Rural Health
Resources by Topic: Rural-urban differences
Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting Final Rule (CMS 3442-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule for minimum staffing standards for long-term care facilities. Details three core staffing proposals: 1) minimum nurse staffing standards; 2) a requirement to have an RN onsite 24 hours a day, seven days a week; and 3) enhanced facility assessment requirements. Outlines a staggered implementation approach, including a later implementation date for rural facilities, and hardship exemption qualification requirements. Also describes Medicaid payment transparency reporting provisions for nursing and intermediate care facilities related to the percentage of Medicaid funds spent on compensation to direct care workers and support staff.
Additional links: External FAQs
Date: 04/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule for minimum staffing standards for long-term care facilities. Details three core staffing proposals: 1) minimum nurse staffing standards; 2) a requirement to have an RN onsite 24 hours a day, seven days a week; and 3) enhanced facility assessment requirements. Outlines a staggered implementation approach, including a later implementation date for rural facilities, and hardship exemption qualification requirements. Also describes Medicaid payment transparency reporting provisions for nursing and intermediate care facilities related to the percentage of Medicaid funds spent on compensation to direct care workers and support staff.
Additional links: External FAQs
Date: 04/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Effectiveness of Implementing Evidence-Based Approaches to Promote Physical Activity in a Midwestern Micropolitan Area Using a Quasi-Experimental Hybrid Type I Study Design
Evaluates the effectiveness of a physical activity intervention implemented in a micropolitan Iowa community over 24 months in 142 residents. Describes the community-based participatory research intervention design. Includes discussion of implementing urban-tested approaches in rural settings.
Author(s): Barbara Baquero, Nicole Novak, Daniel K. Sewell, et al.
Citation: BMC Public Health, 24, 1082
Date: 04/2024
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Evaluates the effectiveness of a physical activity intervention implemented in a micropolitan Iowa community over 24 months in 142 residents. Describes the community-based participatory research intervention design. Includes discussion of implementing urban-tested approaches in rural settings.
Author(s): Barbara Baquero, Nicole Novak, Daniel K. Sewell, et al.
Citation: BMC Public Health, 24, 1082
Date: 04/2024
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Geographic Disparities in Telemedicine Mental Health Use by Applying Three Way ANOVA on Medicaid Claims Population Data
Examines geographic differences in telemedicine use for mental healthcare visits in Texas. Analyzes 2012 to 2018 Medicaid claims data by urban, suburban, and rural geography, as well as additional sociodemographic variables.
Author(s): Benjamin Ukert, Mark Lawley, Hye-Chung Kum
Citation: BMC Health Services Research, 24, 494
Date: 04/2024
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Examines geographic differences in telemedicine use for mental healthcare visits in Texas. Analyzes 2012 to 2018 Medicaid claims data by urban, suburban, and rural geography, as well as additional sociodemographic variables.
Author(s): Benjamin Ukert, Mark Lawley, Hye-Chung Kum
Citation: BMC Health Services Research, 24, 494
Date: 04/2024
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Demographic Disparities in the Limited Awareness of Alcohol Use as a Breast Cancer Risk Factor: Empirical Findings from a Cross-Sectional Study of U.S. Women
Examines the general awareness of breast cancer risk with alcohol use according to sociodemographic variables. Surveys adult women regarding cancer risk awareness, with data broken down by age, income, education, health status, alcohol use, information sources, U.S. region, and rural versus urban location.
Author(s): Monica H. Swahn, Priscilla Martinez, Adelaide Balenger, et al.
Citation: BMC Public Health, 24, 1076
Date: 04/2024
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Examines the general awareness of breast cancer risk with alcohol use according to sociodemographic variables. Surveys adult women regarding cancer risk awareness, with data broken down by age, income, education, health status, alcohol use, information sources, U.S. region, and rural versus urban location.
Author(s): Monica H. Swahn, Priscilla Martinez, Adelaide Balenger, et al.
Citation: BMC Public Health, 24, 1076
Date: 04/2024
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How Much Do Oregon's Registered Nurses Earn? 2023 Oregon Wage Study
Provides information on the wages of registered nurses (RNs) in Oregon, with salary data broken down by work location, education level, position, longevity, rural versus urban area, and more.
Author(s): Richard Allgeyer
Date: 04/2024
Sponsoring organization: Oregon Center for Nursing
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Provides information on the wages of registered nurses (RNs) in Oregon, with salary data broken down by work location, education level, position, longevity, rural versus urban area, and more.
