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Rural Health
Resources by Topic: Rural-urban differences

Trends in and Factors Associated with Family Physician-Performed Screening Colonoscopies in the United States: 2016-2021
Examines factors and trends related to family physician (FP)-performed colonoscopy screenings. Analyzes 2016-2021 insurance claims data from 2,943,900 qualified colonoscopies, with data breakdowns according to patient demographics, accrued charges, region, and urban-rural classification, including large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore. Discusses the impact of FP-performed colonoscopy screenings for certain populations, including rural.
Author(s): Nicholas Edwardson, David van der Goes, V. Shane Pankratz, et al.
Citation: Journal of Rural Health
Date: 06/2024
Type: Document
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Health Disparities in Psoriasis: Geographic Barriers to Access in the United States
Analyzes geographic access to dermatologists among patients with a psoriasis diagnosis and one or more claims for advanced psoriasis therapy, utilizing 2015-2019 STATinMED patient claims data. Compares rural versus urban provider availability by specialty and rates at which patients received local and non-local care.
Author(s): Lauren Seigel, Sofia Shoaib, Keshia Maughn, et al.
Citation: Journal of Dermatological Treatment, 35(1), 2365820
Date: 06/2024
Type: Document
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2018‐23 Profitability of Rural and Urban Hospitals by Medicare Payment Designation
Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Excess Deaths Associated With COVID-19 by Rurality and Demographic Factors in the United States
Details a study on the patterns of excess death associated with COVID-19 by rural and urban location and other demographic factors using CDC WONDER data from March 2020 to February 2023. Breaks down percent of excess deaths by large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore counties.
Author(s): Katherine A. Ahrens, Lauren M. Rossen, Carly Milkowski, et al.
Citation: Journal of Rural Health, 40(3), 491-499
Date: 06/2024
Type: Document
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Differences in Use of Veterans Health Administration and Non-VHA Hospitals by Rural and Urban Veterans After Access Expansions
Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age, gender, and race, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
Type: Document
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Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the MISSION Act
Examines the impact of the 2018 Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act to provide veterans with equitable access to primary care. Analyzes VA and community care (CC) outpatient data to observe primary care utilization and wait times across Black, Hispanic, and White veteran populations, as well as by rural versus urban location. Discusses how policy can address healthcare access disparities experienced by U.S. veterans.
Author(s): Amy K. Rosen, Erin Beilstein-Wedel, Michael Shwartz, Heather Davila, Deborah Gurewich
Citation: JAMA Health Forum, 5(6)
Date: 06/2024
Type: Document
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Attitudes Toward and Training in Medications for Opioid Use Disorders: A Descriptive Analysis among Employees in the Youth Legal System and Community Mental Health Centers
Results of a survey of 181 medications for opioid use disorder uptake (MOUD) professionals who work with youth legal system (YLS) and community mental health center (CMHC) settings in eight counties of a Midwestern state. Compares attitudes toward MOUD treatment, training, and workplace culture in rural versus urban areas, among CMHC versus YLS respondents, and more.
Author(s): Lauren M. O'Reilly, Katherine Schwartz, Steven A. Brown, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 19, 32
Date: 06/2024
Type: Document
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Findings from the First Year of a Federally Funded, Direct-to-Consumer HIV Self-Test Distribution Program — United States, March 2023–March 2024
Reports on people who ordered and used a direct-to-consumer HIV self-test through the Together TakeMeHome HIV self-test distribution program. Also provides data on related testing and services used by those requesting the self-test. Includes data by participant location for metropolitan, micropolitan, and noncore areas.
Author(s): Travis Sanchez, Robin J. MacGowan, Jennifer Hecht, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(24), 558-564
Date: 06/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Emergency Medical Services Encounters for Firearm Injuries — 858 Counties, United States, January 2019–September 2023
Reports on emergency medical services (EMS) encounters for firearm injury in 858 counties in 27 states. Includes annual data by location for metropolitan, micropolitan, and noncore areas.
Author(s): Adam Rowh, Marissa Zwald, Katherine Fowler, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(24), 551-557
Date: 06/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Illinois Agricultural Workers' Health: A County-Level Analysis
Provides data on health status and causes of mortality in Illinois agricultural workers. Includes metro versus nonmetro comparisons as well as county-level breakdowns of agricultural workers' health and injuries.
Author(s): Adee Athiyaman
Date: 06/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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