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Resources by Topic: Social determinants of health

Voices of Experience: Lay Perspectives on Severe Maternal Morbidity in Appalachia
Highlights the perspectives of 10 rural Appalachian women interviewed about their experiences with severe maternal morbidity, social determinants of health, the healthcare system, and access to quality healthcare. Offers potential interventions based on interview themes.
Author(s): Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie Oser
Citation: SSM - Qualitative Research in Health, 4, 100410
Date: 06/2024
Type: Document
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State Requirements for Demographic Data Reporting upon Hospital Discharge: An Overview for State Flex Programs
Summarizes results of an environmental scan of state-level policies regarding current state requirements regarding hospitals' collection and reporting of demographic data among 37 of the 45 states participating in the Medicare Rural Hospital Flexibility (Flex) Program. Describes requirements for sex, gender, and sexual orientation data; race, ethnicity, and language data; and other data and reporting, as well as variations in how categories are defined across states. Discusses challenges Critical Access Hospitals (CAHs) may face in meeting state requirements.
Author(s): Madeleine Pick, Carson Crane, Megan Lahr
Date: 05/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examining the Dental Care Crisis in America: How Can We Make Dental Care More Affordable and More Available?
Recording of a May 16, 2024, U.S. Senate Committee on Health, Education, Labor & Pensions hearing on the accessibility and affordability of dental care, including in rural areas. Features testimony from the CareQuest Institute for Oral Health.
Additional links: Myechia Minter-Jordan, CareQuest Institute for Oral Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization
Analyzes likelihood of receiving physical therapy or occupational therapy during ICU hospitalization among older adults. Utilizes 2011-2018 National Health and Aging Trends Study (NHATS) data of 1,618 hospitalizations. Highlights social determinants of health associated with disparities in rehabilitation service delivery, including rural status, dual eligibility for Medicare and Medicaid, and limited English proficiency.
Author(s): Snigdha Jain, Terrence E. Murphy, Jason R. Falvey, et al.
Citation: JAMA Network Open, 7(5), e2410713
Date: 05/2024
Type: Document
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Coming to Terms with Housing and Homelessness in Rural Places with Jess Huff, Erin Carreon, and Mallory VanMeeter
Podcast episode discussing rural youth homelessness. Covers challenges to identifying, counting, and providing services for rural homeless teens; the role of community support services; the long-term impacts of homelessness; and how rural communities can address and prevent youth homelessness.
Date: 05/2024
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Resource of Health Equity-Related Data Definitions, Standards, & Stratification Practices
Resource for providers, states, community organizations, and others that want to improve their health equity-related data collection and analysis. Outlines suggested definitions, standards, and stratification practices for race and ethnicity, sexual orientation and gender identity (SOGI), disability status, rurality, and other sociodemographic data elements.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Area Deprivation Index in Rural Health Research, with Casey Balio
An episode of the Exploring Rural Health podcast featuring Casey Balio, PhD, Research Assistant Professor at East Tennessee State University's Center for Rural Health Research and part of the ETSU/NORC Rural Health Equity Research Center. Focuses on the uses and methodology of the Area Deprivation Index.
Date: 05/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Performance of Health Care Service Area Definitions for Capturing Variation in Inpatient Care and Social Determinants of Health
Examines various health care service area (HCSA) definitions and their ability to capture hospitalizations and social determinants of health (SDOH) heterogeneity in the patient population. Provides descriptive characteristics for each HCSA type, such as median population and land size, as well as characteristics of the hospital sample. Discusses which HCSA type was best able to capture hospital discharges and population heterogenity in rural areas.
Author(s): Hannah Crook, Manuel Horta, Kenneth A. Michelson, John A. Graves
Citation: Health Services Research
Date: 05/2024
Type: Document
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The Paradox of High Greenness and Poor Health in Rural Central Appalachia
Examines the environmental, socioeconomic, and psychological/behavioral factors that result in poor health in rural central Appalachia despite the availability of green areas. Includes discussion about the factors that attenuate or overwhelm potential health benefits of greenness for Appalachian citizens.
Author(s): Jiaying Dong, Matthew H E M Browning, Aaron Reuben, et al.
Citation: Environmental Research, 248, 118400
Date: 05/2024
Type: Document
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Rural Research Brief: Creating A Better Understanding of Farmworker Communities and Their Housing Conditions
Examines the legal, cultural, and geographic determinants that impact housing for farmworkers and their families. Focuses on farmworker demographics, economic characteristics, housing challenges, programs aimed at improving housing, and potential policy solutions.
Author(s): Manda LaPorte
Date: 04/2024
Type: Document
Sponsoring organization: Housing Assistance Council
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