Rural Health
Resources by Type: Document
Impact of the COVID-19 Vaccination Mandate on the Primary Care Workforce and Differences Between Rural and Urban Settings to Inform Future Policy Decision-Making
Analyzes the impact of COVID-19 vaccination mandates on the primary healthcare workforce in rural and urban settings. Examines 2021 survey data from 38 rural and 42 urban clinics in Oregon about issues such as job losses, vaccination waivers, and newly vaccinated staff. Includes data on clinic characteristics and impacts of the COVID-19 vaccine mandate across rural and urban clinics, as well as qualitative feedback from survey respondents.
Author(s): Brigit A. Hatch, Erin Kenzie, NithyaPriya Ramalingam, et al.
Citation: PLoS One, 18(6)
Date: 06/2023
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Analyzes the impact of COVID-19 vaccination mandates on the primary healthcare workforce in rural and urban settings. Examines 2021 survey data from 38 rural and 42 urban clinics in Oregon about issues such as job losses, vaccination waivers, and newly vaccinated staff. Includes data on clinic characteristics and impacts of the COVID-19 vaccine mandate across rural and urban clinics, as well as qualitative feedback from survey respondents.
Author(s): Brigit A. Hatch, Erin Kenzie, NithyaPriya Ramalingam, et al.
Citation: PLoS One, 18(6)
Date: 06/2023
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Competencies, Training Needs, and Turnover Among Rural Compared With Urban Local Public Health Practitioners: 2021 Public Health Workforce Interests and Needs Survey
Analyzes the rural and urban differences in 29,751 public health workers surveyed regarding competencies, training needs, and workplace stressors. Discusses COVID-19 impacts on public health work.
Author(s): Paula M. Kett, Betty Bekemeier, Davis G. Patterson, Kay Schaffer
Citation: American Journal of Public Health, 113(6), 689-699
Date: 06/2023
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Analyzes the rural and urban differences in 29,751 public health workers surveyed regarding competencies, training needs, and workplace stressors. Discusses COVID-19 impacts on public health work.
Author(s): Paula M. Kett, Betty Bekemeier, Davis G. Patterson, Kay Schaffer
Citation: American Journal of Public Health, 113(6), 689-699
Date: 06/2023
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Texans' Views and Experiences with End-of-Life Issues
Survey of 2,305 Texans regarding attitudes, experiences, and needs around illness and end-of-life issues. Discusses barriers to access of end-of-life care, race and ethnicity, insurance status, and more. Includes rural data throughout.
Additional links: Research Summary
Date: 06/2023
Sponsoring organizations: Perry Undem, St. David's Foundation
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Survey of 2,305 Texans regarding attitudes, experiences, and needs around illness and end-of-life issues. Discusses barriers to access of end-of-life care, race and ethnicity, insurance status, and more. Includes rural data throughout.
Additional links: Research Summary
Date: 06/2023
Sponsoring organizations: Perry Undem, St. David's Foundation
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Arkansas Rural Hospital Assessment: Final Report
An assessment of 18 rural Arkansas hospitals with regard to their financial stability, workforce challenges, facilities, distance from other facilities, sustainability, and more. Compares Critical Access Hospitals (CAH) and non-CAHs in the state. Discusses decision-making around the Rural Emergency Hospital designation.
Author(s): Alvarez & Marsal Public Sector Services LLC
Date: 06/2023
Sponsoring organization: Arkansas Department of Finance & Administration
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An assessment of 18 rural Arkansas hospitals with regard to their financial stability, workforce challenges, facilities, distance from other facilities, sustainability, and more. Compares Critical Access Hospitals (CAH) and non-CAHs in the state. Discusses decision-making around the Rural Emergency Hospital designation.
Author(s): Alvarez & Marsal Public Sector Services LLC
Date: 06/2023
Sponsoring organization: Arkansas Department of Finance & Administration
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Impact of Higher Payments for Rural Home Health Episodes on Rehospitalizations
Examines the impact of home health rural add-on payments on beneficiary outcomes, specifically on rehospitalizations. Uses Medicare data from 2007 to 2014 to compare rehospitalizations between rural and urban post-acute home health episodes before and after the implementation of the add-on payments in 2010. Discusses the implications of the findings on home health payment policy.
Author(s): Lacey Loomer, Momotazur Rahman, Tracy M. Mroz, Pedro L. Gozalo, Vincent Mor
Citation: Journal of Rural Health, 39(3), 604-610
Date: 06/2023
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Examines the impact of home health rural add-on payments on beneficiary outcomes, specifically on rehospitalizations. Uses Medicare data from 2007 to 2014 to compare rehospitalizations between rural and urban post-acute home health episodes before and after the implementation of the add-on payments in 2010. Discusses the implications of the findings on home health payment policy.
