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Rural Health
Resources by Topic: Statistics and data

COVID-19 Affected Rural and Urban Hospital Uncompensated Care
Offers data comparing the impact of COVID-19 on uncompensated hospital care on rural and urban facilities using Medicare Cost Report data for acute care hospitals. Discusses uncompensated care trends over time and analyzes operating expenses.
Author(s): Emmaline Keesee
Date: 03/2024
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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The 340B Drug Pricing Program: A Small Part of the Prescription Drug Market, Delivering Large Benefits to Patients and Communities
Analyzes impacts of the 340B Drug Pricing Program on access, hospital finance, drug companies, and public expenditures. Discusses how the 340B program is shaped by legislation, policy, finance, prescribing patterns, and market influences. Highlights rural and underserved communities throughout.
Date: 03/2024
Sponsoring organization: American Hospital Association
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North Carolina County Designations of Core Based Statistical Areas
Color-coded county-level map of metropolitan, micropolitan, and neither metropolitan nor micropolitan central and outlying counties in North Carolina. Indicates areas of high population density. Includes Office of Rural Health rural-urban designations.
Date: 03/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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Generic Drug Utilization and Spending Among Medicare Part D Enrollees in 2022
Issue brief on prescriptions for generic drugs filled by Medicare Part D enrollees using 2022 Part D prescription drug event (PDE) data. Covers commonly used prescription drugs, costs, and conditions treated, and includes data breakdowns by plan type, race and ethnicity, and level of rurality throughout. Discusses formulary design to improve access by promoting affordability and reducing confusion among enrollees.
Author(s): Yevgeniy Feyman, Bisma Sayed, Kenneth Finegold, et al.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural-Urban Differences in Housing Cost Burden Across the U.S.
Examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey. Features statistics including the highest proportion of households experiencing housing cost burden by state and rural-urban location, and a county-level map showing percentages of cost-burden households.
Author(s): Alexis Swendener, Jonathan Schroeder, Carrie Henning-Smith
Date: 03/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report
Evaluates the quality measures used across 26 Centers for Medicare & Medicaid Services (CMS) quality reporting programs. Explores whether quality measure scores during the COVID-19 public health emergency (2020-2021) differed from expected trends. Analyzes how urban and rural residents performed at a national level in order to inform future quality measure development. Provides statistics concerning participation and performance within Medicare quality reporting programs, including statistics specific to rural populations and facilities.
Additional links: Appendices ZIP File
Date: 03/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural–Urban Differences in Out-of-Network Treatment Initiation and Engagement Rates for Substance Use Disorders
Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research, 59(5), e14299
Date: 03/2024
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Rural Women Have a Prolonged Recovery Process after Esophagectomy
Examines esophagectomy treatment and outcomes among rural and urban women and men using 2003-2022 patient care data from a high-volume cancer center. Discusses sex-based and geographic disparities in esophageal cancer surgery recovery and care access, and highlights the need for interventions to improve care for rural women.
Author(s): Julia Schroeder, Kiran Lagisetty, William Lynch, et al.
Citation: Cancers, 16(6), 1078
Date: 03/2024
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Associations of Medical Debt With Health Status, Premature Death, and Mortality in the US
Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
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Increased Migration from Urban Areas Spurs Rural Population Growth, While Urban Migration Growth Is International
Bar chart comparing net migration changes between metropolitan and nonmetropolitan areas between 2019 and 2022. Discusses sources of migration increase and the impact of COVID-19 on the trends.
Date: 03/2024
Sponsoring organization: USDA Economic Research Service
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