Rural Health
Resources by Type: Document
Map the Meal Gap 2024: A Report on County and Congressional District Food Insecurity and County Food Cost in the United States in 2022
Provides information on food insecurity in the United States, focusing on how race and ethnicity impact access to food. Includes county-level U.S. maps that show food insecurity for children and the overall U.S. population. Includes regional data on counties with high food insecurity as well as by rural versus urban status.
Additional links: Technical Appendix
Author(s): M. Hake, A. Dewey, E. Engelhard, S. Dawes
Date: 05/2024
Sponsoring organization: Feeding America
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Provides information on food insecurity in the United States, focusing on how race and ethnicity impact access to food. Includes county-level U.S. maps that show food insecurity for children and the overall U.S. population. Includes regional data on counties with high food insecurity as well as by rural versus urban status.
Additional links: Technical Appendix
Author(s): M. Hake, A. Dewey, E. Engelhard, S. Dawes
Date: 05/2024
Sponsoring organization: Feeding America
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Promoting Rural Financial Well-Being and Inclusion: Aligning Strategies with Community Needs
Provides measures for financial well-being and defines assets across rural county types, such as high-employment agricultural areas, centers of wealth and health, recreational and cultural areas, and more, and includes economic indicators like income and home ownership rate for each county type. Discusses challenges to financial well-being, strategies to improve economies, and policy considerations.
Author(s): Yipeng Su, Anna Morgan
Date: 05/2024
Sponsoring organization: Urban Institute
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Provides measures for financial well-being and defines assets across rural county types, such as high-employment agricultural areas, centers of wealth and health, recreational and cultural areas, and more, and includes economic indicators like income and home ownership rate for each county type. Discusses challenges to financial well-being, strategies to improve economies, and policy considerations.
Author(s): Yipeng Su, Anna Morgan
Date: 05/2024
Sponsoring organization: Urban Institute
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Differences in Measurement of Operating Margin: An Update
Describes how differences in measurement of operating margin for hospitals can affect the reported values. Compares the operating margins of urban and rural prospective payment system hospitals and Critical Access Hospitals (CAHs) across three definitions of operating margin using Medicare Cost Report data from April 2021 through March 2022. Describes situations in which each operating margin would be the most appropriate to calculate. Updates a 2008 study from the Flex Monitoring Team.
Author(s): Jessie Ma, Susie Gurzenda, Kristin Reiter, George Pink
Date: 05/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Describes how differences in measurement of operating margin for hospitals can affect the reported values. Compares the operating margins of urban and rural prospective payment system hospitals and Critical Access Hospitals (CAHs) across three definitions of operating margin using Medicare Cost Report data from April 2021 through March 2022. Describes situations in which each operating margin would be the most appropriate to calculate. Updates a 2008 study from the Flex Monitoring Team.
Author(s): Jessie Ma, Susie Gurzenda, Kristin Reiter, George Pink
Date: 05/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Collaboration, Not Competition: Thrive Allen County's Capacity Building Initiatives
Features the work of a Kansas nonprofit, Thrive Allen County, that brings grant funding to the county for its own projects and also helps build the area's capacity through grant writing, technical assistance, and other services.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2024
Sponsoring organization: Rural Health Information Hub
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Features the work of a Kansas nonprofit, Thrive Allen County, that brings grant funding to the county for its own projects and also helps build the area's capacity through grant writing, technical assistance, and other services.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2024
Sponsoring organization: Rural Health Information Hub
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Time for Action: Securing A Strong Nursing Workforce for North Carolina
Offers 8 recommendations for developing the nursing workforce in North Carolina. Discusses the workforce pipeline, professional education, well-being and safety in the workplace, leadership, retention, advocacy, staffing standards, billing, and more. Discusses rural throughout.
Date: 05/2024
Sponsoring organization: North Carolina Institute of Medicine
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Offers 8 recommendations for developing the nursing workforce in North Carolina. Discusses the workforce pipeline, professional education, well-being and safety in the workplace, leadership, retention, advocacy, staffing standards, billing, and more. Discusses rural throughout.
Date: 05/2024
Sponsoring organization: North Carolina Institute of Medicine
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Care Fragmentation and Readmission Mortality and Length of Stay Before and During the COVID-19 Pandemic: Data from the National Readmissions Database, 2018–2020
Examines fragmented readmissions, in which a patient returns to a hospital that is different than their prior admission, and the impact on in-hospital mortality and longer lengths-of-stay (LOS). Analyzes readmission data during the COVID-19 pandemic against 2018-2019 data and includes breakdowns according to patient sex, age, income, insurance status, and health condition, as well as hospital type and large metropolitan area, small metropolitan area, micropolitan, or non-metropolitan/non-micropolitan location.
Author(s): Sara Turbow, Tiffany Walker, Steven Culler, Mohammed K. Ali
Citation: BMC Health Services Research, 24, 622
Date: 05/2024
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Examines fragmented readmissions, in which a patient returns to a hospital that is different than their prior admission, and the impact on in-hospital mortality and longer lengths-of-stay (LOS). Analyzes readmission data during the COVID-19 pandemic against 2018-2019 data and includes breakdowns according to patient sex, age, income, insurance status, and health condition, as well as hospital type and large metropolitan area, small metropolitan area, micropolitan, or non-metropolitan/non-micropolitan location.
