Rural Health
Resources by Topic: Rural-urban differences
Opioid Use Among Rural Medicare Beneficiaries
Examines trends in prescription opioid use among Medicare beneficiaries in rural areas, utilizing 2010-2017 Medicare Current Beneficiary Survey (MCBS) data. Provides data on receipt of opioid prescriptions among community-dwelling and facility-dwelling beneficiaries, associations between prescribing and chronic overlapping pain conditions (COPCs), and prescriptions exceeding CDC guidelines. Includes rural-urban comparisons.
Author(s): Yvonne Jonk, Heidi O'Connor, Karen Pearson, et al.
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Examines trends in prescription opioid use among Medicare beneficiaries in rural areas, utilizing 2010-2017 Medicare Current Beneficiary Survey (MCBS) data. Provides data on receipt of opioid prescriptions among community-dwelling and facility-dwelling beneficiaries, associations between prescribing and chronic overlapping pain conditions (COPCs), and prescriptions exceeding CDC guidelines. Includes rural-urban comparisons.
Author(s): Yvonne Jonk, Heidi O'Connor, Karen Pearson, et al.
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Medicare Advantage Demographics Report, 2022
Summarizes demographics data on Medicare Advantage enrollment in 2022. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2025
Sponsoring organization: AHIP
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Summarizes demographics data on Medicare Advantage enrollment in 2022. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2025
Sponsoring organization: AHIP
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How Medicaid Helps Your State
Offers fact sheets for 50 states and D.C. on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes percent of children and adults covered by Medicaid or CHIP in rural areas of each state.
Date: 01/2025
Sponsoring organization: Commonwealth Fund
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Offers fact sheets for 50 states and D.C. on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes percent of children and adults covered by Medicaid or CHIP in rural areas of each state.
Date: 01/2025
Sponsoring organization: Commonwealth Fund
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Investigating Suicide Risk Factors Among Appalachian West Virginian Adults
Results of a study exploring lifetime suicide risk in West Virginia. Identifies factors driving urban-rural differences in suicide risk, using survey data from the 2021 Mountain State Assessment of Trends in Community Health. Features demographics and statistics with breakdown by urban or rural residence.
Author(s): Erin D. Caswell, Angela M. Dyer, Summer D. Hartley
Citation: Journal of Appalachian Health, 6(4), 41-66
Date: 01/2025
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Results of a study exploring lifetime suicide risk in West Virginia. Identifies factors driving urban-rural differences in suicide risk, using survey data from the 2021 Mountain State Assessment of Trends in Community Health. Features demographics and statistics with breakdown by urban or rural residence.
Author(s): Erin D. Caswell, Angela M. Dyer, Summer D. Hartley
Citation: Journal of Appalachian Health, 6(4), 41-66
Date: 01/2025
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Analyzing Temporal Patterns in Frequent Emergency Department Visits among Oncology Patients Using Semantic Similarity Measures
Analyzes patterns in frequent emergency department (ED) use among patients with and without cancer, utilizing 2018-2019 ED visit data of 5 rural and 5 urban Illinois hospitals. Compares patient characteristics, cancer versus non-cancer patient mix, and proximity to care in rural and urban EDs. Discusses cancer patients as a priority group for improving access and service delivery to produce better outcomes and reduce emergency services use.
Author(s): Hyojung Kang, Lloyd Fernandes, John P. Riordan
Citation: The American Journal of Emergency Medicine, 89, 51-56
Date: 01/2025
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Analyzes patterns in frequent emergency department (ED) use among patients with and without cancer, utilizing 2018-2019 ED visit data of 5 rural and 5 urban Illinois hospitals. Compares patient characteristics, cancer versus non-cancer patient mix, and proximity to care in rural and urban EDs. Discusses cancer patients as a priority group for improving access and service delivery to produce better outcomes and reduce emergency services use.
Author(s): Hyojung Kang, Lloyd Fernandes, John P. Riordan
Citation: The American Journal of Emergency Medicine, 89, 51-56
Date: 01/2025
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Access to Firearms and Opioids Among Veterans at Risk for Suicide
Analyzes rates of access to firearms and opioids, gun safety practices, and being provided or declining naloxone or firearm locks among 38,454 veterans at risk for suicide, utilizing 2021-2023 Veterans Health Administration electronic health record data. Includes demographic breakdowns, including rural versus urban dwelling.
Author(s): Gabriela Kattan Khazanov, Matthew Wilson, Tom Cidav, et al.
