Rural Health
Resources by Topic: Rural-urban differences
County Rurality and Incidence and Prevalence of Diagnosed Diabetes in the United States
Evaluates incidence and prevalence of diagnosed diabetes by rurality at the county level, utilizing 2004-2019 Behavioral Risk Factor Surveillance System data. Analyzes the impact of food environment, obesity, physical activity, and other sociodemographic factors on rural-urban differences in diabetes incidence and prevalence. Includes regional comparisons.
Author(s): Sagar B. Dugani, Brian D. Lahr, Hui Xie, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1078-1090
Date: 03/2024
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Evaluates incidence and prevalence of diagnosed diabetes by rurality at the county level, utilizing 2004-2019 Behavioral Risk Factor Surveillance System data. Analyzes the impact of food environment, obesity, physical activity, and other sociodemographic factors on rural-urban differences in diabetes incidence and prevalence. Includes regional comparisons.
Author(s): Sagar B. Dugani, Brian D. Lahr, Hui Xie, et al.
Citation: Mayo Clinic Proceedings, 99(7), 1078-1090
Date: 03/2024
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Survival Disparities in Rural Versus Urban Patients with Pancreatic Neuroendocrine Tumor: A Multi-Institutional Study from the US Neuroendocrine Tumor Study Group
Compares overall survival of 1176 rural and urban patients who underwent pancreatic neoendocrine tumor (PNET) resection between 2000 and 2016, utilizing US Neuroendocrine Tumor Study Group data. Includes data on tumor pathology and patient management factors. Discusses barriers to care after PNET diagnosis for rural populations.
Author(s): Muhammad Bilal Mirza, Jordan J. Baechle, Paula Marincola Smith, et al.
Citation: The American Journal of Surgery, 233, 125-131
Date: 03/2024
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Compares overall survival of 1176 rural and urban patients who underwent pancreatic neoendocrine tumor (PNET) resection between 2000 and 2016, utilizing US Neuroendocrine Tumor Study Group data. Includes data on tumor pathology and patient management factors. Discusses barriers to care after PNET diagnosis for rural populations.
Author(s): Muhammad Bilal Mirza, Jordan J. Baechle, Paula Marincola Smith, et al.
Citation: The American Journal of Surgery, 233, 125-131
Date: 03/2024
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Disparities in Continuous Glucose Monitor Use Between Children With Type 1 Diabetes Living in Urban and Rural Areas
Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
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Examines the uptake of continuous glucose monitoring (CGM) technology in children with type 1 diabetes. Utilizes 2018-2021 electronic health record (EHR) data to observe CGM use according to patient sex, race/ethnicity, age, insurance type, and rurality. Discusses disparities among rural and urban populations.
Author(s): Daniel R. Tilden, Benjamin French, Karishma A. Datye, Sarah S. Jaser
Citation: Diabetes Care, 47(3), 346-352
Date: 03/2024
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Urban Relatives Ameliorate Survival Disparities for Genitourinary Cancer in Rural Patients
Compares genitourinary cancer survival rates of 24,746 rural patients with and without urban relatives from 1968-2018 Utah Population Database data. Discusses how family supports may influence access to care in rural areas.
Author(s): Mouneeb Choudry, Kassandra Dindinger-Hill, Jacob Ambrose, et al.
Citation: Cancer Medicine, 13(5), e7058
Date: 03/2024
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Compares genitourinary cancer survival rates of 24,746 rural patients with and without urban relatives from 1968-2018 Utah Population Database data. Discusses how family supports may influence access to care in rural areas.
Author(s): Mouneeb Choudry, Kassandra Dindinger-Hill, Jacob Ambrose, et al.
Citation: Cancer Medicine, 13(5), e7058
Date: 03/2024
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Primary Care Spending in Medicare Fee-for-Service: An Illustrative Analysis Using Alternative Definitions of Primary Care
Discusses the importance of primary care to promote positive health outcomes and how reimbursement rates illustrate what healthcare areas are given priority. Utilizes Medicare fee-for-service data to estimate primary care spending and provides data breakdowns according to beneficiary characteristics, including rural versus urban location.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Discusses the importance of primary care to promote positive health outcomes and how reimbursement rates illustrate what healthcare areas are given priority. Utilizes Medicare fee-for-service data to estimate primary care spending and provides data breakdowns according to beneficiary characteristics, including rural versus urban location.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Health Research Recap: Quality Star Ratings: Hospitals, Skilled Nursing Facilities, and Home Health Agencies
Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Sponsoring organization: Rural Health Research Gateway
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Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Sponsoring organization: Rural Health Research Gateway
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Utilizing Public Transportation to End Food Insecurity in Rural and Small Urban Areas by Providing Better Access: A Case Study of Rural Counties in North Dakota
Analyzes the impact of public transportation in addressing food insecurity in rural and urban areas of North Dakota. Provides county and ZIP code level sociodemographic data on population changes, food insecurity, poverty, and more. Includes discussion about causes of food insecurity in rural areas.
