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Rural Health
Resources by Type: Document

Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery
Examines the presence of family medicine (FM) physicians and obstetricians (OBs) during labor and delivery. Utilizes survey data from 849 clinicians at 39 Iowa hospitals to analyze hospitals with FMs, OBs, or both and the association to safety culture and caesarean birth rates. Discusses the importance of FM physicians having intrapartum training and the impact on rural access to pregnancy care.
Author(s): Emily White VanGompel, Lavisha Singh, Francesca Carlock, et al.
Citation: The Annals of Family Medicine, 22(5), 375-382
Date: 09/2024
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A Snapshot of Sources of Coverage Among Medicare Beneficiaries
Examines the sources of healthcare and supplemental insurance coverage among Medicare beneficiaries in 2022. Presents data on the sources of coverage by beneficiary characteristics, including health status, metropolitan status, and income.
Author(s): Nancy Ochieng, Juliette Cubanski, Tricia Neuman
Date: 09/2024
Sponsoring organization: KFF
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Inequities in Adequacy of Prenatal Care and Shifts in Rural/Urban Differences Early in the COVID-19 Pandemic
Compares prenatal care adequacy before and during the early COVID-19 pandemic, utilizing 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) data. Breaks down data by sociodemographic characteristics, including rural versus urban status, with further data on the influence of barriers to virtual care on rural-urban care disparities.
Author(s): Mounika Polavarapu, Shipra Singh, Camelia Arsene, Rachel Stanton
Citation: Women's Health Issues
Date: 09/2024
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The Landscape of Childcare Time Burden in the North Central Region
Examines childcare time burden among different populations in the North Central Region (NCR). Utilizes 2024 NCR-Stat: Caregiving Survey data to analyze time spent caregiving by NCR state, sex, marital status, income, and location of rural, urban, or suburban.
Author(s): Ivanna Carrillo-Siller
Date: 09/2024
Sponsoring organization: North Central Regional Center for Rural Development
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September 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare's overall financial situation, cost-sharing for outpatient services at Critical Access Hospitals, and experiences and challenges of measuring the quality of care provided by rural providers.
Additional links: Cost Sharing for Outpatient Services at Critical Access Hospitals - Presentation Slides, Medicare's Measurement of Rural Provider Quality - Presentation Slides
Date: 09/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Private Well Water Stewardship in Rural Georgia
Analyzes the factors that impact private well water stewardship behaviors, such as education, the provision of household water treatment systems [HWTS], and the combination of education and HWTS. Utilizes data from 64 private well water owners in rural Georgia to discuss barriers and facilitators to well water testing and treatment.
Author(s): J. Edward Dotherow, Bettye Apenteng, Andrew Hansen, Asli Aslan
Citation: PLoS ONE, 19(9)
Date: 09/2024
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Notes from the Field: Support for Wastewater Monitoring and Influence on Protective Behavioral Intentions Among Adults — United States, July 2024
Reports findings from a survey on public support for wastewater monitoring to identify infectious diseases and intentions for related protective health behaviors. Includes data by community type for rural, suburban, and urban areas.
Author(s): Rieza H. Soelaeman, Danielle Kleven, Jena Losch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(37), 825-827
Date: 09/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Differences in Staffing for Non-Nursing Occupations Across U.S. Skilled Nursing Facilities During 2018-2023
Examines staffing supply for non-nursing positions in skilled nursing facilities (SNFs), such as therapy, respiratory, pharmacy, social work, and more. Utilizes 2018-2023 data to analyze facility characteristics, community factors, staffing minutes per patient-day (MPPD), and percent contractor (PC) staffing. Provides MPPD and PC correlations with rural location, community social deprivation index, race/ethnicity of residents, and more.
Author(s): Rachel A. Prusynski, Tracy M. Mroz, Bianca K. Frogner
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Rural Development: Actions Needed to Improve Assistance to Southwest Border Communities Known as Colonias
Provides an overview of colonias, predominately rural, Hispanic communities near the U.S.-Mexico border. Examines conditions in colonias and the challenges they face in obtaining and using federal assistance. Presents results of an analysis of American Community Survey data, U.S. Department of Agriculture (USDA) and Housing and Urban Development (HUD) program documentation and funding data for fiscal years 2020–2023, and interviews with stakeholders. Offers recommendations for Congress and the USDA to preserve eligibility to funding set aside for colonias and identify applications for Single Family Housing assistance for projects in colonias.
Additional links: Full Report
Date: 09/2024
Sponsoring organization: Government Accountability Office
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Innovations in Rural Obstetrics to Maintain Access to Care
Discusses closures of rural hospitals and labor and delivery services and the impact on maternity care access. Provides examples of 6 approaches to sustain obstetric care: partnerships, community-centered care, quality initiatives, culturally competent care, rural workforce development, and maternity care as an equity issue.
Author(s): Mary Louise Gilburg, Morgan McDonald, Erin E. Sullivan
Date: 09/2024
Sponsoring organization: Milbank Memorial Fund
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