Rural Health
Resources by Type: Document
Geographic Variations in Driving Time to U.S. Mental Health Care, Digital Access to Technology, & Household Crowdedness
Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N.D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N.D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Participation in a Medicare Advanced Primary Care Model and the Delivery of High-Value Services
Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
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Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
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Veterans With Blood Cancers: Clinical Trial Navigation and the Challenge of Rurality
Presents a study on the geographic barriers to accessing cancer trials faced by rural veterans. Explored the availability of cancer trials based on rurality and highlights clinical trial deserts. Breaks down demographic data by race, sex, cancer type, and rurality, among other measures.
Author(s): Daphne R. Friedman, Thomas D. Rodgers, Courtney Kovalick, et al.
Citation: Journal of Rural Health, 40(1), 114-120
Date: 12/2023
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Presents a study on the geographic barriers to accessing cancer trials faced by rural veterans. Explored the availability of cancer trials based on rurality and highlights clinical trial deserts. Breaks down demographic data by race, sex, cancer type, and rurality, among other measures.
Author(s): Daphne R. Friedman, Thomas D. Rodgers, Courtney Kovalick, et al.
Citation: Journal of Rural Health, 40(1), 114-120
Date: 12/2023
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VA Versus Non-VA Quality of Care: A Systematic Review
Presents a review of healthcare quality for veterans in VA and non-VA settings. Analyzes 42 studies of non-surgical care and 19 studies of surgical care. Highlights studies focusing on rural veterans and details rural veterans' reported satisfaction with the care they received.
Additional links: Executive Summary
Author(s): Paul Shekelle, Melinda Maggard-Gibbons, Mariah Blegen, et al.
Date: 12/2023
Sponsoring organization: U.S. Department of Veterans Affairs
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Presents a review of healthcare quality for veterans in VA and non-VA settings. Analyzes 42 studies of non-surgical care and 19 studies of surgical care. Highlights studies focusing on rural veterans and details rural veterans' reported satisfaction with the care they received.
Additional links: Executive Summary
Author(s): Paul Shekelle, Melinda Maggard-Gibbons, Mariah Blegen, et al.
Date: 12/2023
Sponsoring organization: U.S. Department of Veterans Affairs
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School Meals and Other Child Nutrition Programs: Background and Funding
Provides an overview of federal child nutrition programs, including the National School Lunch Program (NSLP), School Breakfast Program (SBP), Child and Adult Care Food Program (CACFP), and Summer Food Service Program (SFSP), among others. Includes information on reimbursement rates for rural SFSP meal sites, as well as brief mentions of rural and tribal demonstration programs.
Date: 12/2023
Sponsoring organization: Congressional Research Service
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Provides an overview of federal child nutrition programs, including the National School Lunch Program (NSLP), School Breakfast Program (SBP), Child and Adult Care Food Program (CACFP), and Summer Food Service Program (SFSP), among others. Includes information on reimbursement rates for rural SFSP meal sites, as well as brief mentions of rural and tribal demonstration programs.
Date: 12/2023
Sponsoring organization: Congressional Research Service
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Primary Care Providers Experiences Implementing Low-Dose Computed Tomography Recommendations for Lung Cancer Screening
Identifies factors affecting implementation of lung cancer screening programs in rural areas as discussed in interviews with 15 primary care providers practicing in rural Oregon. Factors discussed include clinic workflows, communication practices, patient access to screening, costs, share decision-making, and clinic screening "champions."
Author(s): Sara E. Golden, Jessica J. Currier, NithyaPriya Ramalingam, et al.
Citation: The Journal of the American Board of Family Medicine, 36(6), 952-965
Date: 11/2023
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Identifies factors affecting implementation of lung cancer screening programs in rural areas as discussed in interviews with 15 primary care providers practicing in rural Oregon. Factors discussed include clinic workflows, communication practices, patient access to screening, costs, share decision-making, and clinic screening "champions."
Author(s): Sara E. Golden, Jessica J. Currier, NithyaPriya Ramalingam, et al.
