Rural Health
Resources by Topic: Rural-urban differences
Evaluation of the USDA Summer EBT Demonstrations: Lessons Learned From More Than a Decade of Research
Reports results of the Summer EBT (Electronic Benefits Transfer) demonstration project, 2015-2018 and 2019-2022. Describes Summer EBT use patterns, nutritional value, and effect on childhood food insecurity. Identifies strategies for better program planning, implementation, and administration. Discusses program operation and challenges in tribal organizations and rural communities.
Additional links: 2015-2018 Evaluation, 2019-2022 Evaluation, Summary
Author(s): René Nutter, Ayesha Enver, Maria Boyle, et al.
Date: 03/2024
Sponsoring organization: USDA Food and Nutrition Service
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Reports results of the Summer EBT (Electronic Benefits Transfer) demonstration project, 2015-2018 and 2019-2022. Describes Summer EBT use patterns, nutritional value, and effect on childhood food insecurity. Identifies strategies for better program planning, implementation, and administration. Discusses program operation and challenges in tribal organizations and rural communities.
Additional links: 2015-2018 Evaluation, 2019-2022 Evaluation, Summary
Author(s): René Nutter, Ayesha Enver, Maria Boyle, et al.
Date: 03/2024
Sponsoring organization: USDA Food and Nutrition Service
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Report to Congress on Medicaid and CHIP, March 2024
Reports on three aspects of Medicaid of interest to Congress: 1) improving the Medicaid beneficiary experience through Medical Care Advisory Committees (MCACs) and federal government actions to aid states, 2) increasing the transparency and improving the monitoring of the denials and appeals process in Medicaid managed care, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid of interest to Congress: 1) improving the Medicaid beneficiary experience through Medical Care Advisory Committees (MCACs) and federal government actions to aid states, 2) increasing the transparency and improving the monitoring of the denials and appeals process in Medicaid managed care, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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2023 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety
Summarizes trends in healthcare quality across 28 measures of patient safety. Presents findings for four settings of care: ambulatory care, home health, hospitals, and nursing homes. Highlights differences in maternal morbidity and mortality measures by rurality.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Summarizes trends in healthcare quality across 28 measures of patient safety. Presents findings for four settings of care: ambulatory care, home health, hospitals, and nursing homes. Highlights differences in maternal morbidity and mortality measures by rurality.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Urban–Rural Differences in School Districts' Local Wellness Policies and Policy Implementation Environments
Compares urban and rural local wellness policies (LWPs) and implementation environments of 117 Texas school districts. Provides data on LWP goals, including nutrition and physical activity goals, as well as availability of district wellness plans, LWP assessments, and school health advisory councils. Highlights implications for rural school policy and student health.
Author(s): Swati Iyer, Timothy J. Walker, Alexandra L. MacMillan Uribe, et al.
Citation: Nutrients, 16(6), 801
Date: 03/2024
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Compares urban and rural local wellness policies (LWPs) and implementation environments of 117 Texas school districts. Provides data on LWP goals, including nutrition and physical activity goals, as well as availability of district wellness plans, LWP assessments, and school health advisory councils. Highlights implications for rural school policy and student health.
Author(s): Swati Iyer, Timothy J. Walker, Alexandra L. MacMillan Uribe, et al.
Citation: Nutrients, 16(6), 801
Date: 03/2024
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Mortality for Time-Sensitive Conditions at Urban vs Rural Hospitals During the COVID-19 Pandemic
Analyzed hospitalizations in 3,813 rural and urban facilities to determine patient mortality outcomes for non-COVID-19 time sensitive conditions before and during the pandemic. Discusses rural and urban disparities.
Author(s): H. Joanna Jiang, Rachel M. Henke, Kathryn R. Fingar, Lan Liang, Denis Agniel
Citation: JAMA Network Open, 7(3)
Date: 03/2024
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Analyzed hospitalizations in 3,813 rural and urban facilities to determine patient mortality outcomes for non-COVID-19 time sensitive conditions before and during the pandemic. Discusses rural and urban disparities.
Author(s): H. Joanna Jiang, Rachel M. Henke, Kathryn R. Fingar, Lan Liang, Denis Agniel
Citation: JAMA Network Open, 7(3)
Date: 03/2024
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COVID-19 Affected Rural and Urban Hospital Uncompensated Care
Offers data comparing the impact of COVID-19 on uncompensated hospital care on rural and urban facilities using Medicare Cost Report data for acute care hospitals. Discusses uncompensated care trends over time and analyzes operating expenses.
Author(s): Emmaline Keesee
Date: 03/2024
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Offers data comparing the impact of COVID-19 on uncompensated hospital care on rural and urban facilities using Medicare Cost Report data for acute care hospitals. Discusses uncompensated care trends over time and analyzes operating expenses.
Author(s): Emmaline Keesee
Date: 03/2024
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Rural-Urban Differences in Housing Cost Burden Across the U.S.
Examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey. Features statistics including the highest proportion of households experiencing housing cost burden by state and rural-urban location, and a county-level map showing percentages of cost-burden households.
Author(s): Alexis Swendener, Jonathan Schroeder, Carrie Henning-Smith
Date: 03/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey. Features statistics including the highest proportion of households experiencing housing cost burden by state and rural-urban location, and a county-level map showing percentages of cost-burden households.
Author(s): Alexis Swendener, Jonathan Schroeder, Carrie Henning-Smith
Date: 03/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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Generic Drug Utilization and Spending Among Medicare Part D Enrollees in 2022
Issue brief on prescriptions for generic drugs filled by Medicare Part D enrollees using 2022 Part D prescription drug event (PDE) data. Covers commonly used prescription drugs, costs, and conditions treated, and includes data breakdowns by plan type, race and ethnicity, and level of rurality throughout. Discusses formulary design to improve access by promoting affordability and reducing confusion among enrollees.
Author(s): Yevgeniy Feyman, Bisma Sayed, Kenneth Finegold, et al.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Issue brief on prescriptions for generic drugs filled by Medicare Part D enrollees using 2022 Part D prescription drug event (PDE) data. Covers commonly used prescription drugs, costs, and conditions treated, and includes data breakdowns by plan type, race and ethnicity, and level of rurality throughout. Discusses formulary design to improve access by promoting affordability and reducing confusion among enrollees.
Author(s): Yevgeniy Feyman, Bisma Sayed, Kenneth Finegold, et al.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural–Urban Differences in Out-of-Network Treatment Initiation and Engagement Rates for Substance Use Disorders
Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research
Date: 03/2024
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Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research
Date: 03/2024
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Rural Women Have a Prolonged Recovery Process after Esophagectomy
Examines esophagectomy treatment and outcomes among rural and urban women and men using 2003-2022 patient care data from a high-volume cancer center. Discusses sex-based and geographic disparities in esophageal cancer surgery recovery and care access, and highlights the need for interventions to improve care for rural women.
Author(s): Julia Schroeder, Kiran Lagisetty, William Lynch, et al.
Citation: Cancers, 16(6), 1078
Date: 03/2024
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Examines esophagectomy treatment and outcomes among rural and urban women and men using 2003-2022 patient care data from a high-volume cancer center. Discusses sex-based and geographic disparities in esophageal cancer surgery recovery and care access, and highlights the need for interventions to improve care for rural women.
Author(s): Julia Schroeder, Kiran Lagisetty, William Lynch, et al.
Citation: Cancers, 16(6), 1078
Date: 03/2024
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