Rural Health
Resources by Type: Document

Excess Deaths Associated With COVID-19 by Rurality and Demographic Factors in the United States
Details a study on the patterns of excess death associated with COVID-19 by rural and urban location and other demographic factors using CDC WONDER data from March 2020 to February 2023. Breaks down percent of excess deaths by large central metro, large fringe metro, medium metro, small metro, micropolitan, and noncore counties.
Author(s): Katherine A. Ahrens, Lauren M. Rossen, Carly Milkowski, et al.
Citation: Journal of Rural Health, 40(3), 491-499
Date: 06/2024
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2018-23 Profitability of Rural Hospitals by with and without Rural Health Clinics and Long-Term Care
Provides an overview of the profitability of rural hospitals by examining long-term care (LTC) services and costs of operating a Rural Health Clinic (RHC). Analyzes 2018-2023 data and presents graphs showing the total margins of rural hospitals, comparing those with and without LTC or an RHC.
Author(s): Sruthi Malavika Srinivasan, James Kim, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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2018‐23 Profitability of Rural and Urban Hospitals by Medicare Payment Designation
Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Physicians Working with Physician Assistants and Nurse Practitioners: Perceived Effects on Clinical Practice
Reports on the perception on clinical practice among 5,823 physicians working with physician assistants and nurse practitioners on patient volume, quality, time use, and workload. Discusses the impact of rurality on study findings among other demographic, specialty, and practice setting factors.
Author(s): Xiaochu Hu, Bettie Coplan, Hilary Barnes, et al.
Citation: Health Affairs Scholar, 2(6)
Date: 06/2024
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Health Disparities in Psoriasis: Geographic Barriers to Access in the United States
Analyzes geographic access to dermatologists among patients with a psoriasis diagnosis and one or more claims for advanced psoriasis therapy, utilizing 2015-2019 STATinMED patient claims data. Compares rural versus urban provider availability by specialty and rates at which patients received local and non-local care.
Author(s): Lauren Seigel, Sofia Shoaib, Keshia Maughn, et al.
Citation: Journal of Dermatological Treatment, 35(1), 2365820
Date: 06/2024
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2018-23 Profitability of Rural Hospitals by Ownership and System Affiliation
Examines the profitability of rural hospitals according to system affiliation and ownership type: government, not-for-profit, or for-profit. Utilizes 2018-2023 data to provide graphs showing total margin of rural hospitals by system affiliation and ownership.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Therapists Learn How To Help Farmers Cope With Stress Before It's Too Late
Highlights a U.S. Department of Agriculture initiative to train mental health workers on the unique stressors in agricultural work contributing to disparate rates of suicides for farmers. Discusses the importance of understanding the culture of farming.
Author(s): Tony Leys
Date: 06/2024
Sponsoring organization: KFF
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Racial and Ethnic and Rural Variations in Access to Primary Care for Veterans Following the MISSION Act
Examines the impact of the 2018 Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act to provide veterans with access to primary care. Analyzes VA and community care (CC) outpatient data to observe primary care utilization and wait times across different veteran populations, as well as by rural versus urban location. Discusses how policy can address healthcare access disparities experienced by U.S. veterans.
Author(s): Amy K. Rosen, Erin Beilstein-Wedel, Michael Shwartz, Heather Davila, Deborah Gurewich
Citation: JAMA Health Forum, 5(6)
Date: 06/2024
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Unintentional Injury Prevention in American Indian and Alaska Native Communities: A Scoping Review of the Indian Health Service Primary Care Provider Newsletter
Analyzes 68 articles from the Indian Health Service's Primary Care Provider newsletter on unintentional injury prevention efforts. Summarizes select interventions, discusses article topics and tribal communities featured, and evaluates breadth and depth of research, evaluation, and documentation.
Author(s): Wendy Shields, Anne Kenney, Evelyn Shiang, Rebecca Malizia, Holly Billie
Citation: Injury Epidemiology, 11, 27
Date: 06/2024
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Tribal Broadband: Additional Assistance to Recipients Would Better Support Implementation of $3 Billion in Federal Grants
This provides an overview of Tribal Broadband Connectivity Program (TBCP) grants, including recipients who had not received prior funding from key federal broadband programs and recipients' plans for network ownership and financial sustainability. Examines the extent to which the National Telecommunications and Information Administration (NTIA) provided technical assistance to recipients regarding financial sustainability and navigating the environmental review process. Presents recommendations to NTIA on technical assistance and reporting to Congress on the resources necessary to ensure the financial sustainability of TBCP projects.
Additional links: Full Report
Date: 06/2024
Sponsoring organization: Government Accountability Office
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