Citation: JAMA Network Open, 8(1), e2456906
Date: 01/2025
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Analyzes rates of access to firearms and opioids, gun safety practices, and being provided or declining naloxone or firearm locks among 38,454 veterans at risk for suicide, utilizing 2021-2023 Veterans Health Administration electronic health record data. Includes demographic breakdowns, including rural versus urban dwelling.
Author(s): Gabriela Kattan Khazanov, Matthew Wilson, Tom Cidav, et al.
Citation: JAMA Network Open, 8(1), e2456906
Date: 01/2025
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Trends and Patterns of Job Quality in the United States
Studies job quality trends including wage levels, employer sponsored health insurance, and retirement benefits between 2000 and 2022 for workers in metropolitan and nonmetropolitan areas. Also considers other factors such as race and ethnicity, sex, and industry.
Additional links: Report Summary
Author(s): Ephraim M. Nkonya, John Pender
Date: 01/2025
Sponsoring organization: USDA Economic Research Service
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Studies job quality trends including wage levels, employer sponsored health insurance, and retirement benefits between 2000 and 2022 for workers in metropolitan and nonmetropolitan areas. Also considers other factors such as race and ethnicity, sex, and industry.
Additional links: Report Summary
Author(s): Ephraim M. Nkonya, John Pender
Date: 01/2025
Sponsoring organization: USDA Economic Research Service
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Differences in Influenza Testing and Treatment in Micropolitan Versus Metropolitan Areas in the U.S. Using Medicare Claims Data from 2010 to 2016
Compares rates of influenza testing and anti-viral treatment in micropolitan and metropolitan statistical areas, utilizing 2010-2016 CMS billing data. Discusses the significance of geographic disparities for influenza public health response.
Author(s): Alexia Couture, F. Scott Dahlgren, Hector S. Izurieta, et al.
Citation: BMC Public Health, 25, 291
Date: 01/2025
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Compares rates of influenza testing and anti-viral treatment in micropolitan and metropolitan statistical areas, utilizing 2010-2016 CMS billing data. Discusses the significance of geographic disparities for influenza public health response.
Author(s): Alexia Couture, F. Scott Dahlgren, Hector S. Izurieta, et al.
Citation: BMC Public Health, 25, 291
Date: 01/2025
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Lower Electronic Health Record Adoption and Interoperability in Rural Versus Urban Physician Participants: A Cross-Sectional Analysis from the CMS Quality Payment Program
Compares rural versus urban physician adoption of electronic health records (EHRs) and interoperability, as related to federal programs such as Medicare Access, Children's Health Insurance Program (CHIP) Reauthorization Act of 2015, and the 21st Century Cures Act. Utilizes 2021 Quality Payment Program Experience Report Public Use File data to analyze 209,152 physicians, with rural versus urban data breakdowns according to physician practice characteristics, EHR adoption, geographic distribution of interoperability scores, and more.
Author(s): A. Jerrod Anzalone, Carol R. Geary, Ran Dai, et al.
Citation: BMC Health Services Research, 25, 128
Date: 01/2025
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Compares rural versus urban physician adoption of electronic health records (EHRs) and interoperability, as related to federal programs such as Medicare Access, Children's Health Insurance Program (CHIP) Reauthorization Act of 2015, and the 21st Century Cures Act. Utilizes 2021 Quality Payment Program Experience Report Public Use File data to analyze 209,152 physicians, with rural versus urban data breakdowns according to physician practice characteristics, EHR adoption, geographic distribution of interoperability scores, and more.
Author(s): A. Jerrod Anzalone, Carol R. Geary, Ran Dai, et al.
Citation: BMC Health Services Research, 25, 128
Date: 01/2025
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Urban and Rural Differences in Cancer Treatment Disruption Among Patients With COVID-19: An Analysis of the US ASCO COVID-19 in Oncology Registry
Examines rural and urban experiences of cancer treatment delay or discontinuation associated with COVID-19 between March 2020 and September 2022, utilizing data of 3,797 cancer patients from the American Society of Clinical Oncology Survey on COVID-19 in Oncology Registry. Includes data breakdowns by demographic and clinical factors.
Author(s): Yu Chen Lin, Kea Turner, Oliver T. Nguyen, et al.
Citation: Cancer Medicine, 14(2), e70512
Date: 01/2025
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Examines rural and urban experiences of cancer treatment delay or discontinuation associated with COVID-19 between March 2020 and September 2022, utilizing data of 3,797 cancer patients from the American Society of Clinical Oncology Survey on COVID-19 in Oncology Registry. Includes data breakdowns by demographic and clinical factors.
Author(s): Yu Chen Lin, Kea Turner, Oliver T. Nguyen, et al.
Citation: Cancer Medicine, 14(2), e70512
Date: 01/2025
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