Rural Health
Resources by Topic: Statistics and data
A Catchment and Location-Allocation Analysis of Mammography Access in Delaware, US: Implications for Disparities in Geographic Access to Breast Cancer Screening
Examines breast cancer disparities and screening access in representative urban and rural counties in Delaware. Analyzes demographic makeup of population, availability of transportation, and sites for mammography and breast imaging. Includes maps of screening locations and travel times to available facility as well as recommendations for additional facilities in areas with geographic or racial screening disparities.
Author(s): Jessica L. Webster, Neal D. Goldstein, Jennifer P. Rowland, Catherine M. Tuite, Scott D. Siegel
Citation: Breast Cancer Research, 25, 137
Date: 11/2023
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Examines breast cancer disparities and screening access in representative urban and rural counties in Delaware. Analyzes demographic makeup of population, availability of transportation, and sites for mammography and breast imaging. Includes maps of screening locations and travel times to available facility as well as recommendations for additional facilities in areas with geographic or racial screening disparities.
Author(s): Jessica L. Webster, Neal D. Goldstein, Jennifer P. Rowland, Catherine M. Tuite, Scott D. Siegel
Citation: Breast Cancer Research, 25, 137
Date: 11/2023
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Indian Health Service: Many Federal Facilities Are in Fair or Poor Condition and Better Data Are Needed on Medical Equipment
Examines the state of the Indian Health Service's (IHS) federally-operated medical facilities and equipment between January 2022 and November 2023. Describes IHS efforts to mitigate the negative effects aging facilities and equipment may have on patient care. Offers policy recommendations to the Director of IHS regarding equipment planning, acquisition, and management.
Additional links: Full Report
Date: 11/2023
Sponsoring organization: Government Accountability Office
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Examines the state of the Indian Health Service's (IHS) federally-operated medical facilities and equipment between January 2022 and November 2023. Describes IHS efforts to mitigate the negative effects aging facilities and equipment may have on patient care. Offers policy recommendations to the Director of IHS regarding equipment planning, acquisition, and management.
Additional links: Full Report
Date: 11/2023
Sponsoring organization: Government Accountability Office
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Improving Maternity Care for Indigenous Populations
Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Sponsoring organization: American Hospital Association
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Malnutrition-Related Mortality Trends in Older Adults in the United States from 1999 to 2020
Analyzes trends in malnutrition mortality from 1999 to 2020 in adults over 65 years old. Examines mortality rates broken down by sex, race, Census region, age group, and location on the urban-rural continuum.
Author(s): Naydeen Mostafa, Ahmed Sayed, Omar Rashad, Omar Baqal
Citation: BMC Medicine, 21, 421
Date: 11/2023
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Analyzes trends in malnutrition mortality from 1999 to 2020 in adults over 65 years old. Examines mortality rates broken down by sex, race, Census region, age group, and location on the urban-rural continuum.
Author(s): Naydeen Mostafa, Ahmed Sayed, Omar Rashad, Omar Baqal
Citation: BMC Medicine, 21, 421
Date: 11/2023
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Evaluation of the Medicare Care Choices Model: Fifth and Final Annual Evaluation Report
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Describes the characteristics of participating hospices and withdrawal of providers over time; beneficiaries who were referred to, eligible for, and enrolled in MCCM; services provided and the quality of service delivery; transitions from MCCM to the Medicare hospice benefit; beneficiary outcomes and effects across subgroups; and key findings. Includes information on rural provider and beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance, Participant Experience & Evaluation Results Video
Date: 11/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Describes the characteristics of participating hospices and withdrawal of providers over time; beneficiaries who were referred to, eligible for, and enrolled in MCCM; services provided and the quality of service delivery; transitions from MCCM to the Medicare hospice benefit; beneficiary outcomes and effects across subgroups; and key findings. Includes information on rural provider and beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance, Participant Experience & Evaluation Results Video
Date: 11/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Public Health Preparedness: Building and Maintaining Infrastructure beyond the COVID-19 Pandemic
Describes Centers for Disease Control and Prevention (CDC) funding programs that support public health infrastructure and preparedness at the state and local levels. Examines challenges identified by officials across 12 jurisdictions and 10 stakeholder groups regarding building and maintaining the public health and preparedness infrastructure. Appendix III profiles the 12 selected jurisdictions, notes the rurality of each jurisdiction, and outlines examples of projects funded by CDC awards.
