Rural Health
Resources by Type: Document
Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including rurality, income, mental health, environment, violence, and trauma, among other factors. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Impacts of Transit on Health in Rural and Small Urban Areas
Overview of how public transportation affects health in rural and small urban areas. Summarizes findings from a literature review that looked at public transportation as it relates to the social determinants of health, healthcare access, physical activity, social isolation, and mental health. Also reports results from a survey of rural older adults supplemented by data analysis looking at travel for healthcare, challenges related to public transportation, and the impacts of missed or delayed healthcare trips.
Author(s): Jeremy Mattson, Bright Quayson
Date: 12/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Overview of how public transportation affects health in rural and small urban areas. Summarizes findings from a literature review that looked at public transportation as it relates to the social determinants of health, healthcare access, physical activity, social isolation, and mental health. Also reports results from a survey of rural older adults supplemented by data analysis looking at travel for healthcare, challenges related to public transportation, and the impacts of missed or delayed healthcare trips.
Author(s): Jeremy Mattson, Bright Quayson
Date: 12/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Alternative Payment Models in the Quality Payment Program as of December 2023
A set of three tables that list brief information about Alternative Payment Models (APMs) that the Centers for Medicare and Medicaid Services (CMS) operates or has announced, as of December 2023. Identifies Advanced APMs, Merit Based Incentive Program (MIPs) APMs, and Other Payer Advanced APMs, which include Medicaid Other Payer Advanced APMs, Medicare Health Plan Payment Arrangements, and commercial payment arrangements.
Date: 12/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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A set of three tables that list brief information about Alternative Payment Models (APMs) that the Centers for Medicare and Medicaid Services (CMS) operates or has announced, as of December 2023. Identifies Advanced APMs, Merit Based Incentive Program (MIPs) APMs, and Other Payer Advanced APMs, which include Medicaid Other Payer Advanced APMs, Medicare Health Plan Payment Arrangements, and commercial payment arrangements.
Date: 12/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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2023 - 2028 Oklahoma State Health Improvement Plan
Offers an overview of Oklahoma resident health indicators and improvement goals with specific focus on social determinants of health, mental health, substance use, obesity, diabetes, and cardiovascular disease. Notes statewide resources and assets for each indicator. Includes a health inequity map at the census tract level.
Date: 12/2023
Sponsoring organization: Oklahoma State Department of Health
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Offers an overview of Oklahoma resident health indicators and improvement goals with specific focus on social determinants of health, mental health, substance use, obesity, diabetes, and cardiovascular disease. Notes statewide resources and assets for each indicator. Includes a health inequity map at the census tract level.
Date: 12/2023
Sponsoring organization: Oklahoma State Department of Health
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Disparities in Mortality Between Appalachian and Non-Appalachian Regions of Kentucky
Compares all-cause, drug-related, and opioid-related mortality in Kentucky, with breakdowns by metropolitan/nonmetropolitan and Appalachian/non-Appalachian counties. Utilizes 2000-2019 CDC WONDER mortality data. Identifies mortality trends, and discusses related demographic, geographic, and socioeconomic factors.
Author(s): Sonali S. Salunkhe, Sahal Alzahrani, Beatrice Ugiliweneza
Citation: Journal of Appalachian Health, 5(3), 38-52
Date: 12/2023
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Compares all-cause, drug-related, and opioid-related mortality in Kentucky, with breakdowns by metropolitan/nonmetropolitan and Appalachian/non-Appalachian counties. Utilizes 2000-2019 CDC WONDER mortality data. Identifies mortality trends, and discusses related demographic, geographic, and socioeconomic factors.
Author(s): Sonali S. Salunkhe, Sahal Alzahrani, Beatrice Ugiliweneza
Citation: Journal of Appalachian Health, 5(3), 38-52
Date: 12/2023
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Breast Cancer Disparity and Outcomes in Underserved Women
Provides an overview of breast cancer disparities experienced by different groups of women, including rural women, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Başak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
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Provides an overview of breast cancer disparities experienced by different groups of women, including rural women, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Başak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
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Differences in Buprenorphine Prescribing Readiness Among Primary Care Professionals With and Without X-Waiver Training in the US
Examines readiness of primary care providers (PCPs) to prescribe buprenorphine to patients with opioid use disorder (OUD). Analyzes PCP knowledge of and confidence in buprenorphine, attitudes toward patients with OUD, and stress and/or empathy toward patients with OUD. Utilizes survey data from 403 PCPs in Ohio and discusses the challenges of addressing OUD in rural contexts.