Author(s): Dilip Mistry, Jill Hough
Date: 03/2024
Sponsoring organization: Upper Great Plains Transportation Institute
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Analyzes the impact of public transportation in addressing food insecurity in rural and urban areas of North Dakota. Provides county and ZIP code level sociodemographic data on population changes, food insecurity, poverty, and more. Includes discussion about causes of food insecurity in rural areas.
Author(s): Dilip Mistry, Jill Hough
Date: 03/2024
Sponsoring organization: Upper Great Plains Transportation Institute
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Pre-COVID-19 Hospital Quality and Hospital Response to COVID-19: Examining Associations Between Risk-adjusted Mortality for Patients Hospitalised with COVID-19 and Pre-COVID-19 Hospital Quality
Examines whether pre-pandemic hospital quality was associated with in-hospital and 30-day mortality rates among Medicare patients hospitalized with COVID-19 from April 1, 2020, through September 30, 2021. Explores the relationship between COVID-19 outcomes and hospital COVID-19 burden. Compares pre-pandemic hospital quality and COVID-19 outcomes by hospital characteristics, including urban/rural location and Critical Access Hospital status.
Author(s): Doris Peter, Shu-Xia Li, Yongfei Wang, et al.
Citation: BMJ Open, 14(3), e077394
Date: 03/2024
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Examines whether pre-pandemic hospital quality was associated with in-hospital and 30-day mortality rates among Medicare patients hospitalized with COVID-19 from April 1, 2020, through September 30, 2021. Explores the relationship between COVID-19 outcomes and hospital COVID-19 burden. Compares pre-pandemic hospital quality and COVID-19 outcomes by hospital characteristics, including urban/rural location and Critical Access Hospital status.
Author(s): Doris Peter, Shu-Xia Li, Yongfei Wang, et al.
Citation: BMJ Open, 14(3), e077394
Date: 03/2024
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A Lack of Behavioral Health Providers in Medicare and Medicaid Impedes Enrollees' Access to Care
Examines the availability of behavioral health providers who actively serve Medicare or Medicaid enrollees in 20 counties, 10 urban and 10 rural, across 10 states in 2021. Explores the extent to which traditional Medicare, Medicare Advantage, and Medicaid enrollees received behavioral health services and whether they used telehealth or in-person services. Offers recommendations to encourage more behavioral health providers to serve these enrollees and expand coverage to additional behavioral health provider types. Includes rural and urban comparisons throughout.
Additional links: Report Highlights
Date: 03/2024
Sponsoring organization: Office of Inspector General (HHS)
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Examines the availability of behavioral health providers who actively serve Medicare or Medicaid enrollees in 20 counties, 10 urban and 10 rural, across 10 states in 2021. Explores the extent to which traditional Medicare, Medicare Advantage, and Medicaid enrollees received behavioral health services and whether they used telehealth or in-person services. Offers recommendations to encourage more behavioral health providers to serve these enrollees and expand coverage to additional behavioral health provider types. Includes rural and urban comparisons throughout.
Additional links: Report Highlights
Date: 03/2024
Sponsoring organization: Office of Inspector General (HHS)
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Sherman Lecture: Are We Aiming at the Correct Targets to Reduce Disparities in Stroke Mortality? Celebration, Reflection, and Redirection
Discusses disparities in stroke deaths and opportunities for cardiovascular health improvement. Provides data on racial and ethnic, regional, and rural stroke disparities, and identifies approaches to stroke risk reduction in Black and rural populations.
Author(s): George Howard
Citation: Journal of the American Heart Association, 13(7), e031309
Date: 03/2024
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Discusses disparities in stroke deaths and opportunities for cardiovascular health improvement. Provides data on racial and ethnic, regional, and rural stroke disparities, and identifies approaches to stroke risk reduction in Black and rural populations.
Author(s): George Howard
Citation: Journal of the American Heart Association, 13(7), e031309
Date: 03/2024
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