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Rural Health
Resources by Topic: Rural-urban differences

The Training Pipeline for EMS Personnel in South Carolina
Results of a 2017-2018 survey of all South Carolina institutions and regional EMS training centers that prepare students to take national EMS certification exams. Features county-level maps showing numbers of graduates of programs for emergency medical technicians (EMTs), advanced EMTs (AEMTs), and paramedics, with breakdowns by rural or urban location.
Author(s): Linda M. Lacey
Date: 06/2019
Sponsoring organizations: South Carolina EMS Association, South Carolina Office for Healthcare Workforce
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A National Study of the Practice Characteristics of Women in Dentistry and Potential Impacts on Access to Care for Underserved Communities
Results of a study to understand differences in dentist practice characteristics by sex, and to plan for changes in the workforce that could affect supply and demand of dental services in underserved areas. Features statistics including practice patterns by sex and year from 2010-2016 with breakdowns by practice location in rural area, small town, micropolitan, metropolitan, or large metropolitan area.
Author(s): Simona Surdu, Margaret Langelier, Yuhao Liu, Nubia Goodwin
Date: 06/2019
Sponsoring organization: Center for Health Workforce Studies
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Trends in Non‐Hispanic White Mortality in the United States by Metropolitan‐Nonmetropolitan Status and Region, 1990–2016
Explores mortality trends among non-Hispanic White people in rural versus urban communities. Breaks down data by sex, large central metro, large metro suburb, small/medium metro, and nonmetro areas.
Author(s): Irma T. Elo, Arun S. Hendi, Jessica Y. Ho, et al.
Citation: Population and Development Review, 45(3), 549-583
Date: 06/2019
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Factors Determining Patients' Choice Between Mobile Health and Telemedicine: Predictive Analytics Assessment
Results of a study to examine factors influencing the choice of communication medium for receiving healthcare, through analysis of mobile health versus telemedicine visits with a virtual urgent clinic. Features statistics including demographics of virtual urgent clinic users, with breakdowns by urban and rural settings.
Author(s): Saif Khairat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro
Citation: JMIR Mhealth Uhealth, 7(6)
Date: 06/2019
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Characteristics of US Counties with High Opioid Overdose Mortality and Low Capacity to Deliver Medications for Opioid Use Disorder
Highlights a study on opioid overdose mortality in U.S. counties that lack the capacity to treat opioid use disorder. Breaks down counties by patient demographic and geographic region, as well as by rural, metropolitan, and micropolitan status.
Author(s): Rebecca L. Haffajee, Lewei Allison Lin, Amy S. B. Bohnert, Jason E. Goldstick
Citation: JAMA Network Open, 2(6)
Date: 06/2019
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Geographic Expansion of Federally Qualified Health Centers 2007-2014
Details a study on the geographic distribution of Federally Qualified Health Centers (FQHCs) from 2007-2014. Looks at the percentage of FQHCs in rural and high poverty areas.
Author(s): Chiang-Hua Chang, Julie PW Bynum, Jon D. Lurie
Citation: Journal of Rural Health, 35(3), 385-394
Date: 06/2019
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QuickStats: Age-Adjusted Motor Vehicle Traffic Death Rates, by Urban-Rural Status and Sex — National Vital Statistics System, United States, 2017
Bar chart showing urban and rural deaths per 100,000 overall, for males, and for females.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(25), 573
Date: 06/2019
Sponsoring organization: Centers for Disease Control and Prevention
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HIV Testing in 50 Local Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrence of HIV in Rural Areas, 2016–2017
Reports on HIV testing in 50 local jurisdictions where most new diagnoses of HIV infection in 2016 and 2017 were found and in 7 states with high rural rates of HIV. Includes rural-urban data on HIV testing for Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina.
Author(s): Marc A. Pitasi, Kevin P. Delaney, John T. Brooks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(25), 561-567
Date: 06/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Chronic Obstructive Pulmonary Disease and Smoking Status — United States, 2017
Examines age-adjusted prevalence of chronic obstructive pulmonary disease (COPD) among current smokers, former smokers, and those who have never smoked. Includes data by urban-rural location.
Author(s): Anne G. Wheaton, Yong Liu, Janet B. Croft, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(24), 533-538
Date: 06/2019
Sponsoring organization: Centers for Disease Control and Prevention
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2019
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on access to primary care for Medicare beneficiaries that addresses rural access to care and programs supporting it, such as the National Health Service Corps. Other sections of the report addressing rural concerns focus on Medicare enrollment, changes in hospice and post-acute care after implementing the long-term care hospital dual payment-rate structure, and Medicare fee-for-service spending for emergency department services.
Additional links: Executive Summary
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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