Rural New York: Challenges and Opportunities
Provides comparative data for the 10 rural counties in New York. Discusses issues such as transportation, aging and overall declining population, shrinking labor force, and lack of access to adequate housing, food, healthcare, and broadband.
Author(s): Thomas P. DiNapoli Date: 09/2023 Type: Document Sponsoring organization: Office of the New York State Comptroller view details
Linking Local-Level Chronic Disease and Social Vulnerability Measures to Inform Planning Efforts: A COPD Example
Examines chronic obstructive pulmonary disease (COPD) and its relationship to community vulnerability. Utilizes multiple data sources to analyze the relationship between chronic disease and social vulnerability at the county and census-tract level, with a focus on socioeconomic factors, household composition and disability, minority status and language, and housing type and transportation. Includes U.S. maps showing prevalence of COPD and social vulnerability.
Author(s): Susan A. Carlson, Kathleen B. Watson, Sarah Rockhill, et al. Citation: Preventing Chronic Disease, 20 Date: 08/2023 Type: Document view details
New Growth Transit: Community-Based Transit for Rural Communities
Video featuring West Central Missouri Community Action Agency's New Growth Transit volunteer driver network, which provides transportation for mobility-challenged clients living in 9 rural counties in West Central Missouri.
Date: 08/2023 Type: Video/Multimedia Sponsoring organization: Rural Health Information Hub view details
Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021
Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for
states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 07/2023 Type: Document Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services view details
Accommodation and Acceptability of Health Care by Non-Metropolitan/Metropolitan and Race/Ethnicity Status
Provides an overview of the "5 A's of Access" in healthcare: availability, accessibility, affordability, accommodation, and acceptability. Uses data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) to explore differences in accommodation and acceptability in rural and urban areas of eight states. Presents data on non-financial reasons for delaying care and satisfaction with the care received by urban/rural status and among rural respondents by race and ethnicity.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al. Date: 07/2023 Type: Document Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center) view details
Development and Evaluation of the Delivery-Based HEALED Produce Rx Program for Uninsured Patients With Diabetes in Rural Eastern North Carolina
A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride Citation: Preventing Chronic Disease, 20 Date: 06/2023 Type: Document view details
Characterizing Social Insecurity in a Rural North Carolina Emergency Department
Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al. Citation: Western Journal of Emergency Medicine, 24(3), 538–546 Date: 05/2023 Type: Document view details