Rural Health
Resources by Topic: Social determinants of health
A Recap of Medicaid Non-Emergency Medical Transportation (NEMT) Listening Sessions
Provides an overview of the impact of Medicaid Non-Emergency Medical Transportation (NEMT) services as well as feedback from mobility providers and stakeholders during Center for Medicare & Medicaid Services (CMS) listening sessions. Presents discussions about public transportation coordination, the relationship between transportation services and social determinants of health, implications of Transportation Network Companies (TNCs) on users with disabilities, and data reporting. Includes information specific to rural populations.
Date: 09/2022
Sponsoring organization: National Aging and Disability Transportation Center
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Provides an overview of the impact of Medicaid Non-Emergency Medical Transportation (NEMT) services as well as feedback from mobility providers and stakeholders during Center for Medicare & Medicaid Services (CMS) listening sessions. Presents discussions about public transportation coordination, the relationship between transportation services and social determinants of health, implications of Transportation Network Companies (TNCs) on users with disabilities, and data reporting. Includes information specific to rural populations.
Date: 09/2022
Sponsoring organization: National Aging and Disability Transportation Center
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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"How Do We Get to Them?" Insights on Preconception and Interconception Health for Women in Rural Northwest Ohio
Examines preconception and interconception health concerns for women of a reproductive age living in rural Hardin County. Analyzes semistructured interviews with 14 community participants and discusses 3 themes related to women's health: available resources, community observations about social determinants and access, and potential health intervention strategies.
Author(s): Akia D. Clark, Natalie A. DiPietro Mager
Citation: Ohio Journal of Public Health, 5(1), 85-93
Date: 08/2022
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Examines preconception and interconception health concerns for women of a reproductive age living in rural Hardin County. Analyzes semistructured interviews with 14 community participants and discusses 3 themes related to women's health: available resources, community observations about social determinants and access, and potential health intervention strategies.
Author(s): Akia D. Clark, Natalie A. DiPietro Mager
Citation: Ohio Journal of Public Health, 5(1), 85-93
Date: 08/2022
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Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States
Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) to advance primary care innovation (PCI). Outlines strategies for states to conceptualize and design advanced primary care core functions and use managed care contract levers to drive uptake and spread. Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, implementing technology to improve access, and more.
Date: 08/2022
Sponsoring organization: Center for Health Care Strategies
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Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) to advance primary care innovation (PCI). Outlines strategies for states to conceptualize and design advanced primary care core functions and use managed care contract levers to drive uptake and spread. Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, implementing technology to improve access, and more.
Date: 08/2022
Sponsoring organization: Center for Health Care Strategies
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Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents
Examines the social risk factors rural residents face related to maternal and infant mortality. Utilizes data from 285 rural hospitals across the United States that have inpatient birthing centers to measure the availability of maternal and postpartum supports such as breastfeeding support groups, nurse home visiting, childbirth education classes, and more. Evaluates each hospital's social vulnerability index (SVI) on the county-level to determine the level of birth support inequities in rural areas and for residents who are Black, Indigenous, and People of Color (BIPOC).
Author(s): Bridget Basile Ibrahim, Julia D. Interrante, Alyssa H. Fritz, Mariana S. Tuttle, Katy Backes Kozhimannil
Citation: Children, 9(7), 1077
Date: 07/2022
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Examines the social risk factors rural residents face related to maternal and infant mortality. Utilizes data from 285 rural hospitals across the United States that have inpatient birthing centers to measure the availability of maternal and postpartum supports such as breastfeeding support groups, nurse home visiting, childbirth education classes, and more. Evaluates each hospital's social vulnerability index (SVI) on the county-level to determine the level of birth support inequities in rural areas and for residents who are Black, Indigenous, and People of Color (BIPOC).
Author(s): Bridget Basile Ibrahim, Julia D. Interrante, Alyssa H. Fritz, Mariana S. Tuttle, Katy Backes Kozhimannil
Citation: Children, 9(7), 1077
Date: 07/2022
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Health Workforce Issues in American Indian and Alaska Native (AI/AN) Populations
Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Author(s): Natalia V. Oster, Susan M. Skillman, Bianca K. Frogner
Date: 07/2022
Sponsoring organization: UW Center for Health Workforce Studies
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Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Author(s): Natalia V. Oster, Susan M. Skillman, Bianca K. Frogner
Date: 07/2022
Sponsoring organization: UW Center for Health Workforce Studies
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Healthy Iowans: Iowa's State Health Assessment
Provides an overview of population health in Iowa with a focus on health outcomes and related social, economic, and environmental factors. Outlines Iowa's overall health profile and priority areas in public health. Includes county-level data on life expectancy, primary care and dentist workforce supply, and transportation; census tract data comparing rural and urban food access; and discussions geared toward rural-specific health issues.
Date: 06/2022
Sponsoring organization: Iowa Department of Health and Human Services
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Provides an overview of population health in Iowa with a focus on health outcomes and related social, economic, and environmental factors. Outlines Iowa's overall health profile and priority areas in public health. Includes county-level data on life expectancy, primary care and dentist workforce supply, and transportation; census tract data comparing rural and urban food access; and discussions geared toward rural-specific health issues.
Date: 06/2022
Sponsoring organization: Iowa Department of Health and Human Services
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Rural Health in Connecticut A Comprehensive Review of Social Determinants, Community Resources, Health Outcomes, and Wellbeing
Documents the nature of public health for Connecticut's rural populations with a focus on trends, to understand how these populations are changing. Features chapters on social determinants of health, healthcare systems, health risks and behaviors, and health outcomes.
Author(s): Kelly Davila, Camille Seaberry
Date: 06/2022
Sponsoring organization: DataHaven
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Documents the nature of public health for Connecticut's rural populations with a focus on trends, to understand how these populations are changing. Features chapters on social determinants of health, healthcare systems, health risks and behaviors, and health outcomes.
Author(s): Kelly Davila, Camille Seaberry
Date: 06/2022
Sponsoring organization: DataHaven
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A Spatio-Demographic Perspective on the Role of Social Determinants of Health and Chronic Disease in Determining a Population's Vulnerability to COVID-19
Examines the relationship between potential social determinants of health (SDOH), COVID-19, and chronic disease in San Diego County, California, with comparisons among the county's subregional areas which range from urban in the west to rural in the east. Explores which socioeconomic factors associated with COVID-19 and chronic disease rates are potential SDOH. Discusses whether spatial modeling of chronic disease rates can identify communities most vulnerable to COVID-19.
Author(s): Jessica Embury, Ming-Hsiang Tsou, Atsushi Nara, Eyal Oren
Citation: Preventing Chronic Disease, 19
Date: 06/2022
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Examines the relationship between potential social determinants of health (SDOH), COVID-19, and chronic disease in San Diego County, California, with comparisons among the county's subregional areas which range from urban in the west to rural in the east. Explores which socioeconomic factors associated with COVID-19 and chronic disease rates are potential SDOH. Discusses whether spatial modeling of chronic disease rates can identify communities most vulnerable to COVID-19.
Author(s): Jessica Embury, Ming-Hsiang Tsou, Atsushi Nara, Eyal Oren
Citation: Preventing Chronic Disease, 19
Date: 06/2022
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Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Sponsoring organization: Rural Health Information Hub
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Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Sponsoring organization: Rural Health Information Hub
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