Rural Health
Resources by Type: Document
States Could Better Leverage Coverage and Access Requirements To Promote Maternal Health Care Access in Medicaid Managed Care
Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
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Describes challenges to maternal healthcare access. Explores the provider coverage rules and network adequacy standards state Medicaid agencies have set for maternal healthcare in Medicaid managed care. Examines state oversight of quantitative network adequacy standards. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) to ensure access to pregnancy and postpartum care in Medicaid managed care. Includes rural references throughout.
Additional links: Report in Brief
Date: 09/2024
Sponsoring organization: Office of Inspector General (HHS)
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The National School Lunch Program: Background, Trends, and Issues, 2024 Edition
Provides an overview on policy and participant changes of the National School Lunch Program (NSLP) since 2008, focusing on school finances, program participation, and nutrition and food quality. Includes information specific to school characteristics, including those in rural areas.
Author(s): Saied Toossi, Jessica E. Todd, Joanne Guthrie, Mike Ollinger
Date: 09/2024
Sponsoring organization: USDA Economic Research Service
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Provides an overview on policy and participant changes of the National School Lunch Program (NSLP) since 2008, focusing on school finances, program participation, and nutrition and food quality. Includes information specific to school characteristics, including those in rural areas.
Author(s): Saied Toossi, Jessica E. Todd, Joanne Guthrie, Mike Ollinger
Date: 09/2024
Sponsoring organization: USDA Economic Research Service
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Hearing Aid Use Trends Among Older Adults by Income and Metropolitan vs Nonmetropolitan Residence
Evaluates 3 years of National Health & Aging Trends Study survey results to determine hearing aid use trends among older adults with a breakdown by 3 income levels and metropolitan or nonmetropolitan residence. Discusses changes between 2011 and 2022 and potential impacts of policies to expand access to hearing care.
Author(s): Sarah Y. Bessen, Wuyang Zhang, Emmanuel Garcia-Morales, Jennifer A. Deal, NIcholas S. Reed
Citation: JAMA Network Open, 7(9)
Date: 09/2024
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Evaluates 3 years of National Health & Aging Trends Study survey results to determine hearing aid use trends among older adults with a breakdown by 3 income levels and metropolitan or nonmetropolitan residence. Discusses changes between 2011 and 2022 and potential impacts of policies to expand access to hearing care.
Author(s): Sarah Y. Bessen, Wuyang Zhang, Emmanuel Garcia-Morales, Jennifer A. Deal, NIcholas S. Reed
Citation: JAMA Network Open, 7(9)
Date: 09/2024
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North Carolina Advanced Practice Registered Nurses: A Report on the Advanced Practice Registered Nurse Workforce in North Carolina
Describe trends in the supply, demographic, educational, practice, and geographic characteristics of nurse practitioners, certified nurse midwives, certified registered nurse anesthetists, and clinical nurse specialists in North Carolina. Features statistics with breakdowns by nonmetropolitan counties compared with state population.
Author(s): Erin Fraher, Connor Sullivan, Catherine Moore, et al.
Date: 09/2024
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Describe trends in the supply, demographic, educational, practice, and geographic characteristics of nurse practitioners, certified nurse midwives, certified registered nurse anesthetists, and clinical nurse specialists in North Carolina. Features statistics with breakdowns by nonmetropolitan counties compared with state population.
Author(s): Erin Fraher, Connor Sullivan, Catherine Moore, et al.
Date: 09/2024
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Intakes of Lean Proteins and Processed Meats and Differences in Mental Health between Rural and Metro Adults 50 Years and Older
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
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Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
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Who Owns Rural Hospitals? A Comparison of Findings across Four National Datasets
Explores rural hospital ownership characteristics as reported across four national datasets: the Centers for Medicare & Medicaid Services (CMS) Healthcare Cost Reporting Information System (HCRIS); the CMS Provider Enrollment, Chain, and Ownership System (PECOS); the Private Equity Stakeholder Project (PESP); and the Agency for Healthcare Research and Quality (AHRQ). Compares rural hospitals with consistent ownership characteristics across datasets with those with inconsistent reports of ownership by Census division, Medicare payment classification, long-term care service provision, Rural Health Clinic (RHC) service provision, and more.
Author(s): Anastasia Dai, Tyler Malone
Date: 09/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Explores rural hospital ownership characteristics as reported across four national datasets: the Centers for Medicare & Medicaid Services (CMS) Healthcare Cost Reporting Information System (HCRIS); the CMS Provider Enrollment, Chain, and Ownership System (PECOS); the Private Equity Stakeholder Project (PESP); and the Agency for Healthcare Research and Quality (AHRQ). Compares rural hospitals with consistent ownership characteristics across datasets with those with inconsistent reports of ownership by Census division, Medicare payment classification, long-term care service provision, Rural Health Clinic (RHC) service provision, and more.
Author(s): Anastasia Dai, Tyler Malone
Date: 09/2024
Sponsoring organization: North Carolina Rural Health Research Program
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A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance
Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
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Assesses community perspectives on the acceptability of ambulance-based prehospital stroke telemedicine services in rural and urban communities in O'ahu, Hawai'i. Utilizes questionnaire results of 263 adults recruited from community events, with additional data from 29 follow-up interviews. Compares rural and urban attitudes toward ambulance telestroke services, local hospitals, and Hawai'i's healthcare system, and identifies positive and negative themes affecting acceptability.
Author(s): Angel Lynn E. Talana, Kyrillos B. Guirguis, J. Aaron Matthews, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(9), 250-256
Date: 09/2024
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The Health and Well-Being of Women in Farming: A Systematic Scoping Review
A scoping review of 93 studies published between 1990 and 2023 from the Global North (including 73 studies from the United States) investigating the health and well-being of women in farming. Summarizes key findings including the relationship between health and chemical exposures, physical health, safety, mental health, equality, sex-based violence, childcare, and help-seeking behaviors. Discusses the disparity in research for women farmers compared with male farmers.
Author(s): Rebecca Wheeler, Caroline Nye
Citation: Journal of Agromedicine, 30(1), 132-152
Date: 09/2024
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A scoping review of 93 studies published between 1990 and 2023 from the Global North (including 73 studies from the United States) investigating the health and well-being of women in farming. Summarizes key findings including the relationship between health and chemical exposures, physical health, safety, mental health, equality, sex-based violence, childcare, and help-seeking behaviors. Discusses the disparity in research for women farmers compared with male farmers.
Author(s): Rebecca Wheeler, Caroline Nye
Citation: Journal of Agromedicine, 30(1), 132-152
Date: 09/2024
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Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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Health Care Affordability and Medical Debt: Differences by Rurality, Region, and Socio-Demographic Characteristics
Policy brief examining rural/urban differences in healthcare affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by sociodemographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief examining rural/urban differences in healthcare affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by sociodemographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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