Rural Health
Resources by Topic: Rural-urban differences
Veterans Health Care: Opportunities Exist to Improve Assessment of Network Adequacy for Mental Health
Provides an overview of the U.S. Department of Veterans Affairs (VA) Community Care Networks (CCN) program and how the VA and contractors develop and maintain mental health provider networks. Describes how the VA assesses the adequacy of the CCN mental health provider networks. Examines the extent to which the VA collects information on the factors that contribute to scheduling timeliness challenges for community care appointments, including for mental health appointments. Presents data on the percentage of CCN mental health claims that were within drive-time and appointment-availability standards between April 2022 and March 2023 by CCN region, rurality, and care setting.
Additional links: Full Report
Date: 06/2024
Sponsoring organization: Government Accountability Office
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Provides an overview of the U.S. Department of Veterans Affairs (VA) Community Care Networks (CCN) program and how the VA and contractors develop and maintain mental health provider networks. Describes how the VA assesses the adequacy of the CCN mental health provider networks. Examines the extent to which the VA collects information on the factors that contribute to scheduling timeliness challenges for community care appointments, including for mental health appointments. Presents data on the percentage of CCN mental health claims that were within drive-time and appointment-availability standards between April 2022 and March 2023 by CCN region, rurality, and care setting.
Additional links: Full Report
Date: 06/2024
Sponsoring organization: Government Accountability Office
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Higher Risk of Melanoma-Related Deaths for Patients Residing in Rural Counties: A Surveillance, Epidemiology, and End Results Program Study
Analyzes the persistence of the rural mortality penalty (RMP) related to melanoma cancer. Utilizes 2000-2019 SEER Research-Plus-17-Registry data to examine disease characteristics, incidence, and mortality rates, with breakdowns by demographics, income, and rural versus urban location.
Author(s): Sarah Kooper-Johnson, Viknesh Kasthuri, Alexander Homer, Bichchau Michelle Nguyen
Citation: Journal of the American Academy of Dermatology, 90(6), 1257-1258
Date: 06/2024
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Analyzes the persistence of the rural mortality penalty (RMP) related to melanoma cancer. Utilizes 2000-2019 SEER Research-Plus-17-Registry data to examine disease characteristics, incidence, and mortality rates, with breakdowns by demographics, income, and rural versus urban location.
Author(s): Sarah Kooper-Johnson, Viknesh Kasthuri, Alexander Homer, Bichchau Michelle Nguyen
Citation: Journal of the American Academy of Dermatology, 90(6), 1257-1258
Date: 06/2024
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Rural and Urban Differences in Disparities in Substance Use and Substance Use Disorders Affecting Sexual Minority Populations
Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
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Examines substance use (SU), substance use disorders (SUD), and SUD treatment in heterosexual and sexual minority populations. Analyzes 2015 to 2019 National Survey on Drug Use and Health data with information broken down by demographics, SU, and large metro, small metro, or nonmetro location.
Author(s): Christina Dyar, Ethan Morgan
Citation: Journal of Rural Health, 40(3), 542-556
Date: 06/2024
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Trends in Patient Perceptions of Care Toward Rural and Urban Hospitals in the United States: 2014-2019
Examines patients' perceptions of care in hospitals located in urban, rural non-frontier and remote (FAR), and FAR areas. Analyzes 2014-2019 data from 6,964 hospitals to rate patients' perceptions of their quality of care, considering factors such as quietness and cleanliness of hospital, communication with healthcare staff, discharge information, care transition, and willingness to recommend hospital.
Author(s): Zhong Li, Vivian Ho, Melinda A. Merrell, Peiyin Hung
Citation: Journal of Rural Health, 40(3), 565-573
Date: 06/2024
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Examines patients' perceptions of care in hospitals located in urban, rural non-frontier and remote (FAR), and FAR areas. Analyzes 2014-2019 data from 6,964 hospitals to rate patients' perceptions of their quality of care, considering factors such as quietness and cleanliness of hospital, communication with healthcare staff, discharge information, care transition, and willingness to recommend hospital.
Author(s): Zhong Li, Vivian Ho, Melinda A. Merrell, Peiyin Hung
Citation: Journal of Rural Health, 40(3), 565-573
Date: 06/2024
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Understanding Rural-Urban Differences in Veterans' Internet Access, Use and Patient Preferences for Telemedicine
Analyzes disparities among rural and urban veterans regarding telemedicine. Utilizes March 2022 survey data from 350 veterans about issues related to telemedicine use, including internet access, connection speeds, internet-connected devices, and use and perception of telemedicine.
Author(s): Amy M. J. O'Shea, Mikayla Gibson, James Merchant, et al.
