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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

Rural Working-Age Adults Report More Cost Barriers to Health Care
Policy brief examining rural-urban differences in affordability of care and cost-saving strategies among adults ages 18-64. Features demographics and statistics on prescription drug cost-saving measures and difficulty affording medical care in the past year, with breakdowns by rural and urban location.
Author(s): Erika C. Ziller, Carly Milkowski, Amanda Burgess
Date: 03/2023
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Rural Population Health in the United States: A Chartbook
Presents rural population health data by Census region and state, with some data by sex, race, and ethnicity. Includes U.S. maps showing county-level data as well as a variety of charts, including rural-urban disparity charts, state summary charts, and more. Topics addressed include access to care, health outcomes and risks, mortality, social determinants of health, and socioeconomic data.
Author(s): Randy Randolph, Sharita Thomas, Mark Holmes, et al.
Date: 02/2023
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The State of Health in Tennessee: 2023 Annual Report to the 113th Tennessee General Assembly
Provides a comprehensive overview of health in Tennessee, including health outcomes of individuals and information on the health of the state's healthcare system. Includes statistics on rural hospitals that have closed in recent years, and those at risk of closure as of 2022. Features county-level maps showing Health Professional Shortage Areas.
Date: 01/2023
Type: Document
Sponsoring organization: Tennessee Department of Health
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Engaging Rural Communities to Incorporate Social Determinants in Developing Strategies to Improve Access to Health Care in the Missouri Bootheel Counties
Presents a study on how social determinants of health affect healthcare access in several rural counties in Missouri. Discusses the perceived barriers to care in the rural "Bootheel" counties, such as economic issues, lack of health insurance coverage, and lack of coordinated care, among others.
Author(s): Ashish Shrestha, Katherine Stamatakis, Janice Ballard
Citation: Rural and Remote Health, 23, 7678
Date: 01/2023
Type: Document
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U.S Department of Health and Human Services Agency Equity Action Plan: 2023 Update
Offers overview of the 5 areas of focus for the U.S. Department of Health and Human Services for 2023. Areas of focus include child welfare, access to health insurance, maternal health outcomes, behavioral health, and clinical innovations. Includes rural specific actions. Highlights equity progress updates and accomplishments since the 2022 equity action plan.
Date: 2023
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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2023 Arkansas State Epidemiological Outcomes Workgroup: Annual Profile of Substance Abuse
Provides information on youth and adult substance abuse in Arkansas to help guide substance abuse prevention decision-making. Highlights consequences such as arrests, suicide, and depression and focuses on alcohol, tobacco, illicit drug, and prescription drug use. Includes county-level profiles and an overview of a variety of community and personal health indicators.
Date: 2023
Type: Document
Sponsoring organizations: Arkansas Department of Human Services, UA Little Rock MidSOUTH Center for Prevention and Training, University of Arkansas for Medical Sciences
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Community Sociodemographics and Rural Hospital Survival
Explores differences in specific community-level sociodemographic factors associated with the survival or closure of rural hospitals at risk of financial distress between 2010 and 2019. Examines the relationship between the risk of hospital closure and median family income, unemployment rate, uninsured rate, education, race, and more.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Rural Health, 2023(39), 643-655
Date: 2023
Type: Document
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Access and Coverage for Mental Health Care: Findings from the 2022 KFF Women's Health Survey
Presents data from the national 2022 KFF Women's Health Survey of 5,145 women and 1,225 men ages 18-64 where respondents were asked about their experiences in obtaining mental health services, including the use of telehealth, over the past two years. Data is focused on the mental health service needs of women by age, race/ethnicity, income, insurance, and on rural and urban telehealth usage.
Author(s): Karen Diep, Brittni Frederiksen, Michelle Long, Usha Ranji, Alina Salganicoff
Date: 12/2022
Type: Document
Sponsoring organization: KFF
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Minnesota Chartbook Section 6: Uninsurance, Forgone Care, and the Safety Net
Reports on uninsurance trends in Minnesota from 2007 to 2021. Discusses statewide measures, population groups, characteristics and potential access to coverage of the uninsured, and uncompensated care. Includes charts showing rural versus urban hospital uncompensated care expenses.
Date: 12/2022
Type: Document
Sponsoring organization: Minnesota Department of Health
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Health and Health Care in the U.S.-Mexico Border Region
Examines the differences in sociodemographic characteristics, health coverage, access to care, and health outcomes of populations in the U.S.-Mexico border states to guide efforts addressing the needs of border communities. Analysis is based on 2019 county-level data from the American Community Survey (ACS) five-year data tables, Health Resources and Services Administration's Area Health Resource Files (AHRF), Behavioral Risk Factors Surveillance System (BRFSS), and 2020 data from Centers for Disease Control and Prevention's (CDC) WONDER database.
Author(s): Drishti Pillai, Samantha Artiga
Date: 11/2022
Type: Document
Sponsoring organization: KFF
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