Author(s): Richard Allgeyer
Date: 04/2024
Sponsoring organization: Oregon Center for Nursing
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The Influence of Rurality on Melanoma Diagnosis in Indiana: A Retrospective Cohort Study
Compares demographics and disease characteristics of rural and urban patients diagnosed with melanoma in Indiana between January 2017 and September 2022. Discusses rural disparities in access and treatment.
Author(s): Gloria R. Xue, Marie Clark, Claudia Morr, James E. Slaven, Syril Keena T. Que
Citation: Cancer Reports, 7(4), e2072
Date: 04/2024
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Compares demographics and disease characteristics of rural and urban patients diagnosed with melanoma in Indiana between January 2017 and September 2022. Discusses rural disparities in access and treatment.
Author(s): Gloria R. Xue, Marie Clark, Claudia Morr, James E. Slaven, Syril Keena T. Que
Citation: Cancer Reports, 7(4), e2072
Date: 04/2024
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How Do People Who Use Opioids Express Their Qualities and Capacities? An Assessment of Attitudes, Behaviors, and Opportunities
Evaluates perceived strengths among 46 people who nonmedically use opioids and other drugs in rural southern Illinois and New York City. Highlights situational factors affecting urban and rural people who use drugs, describes the impact of stigma on quality of life and access to substance use treatment, and discusses strengths-based treatment models.
Author(s): Jerel M. Ezell, Mai T. Pho, Elinor Simek, et al.
Citation: Harm Reduction Journal, 21, 79
Date: 04/2024
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Evaluates perceived strengths among 46 people who nonmedically use opioids and other drugs in rural southern Illinois and New York City. Highlights situational factors affecting urban and rural people who use drugs, describes the impact of stigma on quality of life and access to substance use treatment, and discusses strengths-based treatment models.
Author(s): Jerel M. Ezell, Mai T. Pho, Elinor Simek, et al.
Citation: Harm Reduction Journal, 21, 79
Date: 04/2024
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Vital Signs: Mammography Use and Association with Social Determinants of Health and Health-Related Social Needs Among Women — United States, 2022
Reports on the prevalence of mammography use within the previous 2 years among women age 40-49 and 50-74. Includes data for metropolitan and nonmetro areas.
Author(s): Jacqueline W. Miller, Jessica A. King, Katrina F. Trivers, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(15), 351-357
Date: 04/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on the prevalence of mammography use within the previous 2 years among women age 40-49 and 50-74. Includes data for metropolitan and nonmetro areas.
Author(s): Jacqueline W. Miller, Jessica A. King, Katrina F. Trivers, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(15), 351-357
Date: 04/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Locations and Characteristics of Pharmacy Deserts in the United States: A Geospatial Study
Classifies census tracts as pharmacy deserts or non-pharmacy deserts. Compares pharmacy desert and non-pharmacy desert areas by various social determinants of health and pharmacy characteristics including rurality. See the supplemental materials for state-by-state and rural/urban comparisons.
Author(s): Rachel Wittenauer, Parth D. Shah, Jennifer L. Bacci, Andy Stergachis
Citation: Health Affairs Scholar, 2(4)
Date: 04/2024
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Classifies census tracts as pharmacy deserts or non-pharmacy deserts. Compares pharmacy desert and non-pharmacy desert areas by various social determinants of health and pharmacy characteristics including rurality. See the supplemental materials for state-by-state and rural/urban comparisons.
Author(s): Rachel Wittenauer, Parth D. Shah, Jennifer L. Bacci, Andy Stergachis
Citation: Health Affairs Scholar, 2(4)
Date: 04/2024
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Federal Retail Pharmacy Program Contributions to Bivalent mRNA COVID-19 Vaccinations Across Sociodemographic Characteristics — United States, September 1, 2022–September 30, 2023
Reports on COVID-19 bivalent vaccine doses administered by pharmacies participating in the Federal Retail Pharmacy Program (FRPP) from September 1, 2022–September 30, 2023. Includes data on doses administered in urban and rural settings and discusses urban compared to rural contributions of FRPP pharmacies.
Author(s): Roua El Kalach, Nkenge Jones-Jack, Mattie A. Elam, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(13), 286-290
Date: 04/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on COVID-19 bivalent vaccine doses administered by pharmacies participating in the Federal Retail Pharmacy Program (FRPP) from September 1, 2022–September 30, 2023. Includes data on doses administered in urban and rural settings and discusses urban compared to rural contributions of FRPP pharmacies.
Author(s): Roua El Kalach, Nkenge Jones-Jack, Mattie A. Elam, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(13), 286-290
Date: 04/2024
Sponsoring organization: Centers for Disease Control and Prevention
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