Rural Health
Resources by Topic: Social determinants of health
Efforts by Critical Access Hospitals to Increase Health Equity Through Greater Engagement with Social Determinants of Health
Examines the ways Critical Access Hospitals (CAHs) engage in upstream social determinant of health (SDOH) efforts to improve community health. Analyzes CAH and non-CAH programs that utilize screening, in-house strategies, and external partnerships to address SDOH. Discusses the impacts of SDOH policy on CAHs in rural communities.
Author(s): Bethany Lemont, Neeraj Puro, Berkeley Franz, Cory E. Cronin
Citation: Journal of Rural Health, 39(4), 728-736
Date: 06/2023
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Examines the ways Critical Access Hospitals (CAHs) engage in upstream social determinant of health (SDOH) efforts to improve community health. Analyzes CAH and non-CAH programs that utilize screening, in-house strategies, and external partnerships to address SDOH. Discusses the impacts of SDOH policy on CAHs in rural communities.
Author(s): Bethany Lemont, Neeraj Puro, Berkeley Franz, Cory E. Cronin
Citation: Journal of Rural Health, 39(4), 728-736
Date: 06/2023
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Rural Healthy People 2030, featuring Timothy Callaghan and Morgan Kassabian
An episode of the Exploring Rural Health podcast focused on the Rural Healthy People 2030 project, featuring Timothy Callaghan and Morgan Kassabian. Discusses the rural health priorities covered by this project and changes in rural health concerns over time. Also describes the methods used for collecting insights from rural stakeholders.
Date: 06/2023
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast focused on the Rural Healthy People 2030 project, featuring Timothy Callaghan and Morgan Kassabian. Discusses the rural health priorities covered by this project and changes in rural health concerns over time. Also describes the methods used for collecting insights from rural stakeholders.
Date: 06/2023
Sponsoring organization: Rural Health Information Hub
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Rural Health Challenges and Opportunities
Presentation slides discussing rural health challenges, including access and affordability, poor health, and underlying factors driving the stress on rural health systems. Outlines policy opportunities to improve affordability and create incentives for improved health.
Author(s): Timothy McBride
Date: 05/2023
Sponsoring organizations: Center for Advancing Health Services, Policy and Economics Research, RUPRI Center for Rural Health Policy Analysis
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Presentation slides discussing rural health challenges, including access and affordability, poor health, and underlying factors driving the stress on rural health systems. Outlines policy opportunities to improve affordability and create incentives for improved health.
Author(s): Timothy McBride
Date: 05/2023
Sponsoring organizations: Center for Advancing Health Services, Policy and Economics Research, RUPRI Center for Rural Health Policy Analysis
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Characterizing Social Insecurity in a Rural North Carolina Emergency Department
Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al.
Citation: Western Journal of Emergency Medicine, 24(3), 538–546
Date: 05/2023
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Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al.
Citation: Western Journal of Emergency Medicine, 24(3), 538–546
Date: 05/2023
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The Association Between Social Functioning and Health Literacy Among Rural Southeastern African Americans with Hypertension
Analyzes how the relationship between social support and health literacy may mitigate health outcomes in African American populations in rural Southeastern USA. Utilizes data from the Southeastern Collaboration to Improve Blood Pressure Control trial to examine social isolation and health literacy in 1,221 individuals, with data further broken down by age, sex, education, income, cognition impairments, marriage status, and study site.
Author(s): Iliana Gutierrez, Joanna Bryan, Elizabeth Baquero, Monika M. Safford
Citation: Health Promotion International, 38
Date: 05/2023
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Analyzes how the relationship between social support and health literacy may mitigate health outcomes in African American populations in rural Southeastern USA. Utilizes data from the Southeastern Collaboration to Improve Blood Pressure Control trial to examine social isolation and health literacy in 1,221 individuals, with data further broken down by age, sex, education, income, cognition impairments, marriage status, and study site.
Author(s): Iliana Gutierrez, Joanna Bryan, Elizabeth Baquero, Monika M. Safford
Citation: Health Promotion International, 38
Date: 05/2023
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Accountable Health Communities (AHC) Model Evaluation: Second Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Elevating Equity in Economic Development: Inclusive Recovery Toolkit and Inclusive Recovery Guide
Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects.
Additional links: Interactive Toolkit
Date: 05/2023
Sponsoring organization: National Association of Development Organizations
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Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects.
Additional links: Interactive Toolkit
Date: 05/2023
Sponsoring organization: National Association of Development Organizations
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The Use of Qualitative Methods to Guide the Development of the Border Resilience Scale in a Participatory Research Study
Highlights a study on the effect of social and ecological stressors for Mexican-origin adults residing along the U.S.-Mexico border on their physical and psychological health. Explores the factors that contribute to community resilience and emotional and physical wellness.
Author(s): Maia Ingram, Karina R. Dueñas, Idolina Castro, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5703
Date: 05/2023
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Highlights a study on the effect of social and ecological stressors for Mexican-origin adults residing along the U.S.-Mexico border on their physical and psychological health. Explores the factors that contribute to community resilience and emotional and physical wellness.
Author(s): Maia Ingram, Karina R. Dueñas, Idolina Castro, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5703
Date: 05/2023
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Persistent Poverty in Counties and Census Tracts
Examines persistent poverty, defined as a community with at least 20% poverty for over 30 years, in U.S. counties and census tracts. Utilizes Census and American Community Survey (ACS) poverty estimates that are compared against other datasets. Includes persistent poverty counties, census tracts, and percentages of the population by state, as well as maps of geographical areas in the U.S. depicting persistent poverty census tracts.
Author(s): Craig Benson, Alemayehu Bishaw, Brian Glassman
Date: 05/2023
Sponsoring organization: U.S. Census Bureau
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Examines persistent poverty, defined as a community with at least 20% poverty for over 30 years, in U.S. counties and census tracts. Utilizes Census and American Community Survey (ACS) poverty estimates that are compared against other datasets. Includes persistent poverty counties, census tracts, and percentages of the population by state, as well as maps of geographical areas in the U.S. depicting persistent poverty census tracts.
Author(s): Craig Benson, Alemayehu Bishaw, Brian Glassman
Date: 05/2023
Sponsoring organization: U.S. Census Bureau
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Sparta Community Hospital Spotlight
Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity. Transcript available below description.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity. Transcript available below description.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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