Rural Health
Resources by Type: Document
Hospital Margins Rebounded in 2023, But Rural Hospitals and Those With High Medicaid Shares Were Struggling More Than Others
Examines hospital margins for non-federal general short-term hospitals in the U.S. from 2018 through 2023, with a focus on operating margins. Analyzes RAND Hospital Data to explore the extent to which hospitals profited or lost money on patient care and other operating activities. Discusses differences in operating margins by hospital characteristics, including hospital ownership type, commercial share, size, rural or urban location, and Medicare rural payment designation.
Date: 12/2024
Sponsoring organization: KFF
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Examines hospital margins for non-federal general short-term hospitals in the U.S. from 2018 through 2023, with a focus on operating margins. Analyzes RAND Hospital Data to explore the extent to which hospitals profited or lost money on patient care and other operating activities. Discusses differences in operating margins by hospital characteristics, including hospital ownership type, commercial share, size, rural or urban location, and Medicare rural payment designation.
Date: 12/2024
Sponsoring organization: KFF
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Results of USDA's Food and Nutrition Service-Administered School Food Authority Survey III on Supply Chain Disruption and Student Participation
Analyzes supply chain disruptions impacting school nutrition assistance programs during the 2023-2024 school year. Utilizes survey data from School Food Authorities (SFAs) to examine school meal applications and eligibility, reported supply chain challenges, impacts on school food operations, food and labor costs, student participation, strategies to address supply chain issues, and more. Includes data breakdowns according to SFA size and urban, suburban, or rural location.
Date: 12/2024
Sponsoring organization: USDA Food and Nutrition Service
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Analyzes supply chain disruptions impacting school nutrition assistance programs during the 2023-2024 school year. Utilizes survey data from School Food Authorities (SFAs) to examine school meal applications and eligibility, reported supply chain challenges, impacts on school food operations, food and labor costs, student participation, strategies to address supply chain issues, and more. Includes data breakdowns according to SFA size and urban, suburban, or rural location.
Date: 12/2024
Sponsoring organization: USDA Food and Nutrition Service
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Extended Reality Telehealth for Rural Spaces
Discusses how extended reality technologies, including virtual reality, augmented reality, and immersive mixed reality, can be used in physical and occupational therapy, mental healthcare, elder care, and veterans healthcare services. Describes potential barriers to implementing extended reality telehealth practices, focusing on rural providers and facilities. Highlights examples of rural broadband and healthcare providers collaborating to implement telehealth services.
Author(s): Joshua Seidemann
Date: 12/2024
Sponsoring organization: NTCA: The Rural Broadband Association
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Discusses how extended reality technologies, including virtual reality, augmented reality, and immersive mixed reality, can be used in physical and occupational therapy, mental healthcare, elder care, and veterans healthcare services. Describes potential barriers to implementing extended reality telehealth practices, focusing on rural providers and facilities. Highlights examples of rural broadband and healthcare providers collaborating to implement telehealth services.
Author(s): Joshua Seidemann
Date: 12/2024
Sponsoring organization: NTCA: The Rural Broadband Association
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Use of Inpatient Psychiatric Facilities by Medicare Beneficiaries with Dementia
Describes the sociodemographic and health characteristics of Medicare beneficiaries with and without dementia who use inpatient psychiatric facilities (IPFs). Examines diagnoses and utilization that precede psychiatric inpatient stays and outcomes following IPF stays, including health care utilization and mortality. Includes data on Medicare IPF patients who reside in rural counties and counties that are entirely or partially in a primary care or mental health Health Professional Shortage Area (HPSA).
Author(s): Mark Sorbero, Flora Sheng, Swad Komanduri, Jodi L. Liu
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Describes the sociodemographic and health characteristics of Medicare beneficiaries with and without dementia who use inpatient psychiatric facilities (IPFs). Examines diagnoses and utilization that precede psychiatric inpatient stays and outcomes following IPF stays, including health care utilization and mortality. Includes data on Medicare IPF patients who reside in rural counties and counties that are entirely or partially in a primary care or mental health Health Professional Shortage Area (HPSA).
Author(s): Mark Sorbero, Flora Sheng, Swad Komanduri, Jodi L. Liu
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Rural Health Research in the 21st Century: A Commentary on Challenges and the Role of Digital Technology
A commentary that discusses barriers to defining rurality, the complexity of rural culture, and the importance of digital equity in rural communities.
