Rural Health
Resources by Topic: Social determinants of health
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: University of Wisconsin–Madison Institute for Research on Poverty
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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: University of Wisconsin–Madison Institute for Research on Poverty
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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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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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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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USDA Road Trip Through Rural America: Q&A with Anne Hazlett
An interview with USDA Assistant to the Secretary for Rural Development Anne Hazlett. Hazlett discusses the role USDA programs play in addressing rural health-related concerns such as broadband access and shares what she has learned from a series of rural roundtables focused on opioid misuse.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2018
Sponsoring organization: Rural Health Information Hub
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An interview with USDA Assistant to the Secretary for Rural Development Anne Hazlett. Hazlett discusses the role USDA programs play in addressing rural health-related concerns such as broadband access and shares what she has learned from a series of rural roundtables focused on opioid misuse.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2018
Sponsoring organization: Rural Health Information Hub
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Experiences of Parents and Children Living in Poverty: A Review of the Qualitative Literature
Details a review of studies focusing on the experiences of poverty from the perspective of parents and their children. Discusses variations in perceptions of poverty and government assistance in rural areas.
Author(s): Janet Quint, Katherine M. Griffin, Jennie Kaufman, Patrick Landers, Annie Utterback
Date: 07/2018
Sponsoring organization: Administration for Children and Families
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Details a review of studies focusing on the experiences of poverty from the perspective of parents and their children. Discusses variations in perceptions of poverty and government assistance in rural areas.
Author(s): Janet Quint, Katherine M. Griffin, Jennie Kaufman, Patrick Landers, Annie Utterback
Date: 07/2018
Sponsoring organization: Administration for Children and Families
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Identifying Bright Spots in Appalachian Health: Statistical Analysis
Describes analysis used in assessing how Appalachia's 420 counties scored in 19 health indicators, and identifies counties with health outcomes that were better than expected. Features statistics and county-level maps showing economic status. Second in a series of reports exploring health issues in Appalachia.
Author(s): G. Mark Holmes, Nancy M. Lane, William Holding, et al.
Date: 07/2018
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Describes analysis used in assessing how Appalachia's 420 counties scored in 19 health indicators, and identifies counties with health outcomes that were better than expected. Features statistics and county-level maps showing economic status. Second in a series of reports exploring health issues in Appalachia.
Author(s): G. Mark Holmes, Nancy M. Lane, William Holding, et al.
Date: 07/2018
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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