Author(s): Sara Turbow, Tiffany Walker, Steven Culler, Mohammed K. Ali
Citation: BMC Health Services Research, 24, 622
Date: 05/2024
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Trends and Disparities in Pandemic Telehealth Use among People with Disabilities
Examines the use of telehealth services by Medicare beneficiaries with disabilities by analyzing data from the Medicare Telehealth Trends Dashboard; the 2021 Medicare Current Beneficiary Survey (MCBS) and MCBS Winter 2021 Supplement; and the Census Bureau's Household Pulse Survey data from July 21, 2021, to August 8, 2022. Presents data on patterns of telehealth utilization by Medicare beneficiaries with disabilities by type of Medicare eligibility and number and type of disabilities, modes of telehealth used by the number and type of disabilities, and the availability of different modes of telehealth and access to video-enabled services. Exhibit 8 compares telehealth utilization trends among Medicare fee-for-service beneficiaries between 2019 and 2021 by Medicare eligibility and rural and urban status.
Author(s): Madjid Karimi, Lok Wong Samson, Sara J. Couture, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the use of telehealth services by Medicare beneficiaries with disabilities by analyzing data from the Medicare Telehealth Trends Dashboard; the 2021 Medicare Current Beneficiary Survey (MCBS) and MCBS Winter 2021 Supplement; and the Census Bureau's Household Pulse Survey data from July 21, 2021, to August 8, 2022. Presents data on patterns of telehealth utilization by Medicare beneficiaries with disabilities by type of Medicare eligibility and number and type of disabilities, modes of telehealth used by the number and type of disabilities, and the availability of different modes of telehealth and access to video-enabled services. Exhibit 8 compares telehealth utilization trends among Medicare fee-for-service beneficiaries between 2019 and 2021 by Medicare eligibility and rural and urban status.
Author(s): Madjid Karimi, Lok Wong Samson, Sara J. Couture, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Addressing Food Insecurity in Rural Primary Care: A Mixed-Methods Evaluation of Barriers and Facilitators
Examines food insecurity (FI) in rural areas and the barriers and facilitators to identifying FI during primary care visits. Provides interview feedback from rural New England primary care practitioners, focused on factors that impact screening for FI and potential interventions to address patient FI. Discusses difficulty of addressing FI in rural geographies, stigma in rural communities, and food resource options from local farms.
Author(s): Kayla E. Jordanova, Arvind Suresh, Chelsey R. Canavan, et al.
Citation: BMC Primary Care, 25, 163
Date: 05/2024
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Examines food insecurity (FI) in rural areas and the barriers and facilitators to identifying FI during primary care visits. Provides interview feedback from rural New England primary care practitioners, focused on factors that impact screening for FI and potential interventions to address patient FI. Discusses difficulty of addressing FI in rural geographies, stigma in rural communities, and food resource options from local farms.
Author(s): Kayla E. Jordanova, Arvind Suresh, Chelsey R. Canavan, et al.
Citation: BMC Primary Care, 25, 163
Date: 05/2024
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Community Health Centers: Providers, Partners and Employers of Choice - 2024 Chartbook
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' financial health, workforce status, economic impact, challenges to meeting the demand for healthcare needs, and more. Section 5 presents statistics on telehealth service offerings between 2018 and 2022 with breakdowns by urban or rural status. Contains maps with data by state throughout.
Date: 05/2024
Sponsoring organization: National Association of Community Health Centers
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Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' financial health, workforce status, economic impact, challenges to meeting the demand for healthcare needs, and more. Section 5 presents statistics on telehealth service offerings between 2018 and 2022 with breakdowns by urban or rural status. Contains maps with data by state throughout.
Date: 05/2024
Sponsoring organization: National Association of Community Health Centers
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Navigating Geographical Disparities: Access to Obstetric Hospitals in Maternity Care Deserts and Across the United States
Examines disparities related to maternity care access by analyzing travel distances to obstetric care across the United States. Provides data to nearest obstetric hospital by census tract, with further breakdowns according to maternity care desert (MCD) designation, rurality, race/ethnicity, and travel time. Includes U.S. maps showing spatial clusters of distance and travel time to obstetric care.
Author(s): Jazmin Fontenot, Christina Brigance, Ripley Lucas, Ashley Stoneburner
Citation: BMC Pregnancy and Childbirth, 24, 350
Date: 05/2024
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Examines disparities related to maternity care access by analyzing travel distances to obstetric care across the United States. Provides data to nearest obstetric hospital by census tract, with further breakdowns according to maternity care desert (MCD) designation, rurality, race/ethnicity, and travel time. Includes U.S. maps showing spatial clusters of distance and travel time to obstetric care.
Author(s): Jazmin Fontenot, Christina Brigance, Ripley Lucas, Ashley Stoneburner
Citation: BMC Pregnancy and Childbirth, 24, 350
Date: 05/2024
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