Author(s): Mairead Moloney, Jasmine Rubio, Israel Palencia, et al.
Citation: Journal of Rural Health, 41, e12903
Date: 12/2024
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A commentary that discusses barriers to defining rurality, the complexity of rural culture, and the importance of digital equity in rural communities.
Author(s): Mairead Moloney, Jasmine Rubio, Israel Palencia, et al.
Citation: Journal of Rural Health, 41, e12903
Date: 12/2024
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Readiness of Our Crisis System for 988: Final Report
Analyzes the readiness of state-level behavioral health crisis systems to absorb increased demand with the implementation of the "988" suicide and crisis hotline. Provides an environmental scan and subject matter expert interviews to examine behavioral health availability and accessibility, state improvement plans, and data collection efforts. Includes reflection on the impact of "988" on rural areas.
Author(s): Kiersten Johnson, Shannon Blakey, Tami Mark, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the readiness of state-level behavioral health crisis systems to absorb increased demand with the implementation of the "988" suicide and crisis hotline. Provides an environmental scan and subject matter expert interviews to examine behavioral health availability and accessibility, state improvement plans, and data collection efforts. Includes reflection on the impact of "988" on rural areas.
Author(s): Kiersten Johnson, Shannon Blakey, Tami Mark, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Mammography Among Women Residing in Urban Versus Rural Utah: Breast Cancer Survival
Examines breast cancer screening and mortality among rural and urban Utahns, utilizing Utah Population Database data for breast cancer patients diagnosed from 1998 to 2017 and matched controls. Provides rural-urban comparisons of cancer stage at diagnosis, first-course treatment received, risk of death based on mammograms received in the last 3 years, and other clinical and demographic comparisons.
Author(s): Quinn Tanner, Chun-Pin Chang, Karen Curtin, et al.
Citation: Cancer Medicine, 13(24), e70505
Date: 12/2024
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Examines breast cancer screening and mortality among rural and urban Utahns, utilizing Utah Population Database data for breast cancer patients diagnosed from 1998 to 2017 and matched controls. Provides rural-urban comparisons of cancer stage at diagnosis, first-course treatment received, risk of death based on mammograms received in the last 3 years, and other clinical and demographic comparisons.
Author(s): Quinn Tanner, Chun-Pin Chang, Karen Curtin, et al.
Citation: Cancer Medicine, 13(24), e70505
Date: 12/2024
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Electronic Case Reporting Roadmap - For Tribes and Tribal Epidemiology Centers
Report discusses the benefits of electronic case reporting (eCR) for tribal public health authorities and epidemiology centers (TECs). Highlights challenges in implementing eCR as well as the benefits of electronic disease surveillance conducted by Tribes and TECs. Presents guidance on the planning, implementation, and funding of tribal eCR.
Date: 12/2024
Sponsoring organization: National Indian Health Board
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Report discusses the benefits of electronic case reporting (eCR) for tribal public health authorities and epidemiology centers (TECs). Highlights challenges in implementing eCR as well as the benefits of electronic disease surveillance conducted by Tribes and TECs. Presents guidance on the planning, implementation, and funding of tribal eCR.
Date: 12/2024
Sponsoring organization: National Indian Health Board
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Graduate Medical Education (GME) in Arizona Policy Brief
Describes the shortage of resident (GME) physicians in Arizona. Includes map of Primary Care Shortage Area (HPSA) at the county level.
Date: 12/2024
Sponsoring organization: Arizona Center for Rural Health
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Describes the shortage of resident (GME) physicians in Arizona. Includes map of Primary Care Shortage Area (HPSA) at the county level.
Date: 12/2024
Sponsoring organization: Arizona Center for Rural Health
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Trends in New York Registered Nurse Graduations, 2014-2023
Summarizes New York State's registered nurse (RN) education pipeline and identifies barriers and facilitators to the production of RNs at regional and state levels. Features statistics including percent of active New York RNs working in rural areas.
Author(s): Robert Martiniano, Sage Shirey
Date: 12/2024
Sponsoring organization: Center for Health Workforce Studies
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Summarizes New York State's registered nurse (RN) education pipeline and identifies barriers and facilitators to the production of RNs at regional and state levels. Features statistics including percent of active New York RNs working in rural areas.
Author(s): Robert Martiniano, Sage Shirey
Date: 12/2024
Sponsoring organization: Center for Health Workforce Studies
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