Additional links: Full Report
Date: 11/2023
Sponsoring organization: Government Accountability Office
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Describes Centers for Disease Control and Prevention (CDC) funding programs that support public health infrastructure and preparedness at the state and local levels. Examines challenges identified by officials across 12 jurisdictions and 10 stakeholder groups regarding building and maintaining the public health and preparedness infrastructure. Appendix III profiles the 12 selected jurisdictions, notes the rurality of each jurisdiction, and outlines examples of projects funded by CDC awards.
Additional links: Full Report
Date: 11/2023
Sponsoring organization: Government Accountability Office
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Beliefs about Dementia and Risk Reducing Behavior: An Empirical Analysis of Adults Age 40 and Above in the Midwest, Metro versus Nonmetro
Examines beliefs and perceptions of Midwesterners regarding dementia and related disease-mitigating behaviors. Utilizes 2021 AARP data to analyze perception of memory problems, use of medication, mental sharpness, beliefs about dementia, and risk reduction, broken down by metro or nonmetro location.
Author(s): Adee Athiyaman
Date: 11/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines beliefs and perceptions of Midwesterners regarding dementia and related disease-mitigating behaviors. Utilizes 2021 AARP data to analyze perception of memory problems, use of medication, mental sharpness, beliefs about dementia, and risk reduction, broken down by metro or nonmetro location.
Author(s): Adee Athiyaman
Date: 11/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Identifying a Consensus Set of EMS Agency Licensure Elements and Definitions to Support Rural EMS Data Collection
Discusses gaps in data on rural emergency medical service (EMS) agencies and systems of care. Summarizes findings from a review of state EMS agency licensing applications and discussions from a panel of rural EMS experts. Identifies a consensus set of core EMS licensure elements and definitions for consideration by state EMS authorities in order to enhance licensure application processes and align data collection efforts with other states.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 11/2023
Sponsoring organization: Flex Monitoring Team
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Discusses gaps in data on rural emergency medical service (EMS) agencies and systems of care. Summarizes findings from a review of state EMS agency licensing applications and discussions from a panel of rural EMS experts. Identifies a consensus set of core EMS licensure elements and definitions for consideration by state EMS authorities in order to enhance licensure application processes and align data collection efforts with other states.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 11/2023
Sponsoring organization: Flex Monitoring Team
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Medicare Advantage Enrollment Update 2023
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2023.
Author(s): Edmer Lazaro, Fred Ullrich, Keith Mueller
Date: 11/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2023.
Author(s): Edmer Lazaro, Fred Ullrich, Keith Mueller
Date: 11/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Opioid Crisis in the Pandemic Era
Analyzes trends in opioid use during the 2019-2021 years of the COVID-19 pandemic. Provides information on the history of the opioid crisis and mortality rates by age, race/ethnicity, type of opioid, state, and urbanicity, including non-metro, small/medium metro, and large metro.
Additional links: Appendix
Author(s): Colin Planalp, Andrea Stewart
Date: 11/2023
Sponsoring organizations: Robert Wood Johnson Foundation, State Health Access Data Assistance Center
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Analyzes trends in opioid use during the 2019-2021 years of the COVID-19 pandemic. Provides information on the history of the opioid crisis and mortality rates by age, race/ethnicity, type of opioid, state, and urbanicity, including non-metro, small/medium metro, and large metro.
Additional links: Appendix
Author(s): Colin Planalp, Andrea Stewart
Date: 11/2023
Sponsoring organizations: Robert Wood Johnson Foundation, State Health Access Data Assistance Center
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