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Rural Health Information Hub

Rural Health
Resources by Topic: Social determinants of health

Rural Health: Addressing Barriers to Care
An infographic that presents data on rural versus urban health disparities and barriers to healthcare in rural America. Includes interactive data on percentage of rural residents by state, rural life expectancy and chronic health conditions, hospital closures and lack of access to healthcare, rural workforce shortages, and more. Provides strategies to improve rural access to healthcare.
Author(s): Carrie Cochran-McClain
Date: 10/2023
Sponsoring organizations: National Institute for Health Care Management, National Rural Health Association
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Health Panel Comment Letter – Encouraging Rural Participation in Population-Based Total Cost of Care Models
Offers comments in response to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) Request for Information regarding rural participation in population-based total cost of care models. Covers considerations for determining the most relevant definition of rural, barriers that impact rural providers' participation in alternative payment models (APMs), service delivery models and resources that are effective in encouraging value-based care (VBC) transformation in rural areas, and more.
Date: 10/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Household Food Security in the United States in 2022
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2022. Includes food insecurity statistics for metropolitan and nonmetropolitan areas. Discusses the effects of the COVID-19 pandemic on nutrition programs usage.
Additional links: Recorded Webinar, Report Summary, Statistical Supplement
Author(s): Matthew P. Rabbitt, Laura J. Hales, Michael P. Burke, Alisha Coleman-Jensen
Date: 10/2023
Sponsoring organization: USDA Economic Research Service
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Rural-Urban Disparities in Health Outcomes, Clinical Care, Health Behaviors, and Social Determinants of Health and an Action-Oriented, Dynamic Tool for Visualizing Them
Examines county-level disparities in rural and urban health outcomes and presents a health equity dashboard depicting the disparities. Utilizes 2015 and 2019 County Health Rankings datasets to analyze measures such as health outcomes, clinical care, health behaviors, physical environment, and social and economic factors according to urban, suburban, and rural location.
Author(s): William B. Weeks, Ji E. Chang, José A. Pagán, et al.
Citation: PLOS Global Public Health, 3(10)
Date: 10/2023
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Findings from the National Agricultural Workers Survey (NAWS) 2021-2022: A Demographic and Employment Profile of United States Crop Workers
Reports on demographic and employment characteristics of hired agricultural workers in the United States. Includes data on health insurance and healthcare access, as well as information on social determinants of health such as income, education level, language skills, housing, and digital device access. Based on data collected from face-to-face interviews with 2,598 crop farmworkers conducted between September 29, 2020 and October 1, 2022.
Date: 09/2023
Sponsoring organization: U.S. Department of Labor
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Health Panel Comment Letter - 2024 Physician Fee Schedule and Medicare Part B Proposed Rule
Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Rural Health Value Summit: Driving Value Through Community-Based Partnerships
Provides an overview of a June 2023 summit regarding the intersection of rural providers and communities, value-based care and payment models, and social determinants of health (SDOH). Describes the efforts of Arkansas, Michigan, Oregon, and South Carolina communities that had representatives at the summit. Discusses opportunities for policymakers, payers, and health system leaders to build and support infrastructure to address social determinants of health in rural communities and offers possible next steps.
Date: 09/2023
Sponsoring organization: Rural Health Value
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Assessing Access to Digital Services in Health Care–Underserved Communities in the United States: A Cross-Sectional Study
Grouped 3108 counties in the contiguous U.S. based on their access to broadband, access to healthcare, and social vulnerability. Discusses trends in rural counties and regions of the country within these groups and makes recommendations to decrease the digital divide.
Author(s): Diego F. Cuadros, Claudia M. Moreno, F. DeWolfe Miller, Ryosuke Omori, Neil J. MacKinnon
Citation: Mayo Clinic Proceedings: Digital Health, 1(3), 217-225
Date: 09/2023
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The State of Our Health: A Statewide Health Assessment of Pennsylvania, August 2023 Update
Identifies specific health challenges in Pennsylvania and indicates where the largest improvements can be made. Features sections on social determinants of health, access to care, substance use, chronic diseases, mental health, maternal and infant health, injury and violence prevention, infectious diseases and immunization, Health Professional Shortage Areas, and environmental health. Includes references to rural throughout.
Date: 08/2023
Sponsoring organization: Pennsylvania Department of Health
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Oklahoma State Department of Health State Health Assessment 2023
Discusses the findings of a 2023 statewide health assessment, noting health inequity at the census tract level and social determinants of health specific to Oklahoma. Includes an overview of health behavior data, demographics, health challenges, and potential interventions for each of the 10 county health department districts and statewide.
Date: 08/2023
Sponsoring organization: Oklahoma State Department of Health
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