Author(s): Berkeley Franz, Lindsay Y. Dhanani, O. Trent Hall, et al.
Citation: Harm Reduction Journal, 20, 180
Date: 12/2023
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Examines readiness of primary care providers (PCPs) to prescribe buprenorphine to patients with opioid use disorder (OUD). Analyzes PCP knowledge of and confidence in buprenorphine, attitudes toward patients with OUD, and stress and/or empathy toward patients with OUD. Utilizes survey data from 403 PCPs in Ohio and discusses the challenges of addressing OUD in rural contexts.
Author(s): Berkeley Franz, Lindsay Y. Dhanani, O. Trent Hall, et al.
Citation: Harm Reduction Journal, 20, 180
Date: 12/2023
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High-Risk Individuals and Naloxone Use: Implications for THN Programs in Rural Appalachian Communities
Presents thematic analysis of factors influencing opioid overdose and naloxone use from interviews with 16 people who use opioid drugs in 4 rural, Appalachian Pennsylvania counties. Identifies opioid overdose risk factors, including substance use habits, as well as factors facilitating or preventing effective naloxone interventions. Covers naloxone access and knowledge, experiences, attitudes toward first responders, and disconnects between naloxone intervention and opioid dependence treatment.
Author(s): Victor Garcia, Lisa McCann, Erick Lauber, et al.
Citation: Journal of Appalachian Health, 5(3), 9-21
Date: 12/2023
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Presents thematic analysis of factors influencing opioid overdose and naloxone use from interviews with 16 people who use opioid drugs in 4 rural, Appalachian Pennsylvania counties. Identifies opioid overdose risk factors, including substance use habits, as well as factors facilitating or preventing effective naloxone interventions. Covers naloxone access and knowledge, experiences, attitudes toward first responders, and disconnects between naloxone intervention and opioid dependence treatment.
Author(s): Victor Garcia, Lisa McCann, Erick Lauber, et al.
Citation: Journal of Appalachian Health, 5(3), 9-21
Date: 12/2023
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Influenza, Updated COVID-19, and Respiratory Syncytial Virus Vaccination Coverage Among Adults — United States, Fall 2023
Reports on vaccination coverage among adults 18 years and older as of December 9, 2023 for influenza, COVID-19, and respiratory syncytial virus (RSV). Figure 2 includes data on vaccination and intent to be vaccinated for rural, suburban, and urban areas.
Author(s): Carla L. Black, Jennifer L. Kriss, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(51), 1377-1382
Date: 12/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Reports on vaccination coverage among adults 18 years and older as of December 9, 2023 for influenza, COVID-19, and respiratory syncytial virus (RSV). Figure 2 includes data on vaccination and intent to be vaccinated for rural, suburban, and urban areas.
Author(s): Carla L. Black, Jennifer L. Kriss, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(51), 1377-1382
Date: 12/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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VA Health Care: The Medically Underserved Facilities Initiative
Describes the Department of Veterans Affairs (VA) medically underserved facilities initiative, which identifies medical facilities that were underserved for primary care and mental health services in 2022. Describes the criteria VA has used to identify medically underserved facilities and which facilities are designated as underserved and what officials from the designated underserved facilities reported about their experiences with the initiative. Explores what VA information shows about the effectiveness of the initiative. Includes rural references throughout.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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Describes the Department of Veterans Affairs (VA) medically underserved facilities initiative, which identifies medical facilities that were underserved for primary care and mental health services in 2022. Describes the criteria VA has used to identify medically underserved facilities and which facilities are designated as underserved and what officials from the designated underserved facilities reported about their experiences with the initiative. Explores what VA information shows about the effectiveness of the initiative. Includes rural references throughout.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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