Rural Health
Resources by Topic: Rural-urban differences
Portraying a More Complete Picture of Illicit Drug Use Epidemiology and Policy for Rural America: A Competing Viewpoint to the CDC's MMWR Report
Commentary on the CDC MMWR report, Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States. Discusses a range of factors that may impact our understanding of nonmetropolitan drug use and identifies additional studies that have been undertaken related to nonmetro drug use. Also discusses potential differences in effective ways to address drug use in nonmetro compared to metro areas.
Author(s): Tyrone F. Borders
Citation: Journal of Rural Health, 34(1), 3-5
Date: 2018
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Commentary on the CDC MMWR report, Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States. Discusses a range of factors that may impact our understanding of nonmetropolitan drug use and identifies additional studies that have been undertaken related to nonmetro drug use. Also discusses potential differences in effective ways to address drug use in nonmetro compared to metro areas.
Author(s): Tyrone F. Borders
Citation: Journal of Rural Health, 34(1), 3-5
Date: 2018
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The Differential Effects of Rural Health Care Access on Race-Specific Mortality
Investigates the association between race-specific rural mortality and the health infrastructure of rural counties using data from the National Center for Health Statistics Compressed Mortality File (2008-2012); county-level demographic, socioeconomic, and healthcare indicators from Health Resources and Services Administration's Area Health Resource File; and the U.S. Census. Covers the rural public health infrastructure index that indicates the presence or absence of 4 types of healthcare measures: public health employees, Critical Access Hospitals (CAHs) or rural referral centers, Rural Health Clinics (RHCs), and emergency departments within counties.
Author(s): Jeralynn Cossman, Wesley James, Julia Kay Wolf
Citation: SSM Population Health, 3, 618-623
Date: 12/2017
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Investigates the association between race-specific rural mortality and the health infrastructure of rural counties using data from the National Center for Health Statistics Compressed Mortality File (2008-2012); county-level demographic, socioeconomic, and healthcare indicators from Health Resources and Services Administration's Area Health Resource File; and the U.S. Census. Covers the rural public health infrastructure index that indicates the presence or absence of 4 types of healthcare measures: public health employees, Critical Access Hospitals (CAHs) or rural referral centers, Rural Health Clinics (RHCs), and emergency departments within counties.
Author(s): Jeralynn Cossman, Wesley James, Julia Kay Wolf
Citation: SSM Population Health, 3, 618-623
Date: 12/2017
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Healthcare Resource Availability and Cardiovascular Health in the USA
A cross sectional, multivariate analysis investigating the relationship between provider supply and physical facilities, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and cardiovascular health of individuals and populations in rural and urban areas.
Author(s): Courtney S Pilkerton, Sarah S Singh, Thomas K Bias, Stephanie J Frisbee
Citation: BMJ Open, 7(12)
Date: 12/2017
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A cross sectional, multivariate analysis investigating the relationship between provider supply and physical facilities, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and cardiovascular health of individuals and populations in rural and urban areas.
Author(s): Courtney S Pilkerton, Sarah S Singh, Thomas K Bias, Stephanie J Frisbee
Citation: BMJ Open, 7(12)
Date: 12/2017
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Behavioral Health Integration into Primary Care: A Microsimulation of Financial Implications for Practices
Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
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Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
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Addressing Health Inequities in New Mexico: The Role of the New Mexico Public Health Institute
Examines contributors to rural/urban and racial health disparities in New Mexico and identifies priorities for addressing them. Discusses demographics, socioeconomic factors, infrastructure, health disparities, and the physical environment. Reports on current population health efforts and identifies gaps.
Author(s): Renee T. Despres
Date: 12/2017
Sponsoring organization: Center for Health Innovation
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Examines contributors to rural/urban and racial health disparities in New Mexico and identifies priorities for addressing them. Discusses demographics, socioeconomic factors, infrastructure, health disparities, and the physical environment. Reports on current population health efforts and identifies gaps.
Author(s): Renee T. Despres
Date: 12/2017
Sponsoring organization: Center for Health Innovation
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Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report
Assesses demand and capacity for substance use disorder treatment, with comparisons between years 2013 and 2016. Features statistics including numbers of clients, staff hours, percentage of facilities offering pharmacotherapies and accepting various insurance types, and distribution of specialty treatments, with breakdowns by urban and rural locations.
