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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

Texans' Views and Experiences with End-of-Life Issues
Survey of 2,305 Texans regarding attitudes, experiences, and needs around illness and end-of-life issues. Discusses barriers to access of end-of-life care, race and ethnicity, insurance status, and more. Includes rural data throughout.
Additional links: Research Summary
Date: 06/2023
Type: Document
Sponsoring organizations: Perry Undem, St. David's Foundation
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Rural NC at a Glance
Fact sheet on North Carolina's rural counties. Provides statistics on topics including population and age, race and ethnicity, poverty, income, education, health workforce, uninsured population, employment and economy, and agriculture.
Date: 05/2023
Type: Document
Sponsoring organization: North Carolina Rural Center
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
Type: Document
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2022 Alaska Community Needs Assessment
Results of a February 2023 survey to gather household-level data on individualized, local needs in the areas of education, employment, workforce development, food security, and access to healthcare resources. Features demographics and statistics on disabilities, poverty, education level, rural housing, healthcare access, deaths of despair, substance use, and supply and demand of dental, mental health, and primary care providers.
Author(s): Daniel O'Brien
Date: 04/2023
Type: Document
Sponsoring organization: Rural Alaska Community Action Program, Inc.
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Disparities in Health and Health Care: 5 Key Questions and Answers
Defines health and healthcare disparities and discusses the social and economic inequities that drive them. Provides details on the current status of health disparities in the U.S., the importance of addressing them, and what the federal government is doing to alleviate health disparities. Includes discussion of rural health disparities.
Author(s): Nambi Ndugga, Samantha Artiga
Date: 04/2023
Type: Document
Sponsoring organization: KFF
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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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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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