Rural Health
Resources by Topic: Rural-urban differences
VA Health Care: Additional Assessments of Mileage Reimbursement Data and Veterans' Travel Costs Needed
Provides an overview of the Department of Veterans Affairs (VA) Veterans Health Administration's (VHA) mileage reimbursement benefit that reimburses eligible veterans for the use of personal vehicles to attend VHA-approved care. Explores the extent to which the benefit helps defray travel costs by describing the distance a veteran would have to travel to receive a non-zero reimbursement across a variety of conditions. Presents VHA data on veterans' use of the benefit from fiscal years 2010 through 2023, as well as fuel costs incurred and mileage reimbursement for hypothetical trips to 3 VA health systems by rurality. Offers recommendations to the VA and VHA on the collection and assessment of veterans' use of the mileage reimbursement benefit and how travel costs vary by subpopulations, such as rural veterans.
Additional links: Full Report
Date: 05/2024
Sponsoring organization: Government Accountability Office
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Provides an overview of the Department of Veterans Affairs (VA) Veterans Health Administration's (VHA) mileage reimbursement benefit that reimburses eligible veterans for the use of personal vehicles to attend VHA-approved care. Explores the extent to which the benefit helps defray travel costs by describing the distance a veteran would have to travel to receive a non-zero reimbursement across a variety of conditions. Presents VHA data on veterans' use of the benefit from fiscal years 2010 through 2023, as well as fuel costs incurred and mileage reimbursement for hypothetical trips to 3 VA health systems by rurality. Offers recommendations to the VA and VHA on the collection and assessment of veterans' use of the mileage reimbursement benefit and how travel costs vary by subpopulations, such as rural veterans.
Additional links: Full Report
Date: 05/2024
Sponsoring organization: Government Accountability Office
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Association Between Characteristics of Employing Healthcare Facilities and Healthcare Worker Infection Rates and Psychosocial Experiences During the COVID-19 Pandemic
Analyzes associations between healthcare facility characteristics and healthcare workers' likelihood of COVID-19 infection, access to personal protective equipment, and burnout. Utilizes April 2020-May 2022 Healthcare Worker Exposure Response and Outcomes (HERO) registry data. Covers facility characteristics including for-profit status, facility size, metropolitan or micropolitan location, and more.
Author(s): Jay B. Lusk, Pratik Manandhar, Laine E. Thomas, Emily C. O'Brien
Citation: BMC Health Services Research, 24, 659
Date: 05/2024
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Analyzes associations between healthcare facility characteristics and healthcare workers' likelihood of COVID-19 infection, access to personal protective equipment, and burnout. Utilizes April 2020-May 2022 Healthcare Worker Exposure Response and Outcomes (HERO) registry data. Covers facility characteristics including for-profit status, facility size, metropolitan or micropolitan location, and more.
Author(s): Jay B. Lusk, Pratik Manandhar, Laine E. Thomas, Emily C. O'Brien
Citation: BMC Health Services Research, 24, 659
Date: 05/2024
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A Look at the Latest Alcohol Death Data and Change Over the Last Decade
Describes findings from an analysis of 2012 to 2022 CDC WONDER data regarding trends in deaths caused by conditions directly attributable to alcohol consumption, also referred to as alcohol-induced deaths or alcohol deaths. Presents data on alcohol death rates in 2022 and over time by demographic characteristics, state, and rurality. Discusses factors that may contribute to increases in alcohol deaths since 2012.
Author(s): Heather Saunders, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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Describes findings from an analysis of 2012 to 2022 CDC WONDER data regarding trends in deaths caused by conditions directly attributable to alcohol consumption, also referred to as alcohol-induced deaths or alcohol deaths. Presents data on alcohol death rates in 2022 and over time by demographic characteristics, state, and rurality. Discusses factors that may contribute to increases in alcohol deaths since 2012.
Author(s): Heather Saunders, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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Interoperable Exchange of Patient Health Information Among U.S. Hospitals: 2023
Presents data on the degree to which hospitals engage in the four domains of interoperable exchange - send, receive, find, and integrate - as of 2023 and describes trends between 2018 and 2023. Analyzes the frequency that non-federal acute care hospitals engaged in interoperable exchange by hospital characteristics, including hospital size, system affiliation status, rural or urban location, and Critical Access Hospital (CAH) designation. Describes hospitals' ability to exchange electronic health information with other providers across the care continuum and how clinicians use this information about the point of care.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Catherine Strawley, Wesley Barker, Jordan Everson
Date: 05/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Presents data on the degree to which hospitals engage in the four domains of interoperable exchange - send, receive, find, and integrate - as of 2023 and describes trends between 2018 and 2023. Analyzes the frequency that non-federal acute care hospitals engaged in interoperable exchange by hospital characteristics, including hospital size, system affiliation status, rural or urban location, and Critical Access Hospital (CAH) designation. Describes hospitals' ability to exchange electronic health information with other providers across the care continuum and how clinicians use this information about the point of care.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Catherine Strawley, Wesley Barker, Jordan Everson
Date: 05/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Chronic Cough Diagnosis, Treatment, and Referral Practices among Family Physicians in the United States: A Survey Study
Presents results of a survey of 588 family physicians on chronic cough management practices. Provides data on diagnosis, treatment, and referral, including breakdowns by years of practice and rural versus urban location. Discusses challenges associated with providing chronic cough care in rural primary care settings.