Citation: The Journal of the American Board of Family Medicine, 36(6), 952-965
Date: 11/2023
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Defining the Clinical and Procedural Opportunities Available to Residents During Rural Rotations
Results of a study to determine the rate at which emergency medicine residents at a large academic hospital in Minnesota were exposed to certain clinical and procedural experiences (CPEs) while on rural rotations, compared with their usual academic training hospital. Features patient demographics and statistics on CPEs with breakdowns by rural emergency department (ED) patients and academic ED patients.
Author(s): Brandon Haefke, Daniel Scholz, James Homme, Derick Jones
Citation: Academic Emergency Medicine Education and Training, 7(6), e10922
Date: 11/2023
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Results of a study to determine the rate at which emergency medicine residents at a large academic hospital in Minnesota were exposed to certain clinical and procedural experiences (CPEs) while on rural rotations, compared with their usual academic training hospital. Features patient demographics and statistics on CPEs with breakdowns by rural emergency department (ED) patients and academic ED patients.
Author(s): Brandon Haefke, Daniel Scholz, James Homme, Derick Jones
Citation: Academic Emergency Medicine Education and Training, 7(6), e10922
Date: 11/2023
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Temporal Trends in Telehealth Availability in Mental Health Treatment Settings: Differences in Growth by State Rurality, 2015–2020
Analyzes trends in telehealth availability at outpatient mental health treatment facilities by rurality and urbanicity at the state level. Utilizes 2015-2020 National Mental Health Services Survey data to evaluate growth preceding and during the COVID-19 pandemic.
Author(s): George Pro, Brian Fairman, Jure Baloh, Don Willis, Broome E.E. Montgomery
Citation: Journal of Urban Health, 100(6), 1149-1158
Date: 11/2023
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Analyzes trends in telehealth availability at outpatient mental health treatment facilities by rurality and urbanicity at the state level. Utilizes 2015-2020 National Mental Health Services Survey data to evaluate growth preceding and during the COVID-19 pandemic.
Author(s): George Pro, Brian Fairman, Jure Baloh, Don Willis, Broome E.E. Montgomery
Citation: Journal of Urban Health, 100(6), 1149-1158
Date: 11/2023
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Safe Driving in Tribal Communities: What can Tribal Governments and Health Professionals Do?
Fact sheet on strategies and policies tribal governments and health professionals can adopt to reduce motor vehicle crash injuries and deaths in tribal communities. Discusses seat belts, teen drivers, car seats, alcohol-impaired driving, and more.
Date: 11/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Fact sheet on strategies and policies tribal governments and health professionals can adopt to reduce motor vehicle crash injuries and deaths in tribal communities. Discusses seat belts, teen drivers, car seats, alcohol-impaired driving, and more.
Date: 11/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Follicular DNA Damage and Pesticide Exposure Among Latinx Children in Rural and Urban Communities
Examines DNA double-strand breaks as an aspect of pesticide exposure among 30 Latinx children from rural, farmworker families and 15 children from urban, non-farmworker families in North Carolina, utilizing a minimally-invasive data collection method utilizing hair follicle samples and silicon wristbands. Provides data on rural-urban disparities in pesticide exposure, outside play, and use of sun protection among study participants, with additional data on seasonal variation.
Author(s): Cassandra Lepetit, Mohamed Gaber, Ke Zhou, et al.
Citation: Exposure and Health, 16, 1039-1052
Date: 11/2023
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Examines DNA double-strand breaks as an aspect of pesticide exposure among 30 Latinx children from rural, farmworker families and 15 children from urban, non-farmworker families in North Carolina, utilizing a minimally-invasive data collection method utilizing hair follicle samples and silicon wristbands. Provides data on rural-urban disparities in pesticide exposure, outside play, and use of sun protection among study participants, with additional data on seasonal variation.
Author(s): Cassandra Lepetit, Mohamed Gaber, Ke Zhou, et al.
Citation: Exposure and Health, 16, 1039-1052
Date: 11/2023
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