Citation: Journal of Rural Health, 40(3), 438-445
Date: 06/2024
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Analyzes disparities among rural and urban veterans regarding telemedicine. Utilizes March 2022 survey data from 350 veterans about issues related to telemedicine use, including internet access, connection speeds, internet-connected devices, and use and perception of telemedicine.
Author(s): Amy M. J. O'Shea, Mikayla Gibson, James Merchant, et al.
Citation: Journal of Rural Health, 40(3), 438-445
Date: 06/2024
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Comparison of the Characteristics of the Population Eligible for Lung Cancer Screening under 2013 and Population Newly Eligible under 2021 US Preventive Services Task Force Recommendations
Compares eligibility for lung cancer screening under 2013 and 2021 recommendations issued by the United States Preventive Services Task Force (USPSTF). Analyzes effects on population groups, utilizing 2017-2020 Behavioral Risk Factor Surveillance System (BRFSS) data. See Table 3 for data on rural and urban populations.
Author(s): Nicholas Yell, Jan M. Eberth, Anthony J. Alberg, et al.
Citation: Cancer Causes & Control, 35, 1233-1243
Date: 05/2024
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Compares eligibility for lung cancer screening under 2013 and 2021 recommendations issued by the United States Preventive Services Task Force (USPSTF). Analyzes effects on population groups, utilizing 2017-2020 Behavioral Risk Factor Surveillance System (BRFSS) data. See Table 3 for data on rural and urban populations.
Author(s): Nicholas Yell, Jan M. Eberth, Anthony J. Alberg, et al.
Citation: Cancer Causes & Control, 35, 1233-1243
Date: 05/2024
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Nursing Home Closures Did Not Increase in 2020 and 2021, Despite Financial Challenges Caused by the COVID-19 Pandemic
Provides an overview of the financial challenges and closures experienced by nursing homes during the COVID-19 pandemic. Analyzes 2011-2021 data from 16,361 nursing homes, with breakdowns according to number of closures, staff shortages, COVID-19 infections, vaccination rates, closures by state and rural versus urban location, and more.
Author(s): Micah Segelman, Kristie A. Porter, Kelly Hughes, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the financial challenges and closures experienced by nursing homes during the COVID-19 pandemic. Analyzes 2011-2021 data from 16,361 nursing homes, with breakdowns according to number of closures, staff shortages, COVID-19 infections, vaccination rates, closures by state and rural versus urban location, and more.
Author(s): Micah Segelman, Kristie A. Porter, Kelly Hughes, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Feeding MI Families: Michigan Families' Lived Experience of Food Access and Food Assistance
Reports on food insecurity for Michigan families including federal assistance programs, COVID related impacts, charitable and social programs, and the experiences of Hispanic, Upper Peninsula, and disabled residents. Includes recommendations for assistance programs. Discusses rural throughout, including rural and urban comparisons.
Date: 05/2024
Sponsoring organizations: Feeding MI Families, Michigan Farm Bureau, W.K. Kellogg Foundation
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Reports on food insecurity for Michigan families including federal assistance programs, COVID related impacts, charitable and social programs, and the experiences of Hispanic, Upper Peninsula, and disabled residents. Includes recommendations for assistance programs. Discusses rural throughout, including rural and urban comparisons.
Date: 05/2024
Sponsoring organizations: Feeding MI Families, Michigan Farm Bureau, W.K. Kellogg Foundation
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Prepregnancy Health Care Engagement Among American Indian and Alaska Native People Before and After the Affordable Care Act
Examines the impact of the Affordable Care Act (ACA) on healthcare engagement and disparities in American Indian and Alaska Native (AI/AN) populations as compared to White populations. Utilizes 2009-2015 Pregnancy Risk Assessment Monitoring System data to examine Medicaid coverage, healthcare interaction and screening, family history discussions, prenatal vitamin use, and teeth cleaning in rural versus urban populations, before and after ACA implementation.
Author(s): Danielle R. Gartner, Katlyn Hettinger, Heather Howard-Bobiwash, Claire E. Margerison
Citation: Health Equity, 8(1)
Date: 05/2024
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Examines the impact of the Affordable Care Act (ACA) on healthcare engagement and disparities in American Indian and Alaska Native (AI/AN) populations as compared to White populations. Utilizes 2009-2015 Pregnancy Risk Assessment Monitoring System data to examine Medicaid coverage, healthcare interaction and screening, family history discussions, prenatal vitamin use, and teeth cleaning in rural versus urban populations, before and after ACA implementation.
Author(s): Danielle R. Gartner, Katlyn Hettinger, Heather Howard-Bobiwash, Claire E. Margerison
Citation: Health Equity, 8(1)
Date: 05/2024
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Association of Uninsured Status and Rurality with Risk of Financial Toxicity after Pediatric Trauma
Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
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Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
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