Author(s): Joel B. Shields, Elisabeth Callen, Natalia Y. Loskutova, Jonathan Schelfhout, Christina M. Hester
Citation: BMC Primary Care, 25, 181
Date: 05/2024
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Presents results of a survey of 588 family physicians on chronic cough management practices. Provides data on diagnosis, treatment, and referral, including breakdowns by years of practice and rural versus urban location. Discusses challenges associated with providing chronic cough care in rural primary care settings.
Author(s): Joel B. Shields, Elisabeth Callen, Natalia Y. Loskutova, Jonathan Schelfhout, Christina M. Hester
Citation: BMC Primary Care, 25, 181
Date: 05/2024
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Characteristics of the Current Dental Assistant and Expanded Function Dental Auxiliary Workforces in Washington State
Results of a survey of 1,240 dental assistants (DAs) and 113 expanded function dental auxiliaries (EFDAs), to describe the supply, distribution, and characteristics of DAs and EFDAs in Washington. Features demographics, a county-level map showing numbers of registered DAs with Washington addresses per 100,000 population, and statistics on residence with breakdowns by urban or rural location.
Author(s): Samantha W. Pollack, Grace A. Guenther, Benjamin A. Stubbs, et al.
Date: 05/2024
Sponsoring organizations: UW Center for Health Workforce Studies, Washington Oral Health Workforce
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Results of a survey of 1,240 dental assistants (DAs) and 113 expanded function dental auxiliaries (EFDAs), to describe the supply, distribution, and characteristics of DAs and EFDAs in Washington. Features demographics, a county-level map showing numbers of registered DAs with Washington addresses per 100,000 population, and statistics on residence with breakdowns by urban or rural location.
Author(s): Samantha W. Pollack, Grace A. Guenther, Benjamin A. Stubbs, et al.
Date: 05/2024
Sponsoring organizations: UW Center for Health Workforce Studies, Washington Oral Health Workforce
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A Closer Look at the Final Nursing Facility Rule and Which Facilities Might Meet New Staffing Requirements
Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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Barriers to Buprenorphine Dispensing by Medicaid-Participating Community Retail Pharmacies
Analyzes rates at which pharmacies dispensing opioids also dispensed buprenorphine, utilizing 2016-2019 Medicaid claims data. Includes year-by-year comparisons of clinics by patient volume and rural or urban location.
Author(s): Patricia R. Freeman, Lindsey R. Hammerslag, Katherine A. Ahrens, et al.
Citation: JAMA Health Forum, 5(5), e241077
Date: 05/2024
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Analyzes rates at which pharmacies dispensing opioids also dispensed buprenorphine, utilizing 2016-2019 Medicaid claims data. Includes year-by-year comparisons of clinics by patient volume and rural or urban location.
Author(s): Patricia R. Freeman, Lindsey R. Hammerslag, Katherine A. Ahrens, et al.
Citation: JAMA Health Forum, 5(5), e241077
Date: 05/2024
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Tele-Behavioral Health Use Among Medicare Beneficiaries During COVID-19
Explores whether tele-behavioral healthcare was able to meet the demand for behavioral healthcare during the COVID-19 public health emergency. Examines behavioral healthcare and tele-behavioral healthcare use among Medicare beneficiaries in 2019 and 2020 by type of service and beneficiary characteristics, including urban and rural residence.
Author(s): Laura Jacobus-Kantor, Judith Dey, Emma Nye, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores whether tele-behavioral healthcare was able to meet the demand for behavioral healthcare during the COVID-19 public health emergency. Examines behavioral healthcare and tele-behavioral healthcare use among Medicare beneficiaries in 2019 and 2020 by type of service and beneficiary characteristics, including urban and rural residence.
Author(s): Laura Jacobus-Kantor, Judith Dey, Emma Nye, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Regional and Rural-Urban Patterns in the Prevalence of Diagnosed Hypertension among Older U.S. Adults with Diabetes, 2005–2017
Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
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Explores trends in the prevalence of diagnosed hypertension among Medicare beneficiaries with diabetes across four geographic regions between 2005 and 2017. Examines Medicare administrative claims data to describe sociodemographic characteristics of the sampled beneficiaries with diabetes. Uses the 2013 CDC National Center for Health Statistics (NCHS) classification scheme to compare the age-adjusted prevalence of hypertension in each region over time by rurality.
Author(s): Jalal Uddin, Sha Zhu, Gargya Malla, et al.
Citation: BMC Public Health, 24, 24, 1326
Date: 05/2024
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