Rural Health
Resources by Topic: Social determinants of health
Evidence Review — Social Determinants of Health for Veterans
Reports findings from a literature review of studies focused on social determinants of health for veterans. Summarizes study characteristics, social determinants addressed, and whether health behaviors, health services utilization, and health outcomes were examined. Includes an analysis of the studies that looked at effects of rurality, trauma, and sexual orientation.
Author(s): Wei Duan-Porter, Brian C. Martinson, Nancy Greer, et al.
Citation: Journal of General Internal Medicine, 33(10), 1785-1795
Date: 10/2018
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Reports findings from a literature review of studies focused on social determinants of health for veterans. Summarizes study characteristics, social determinants addressed, and whether health behaviors, health services utilization, and health outcomes were examined. Includes an analysis of the studies that looked at effects of rurality, trauma, and sexual orientation.
Author(s): Wei Duan-Porter, Brian C. Martinson, Nancy Greer, et al.
Citation: Journal of General Internal Medicine, 33(10), 1785-1795
Date: 10/2018
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Rural Poverty, Part 1
Showcases two papers from the Rural Policy Research Institute's (RUPRI) March 2018 "Rural Poverty: Fifty Years After The People Left Behind" Conference. Covers the causes and consequences of rural poverty and discusses the evolving research agenda to address the issue to improve economic opportunities. Includes information on rural and urban poverty rates by gender, education, marital status, and employment.
Citation: IRP Focus, 34(2), 1-24
Date: 10/2018
Sponsoring organization: Institute for Research on Poverty at the University of Wisconsin–Madison
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Showcases two papers from the Rural Policy Research Institute's (RUPRI) March 2018 "Rural Poverty: Fifty Years After The People Left Behind" Conference. Covers the causes and consequences of rural poverty and discusses the evolving research agenda to address the issue to improve economic opportunities. Includes information on rural and urban poverty rates by gender, education, marital status, and employment.
Citation: IRP Focus, 34(2), 1-24
Date: 10/2018
Sponsoring organization: Institute for Research on Poverty at the University of Wisconsin–Madison
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Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies
Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Adverse Childhood Experiences and Social Determinants of At-Risk Populations: A Literature Review and Annotated Bibliography
A literature review focused on adverse childhood experiences (ACEs) and social determinants of health (SDOH) in at-risk youth populations, utilizing peer reviewed articles published between 2008-2018. Discusses youth in foster care, runaway and homeless youth, unaccompanied alien children, American Indian and Alaska Native (AI/AN) populations, and rural and urban communities.
Date: 09/2018
Sponsoring organizations: Administration for Children and Families, National Human Trafficking Training and Technical Assistance Center
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A literature review focused on adverse childhood experiences (ACEs) and social determinants of health (SDOH) in at-risk youth populations, utilizing peer reviewed articles published between 2008-2018. Discusses youth in foster care, runaway and homeless youth, unaccompanied alien children, American Indian and Alaska Native (AI/AN) populations, and rural and urban communities.
Date: 09/2018
Sponsoring organizations: Administration for Children and Families, National Human Trafficking Training and Technical Assistance Center
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Ensuring Access to Quality Health Care in Vulnerable Communities
Highlights the health characteristics and conditions of vulnerable populations in rural and urban communities, and the essential healthcare services as identified by the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities. Discusses several strategies recommended by the task force to address social determinants of health, enhance virtual care services to reform healthcare delivery and payment methods, and support hospitals in their efforts to provide the needed health services.
Author(s): Jay Bhatt, Priya Bathija
Citation: Academic Medicine, 93(9), 1271-1275
Date: 09/2018
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Highlights the health characteristics and conditions of vulnerable populations in rural and urban communities, and the essential healthcare services as identified by the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities. Discusses several strategies recommended by the task force to address social determinants of health, enhance virtual care services to reform healthcare delivery and payment methods, and support hospitals in their efforts to provide the needed health services.
Author(s): Jay Bhatt, Priya Bathija
Citation: Academic Medicine, 93(9), 1271-1275
Date: 09/2018
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Hepatitis C Within a Single Health System: Progression Along the Cascade to Cure Is Higher for Those With Substance Misuse When Linked to a Clinic With Embedded Support Services
Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
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Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
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Declines in Child Poverty Continue in 2017: Overall Rate Still Above Pre-Recession Level
Examines trends in child poverty from 2007 through 2017, with information for rural areas, suburban areas, and cities. Appendix Table 1 provides state-by-state data.
Additional links: Appendix Table 1
Author(s): Jessica A. Carson, Andrew Schaefer, Marybeth J. Mattingly
Date: 09/2018
Sponsoring organization: Carsey School of Public Policy
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Examines trends in child poverty from 2007 through 2017, with information for rural areas, suburban areas, and cities. Appendix Table 1 provides state-by-state data.
Additional links: Appendix Table 1
Author(s): Jessica A. Carson, Andrew Schaefer, Marybeth J. Mattingly
Date: 09/2018
Sponsoring organization: Carsey School of Public Policy
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Community Reinvestment Program
Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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Health Equity Challenges in Rural America
Discusses multiple factors contributing to health inequities in rural communities including poorer healthcare access, lack of health insurance, hospital closures, workforce shortages, limited availability of services, and longer distances to specialized healthcare. Offers recommendations for rural community leaders and policy makers to improve economic and socioeconomic conditions, including rural health infrastructure investment.
Author(s): Erika Ziller, Andrew Coburn
Citation: Human Rights Magazine, 43(3)
Date: 08/2018
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Discusses multiple factors contributing to health inequities in rural communities including poorer healthcare access, lack of health insurance, hospital closures, workforce shortages, limited availability of services, and longer distances to specialized healthcare. Offers recommendations for rural community leaders and policy makers to improve economic and socioeconomic conditions, including rural health infrastructure investment.
Author(s): Erika Ziller, Andrew Coburn
Citation: Human Rights Magazine, 43(3)
Date: 08/2018
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Exploring the Rural Context for Adverse Childhood Experiences (ACEs)
Discusses adverse childhood experiences (ACEs) and how they may impact rural health. Provides policy recommendations focused on the rural dimensions of ACEs. Addresses categories of ACEs, prevalence in rural areas and for Native populations, federal efforts to address ACEs, and the opioid epidemic. Covers the role of school-based healthcare programs to increase access to pediatric specialty services or linking children to needed non-medical services. Profiles a committee site visit focused on a model ACEs program in New York in Appendix A.
Date: 08/2018
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Discusses adverse childhood experiences (ACEs) and how they may impact rural health. Provides policy recommendations focused on the rural dimensions of ACEs. Addresses categories of ACEs, prevalence in rural areas and for Native populations, federal efforts to address ACEs, and the opioid epidemic. Covers the role of school-based healthcare programs to increase access to pediatric specialty services or linking children to needed non-medical services. Profiles a committee site visit focused on a model ACEs program in New York in Appendix A.
Date: 08/2018
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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