Author(s): Ellen Bouchery
Date: 12/2017
Sponsoring organization: U.S. Department of Health and Human Services
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Assesses demand and capacity for substance use disorder treatment, with comparisons between years 2013 and 2016. Features statistics including numbers of clients, staff hours, percentage of facilities offering pharmacotherapies and accepting various insurance types, and distribution of specialty treatments, with breakdowns by urban and rural locations.
Author(s): Ellen Bouchery
Date: 12/2017
Sponsoring organization: U.S. Department of Health and Human Services
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Understanding the Impact of Suicide In Rural America
Analyzes suicide rates and the impact of suicide in rural areas, highlights suicide in tribal communities and suicide prevention among U.S. veterans. Covers state and federal prevention strategies and discusses recommendations for research and evaluation, and outreach, promotion, and awareness.
Date: 12/2017
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Analyzes suicide rates and the impact of suicide in rural areas, highlights suicide in tribal communities and suicide prevention among U.S. veterans. Covers state and federal prevention strategies and discusses recommendations for research and evaluation, and outreach, promotion, and awareness.
Date: 12/2017
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Chartbook: Racial and Ethnic Health Disparities in a Changing Kansas
Examines trends in demographics, the social determinants of health, and health outcomes in Kansas. Includes statistics and data with a rural versus urban comparison on: population characteristics; education; income, employment, and insurance; housing and household characteristics; nutrition, physical activity, and related outcomes; substance use; healthcare and preventive services; disease and disability; births; and mortality.
Additional links: Appendix A. Population Characteristics, Appendix B. Education, Appendix C. Income, Employment, and Insurance, Appendix D. Housing and Housing Characteristics, Appendix E. Disease and Disability, Appendix F. Births, Appendix G: Mortality, Appendix H: Technical Notes
Author(s): Lawrence John Panas
Date: 12/2017
Sponsoring organization: Kansas Health Institute
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Examines trends in demographics, the social determinants of health, and health outcomes in Kansas. Includes statistics and data with a rural versus urban comparison on: population characteristics; education; income, employment, and insurance; housing and household characteristics; nutrition, physical activity, and related outcomes; substance use; healthcare and preventive services; disease and disability; births; and mortality.
Additional links: Appendix A. Population Characteristics, Appendix B. Education, Appendix C. Income, Employment, and Insurance, Appendix D. Housing and Housing Characteristics, Appendix E. Disease and Disability, Appendix F. Births, Appendix G: Mortality, Appendix H: Technical Notes
Author(s): Lawrence John Panas
Date: 12/2017
Sponsoring organization: Kansas Health Institute
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Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2014
Examines the characteristics, costs, and volume of operating room (OR) procedures in the inpatient setting, presenting data from U.S. hospitals in 2014. Includes a breakdown of inpatient stays with and without OR procedures, based upon metro or nonmetro (rural) patient residence.
Author(s): Kimberly W. McDermott, William J. Freeman, Anne Elixhauser
Date: 12/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the characteristics, costs, and volume of operating room (OR) procedures in the inpatient setting, presenting data from U.S. hospitals in 2014. Includes a breakdown of inpatient stays with and without OR procedures, based upon metro or nonmetro (rural) patient residence.
Author(s): Kimberly W. McDermott, William J. Freeman, Anne Elixhauser
Date: 12/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Health Research Recap: Rural Hospital Closures
Summarizes key findings from the Rural Health Research Centers' most recent research on rural hospital closures. Discusses hospitals by U.S. census region, rural hospital closures between 2005 and 2017, urban and rural hospital profitability, and the financial distress index. Provides links to each of the referenced source documents.
Author(s): Shawnda Schroeder
Date: 12/2017
Sponsoring organization: Rural Health Research Gateway
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Summarizes key findings from the Rural Health Research Centers' most recent research on rural hospital closures. Discusses hospitals by U.S. census region, rural hospital closures between 2005 and 2017, urban and rural hospital profitability, and the financial distress index. Provides links to each of the referenced source documents.
Author(s): Shawnda Schroeder
Date: 12/2017
Sponsoring organization: Rural Health Research Gateway
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