553
Date: 09/2016
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Supply of Nurses in Utah: The 2016 Survey of Utah's Registered Nurses
Provides an overview of the registered nurse (RN) workforce in the state of Utah. Includes demographic statistics and practice characteristics. Covers information describing the level of education for Utah RNs and includes the distribution of RN workforce in rural areas. Discusses the future RN workforce needs.
Author(s): Elizabeth Nagelhout
Date: 09/2016
Sponsoring organization: Utah Health Workforce Information Center
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Chronic Disease Disparities by County Economic Status and Metropolitan Classification, Behavioral Risk Factor Surveillance System, 2013
Examines health disparities in the U.S. using county economic data for unemployment, poverty, and per capita market income to compare metropolitan and nonmetropolitan counties' economic status with the prevalence of hypertension, arthritis, and self-rated health.
Author(s): Kate M. Shaw, Kristina A. Theis, Shannon Self-Brown, Douglas W. Roblin, Lawrence Barker
Citation: Preventing Chronic Disease, 13
Date: 09/2016
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Domestic Violence Cases in Rural Pennsylvania Magisterial Courts: Practices, Effectiveness and Consequences
Results of a survey of judges in rural Pennsylvania courts as to the effectiveness of domestic violence case prosecution, with a focus on Intimate Partner Violence (IPV). Includes a discussion of reform history on both a national and state level, barriers to prosecution specific to rural communities, and statistics of types of charges filed versus convictions or dismissals.
Author(s): Gabriela Wasileski, Erika Davis-Frenzel
Date: 09/2016
Sponsoring organization: Center for Rural Pennsylvania
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Patient, Hospital, and Local Health System Characteristics Associated With the Use of Observation Stays in Veterans Health Administration Hospitals, 2005 to 2012
Analyzes patient, hospital, and local healthcare system characteristics to determine the extent of their influence on the variation in the length of observation stays in Veterans Health Administration (VHA) hospitals. Includes breakdowns by Rural Urban Community Area (RUCA) categories.
Author(s): Brad Wright, Amy M.J. O'Shea, Justin M. Glasgow, Padmaja Ayyagari, Mary Vaughan-Sarrazin
Citation: Medicine (Baltimore), 95(36), e4802
Date: 09/2016
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The Hidden Traffic Safety Solution: Public Transportation
Explores the impact that public transportation has on safety and public health in rural and urban communities. Includes policies and recommendations to improve and encourage public transit travel and to create more transit-oriented communities.
Date: 09/2016
Sponsoring organization: American Public Transportation Association
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Supply and Distribution of the Behavioral Health Workforce in Rural America
Discusses and compares the provider to population ratios of the behavioral health workforce in metropolitan and nonmetro (micropolitan and non-core) U.S. counties. A state-level analysis of the study is also available with information for all states.
Author(s): Eric H. Larson, Davis G. Patterson, Lisa A. Garberson, C. Holly A. Andrilla
Date: 09/2016
Sponsoring organization: WWAMI Rural Health Research Center
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Variation in the Rate of Cesarean Section Across U.S. Hospitals, 2013
Provides data on the rate of total and low-risk C-sections across U.S. hospitals in 2013, looking at variations in C-section rates by hospital characteristics. Figure 3 provides data for metropolitan, micropolitan, and rural hospitals.
Author(s): Kamila Mistry, Kathryn R. Fingar, Anne Elixhauser
Date: 09/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Characteristics of Hospital Stays Involving Malnutrition, 2013
Reports national estimates of malnutrition during non-maternal and non-neonatal hospital inpatient stays in 2013, with information for six different categories of malnutrition. Includes data by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Audrey J. Weiss, Kathryn R. Fingar, Marguerite L. Barret, et al.
Date: 09/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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