Author(s): Lacey Loomer, Momotazur Rahman, Tracy M. Mroz, Pedro L. Gozalo, Vincent Mor
Citation: Journal of Rural Health, 39(3), 604-610
Date: 06/2023
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2023 Minnesota Adolescent Sexual Health Report
Highlights the rates of pregnancies and births among Minnesota adolescents from 1990-2021, and sexually transmitted infections from 2010-2022. Features sections on variations across demographic groups, adolescent sexual health and COVID-19, and geographic disparities between urban and rural areas, including a county-level map showing counties with the highest chlamydia and gonorrhea rates among adolescents.
Author(s): Jill Farris, H. Olson
Date: 06/2023
Sponsoring organizations: Minnesota Department of Health, University of Minnesota
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Highlights the rates of pregnancies and births among Minnesota adolescents from 1990-2021, and sexually transmitted infections from 2010-2022. Features sections on variations across demographic groups, adolescent sexual health and COVID-19, and geographic disparities between urban and rural areas, including a county-level map showing counties with the highest chlamydia and gonorrhea rates among adolescents.
Author(s): Jill Farris, H. Olson
Date: 06/2023
Sponsoring organizations: Minnesota Department of Health, University of Minnesota
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Using Rapid Cycle Learning to Build Momentum for Change in Two-Generation Service Delivery
Provides an overview of programs utilizing rapid cycle learning to quickly implement initiatives that help sustain changes for two or more generations aimed at improving outcomes for children, primary caregivers, and their families. Includes information on a Community Action Agency in a rural Maryland county and a human services organization that serves a rural Latino community in Colorado. Discusses their processes to improve data usage, referral systems, professional presentations, and more.
Author(s): Alex Bauer, Nickie Fung, Scott Baumgartner
Date: 06/2023
Sponsoring organization: Administration for Children and Families
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Provides an overview of programs utilizing rapid cycle learning to quickly implement initiatives that help sustain changes for two or more generations aimed at improving outcomes for children, primary caregivers, and their families. Includes information on a Community Action Agency in a rural Maryland county and a human services organization that serves a rural Latino community in Colorado. Discusses their processes to improve data usage, referral systems, professional presentations, and more.
Author(s): Alex Bauer, Nickie Fung, Scott Baumgartner
Date: 06/2023
Sponsoring organization: Administration for Children and Families
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Informal and Formal Financial Assistance to Rural Women During Cancer Treatment
Interviews 36 rural women with cancer to explore their methods for handling financial hardship stemming from the costs of cancer. Discusses both informal assistance from the patients' support systems and formal assistance from healthcare systems and organizations. Highlights areas for potential financial disparities within existing inequalities.
Author(s): Emily Hallgren, Tess Thompson, Ramey Moore, et al.
Citation: SSM - Qualitative Research in Health
Date: 06/2023
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Interviews 36 rural women with cancer to explore their methods for handling financial hardship stemming from the costs of cancer. Discusses both informal assistance from the patients' support systems and formal assistance from healthcare systems and organizations. Highlights areas for potential financial disparities within existing inequalities.
Author(s): Emily Hallgren, Tess Thompson, Ramey Moore, et al.
Citation: SSM - Qualitative Research in Health
Date: 06/2023
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Family Strengthening Research: 2022 Report
Provides an overview of the Division of Family Strengthening's (DFS) major research investments through 2022. Reports on DFS focus areas: strengthening and supporting relationships, fatherhood, children, and families; reducing teen pregnancy and supporting positive youth development; and preventing family violence. Includes discussions on programs and issues specific to tribal and rural communities.
Date: 06/2023
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Provides an overview of the Division of Family Strengthening's (DFS) major research investments through 2022. Reports on DFS focus areas: strengthening and supporting relationships, fatherhood, children, and families; reducing teen pregnancy and supporting positive youth development; and preventing family violence. Includes discussions on programs and issues specific to tribal and rural communities.
Date: 06/2023
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Telehealth in Michigan: Insights and Data for Effective Policymaking
Examines telehealth usage in Michigan for the purpose of policymaking. Evaluates the impact of expanding telehealth in rural Michigan, usage by Federally Qualified Health Centers and Rural Health Clinics, broadband, and more. Suggests policy recommendations including for issues in rural telehealth.
Author(s): Chad Ellimoottil, Ziwei Zhu, Xinwei Hi, Monica Van Til
Date: 06/2023
Sponsoring organizations: Ethel & James Flinn Foundation, Michigan Health Endowment Fund
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Examines telehealth usage in Michigan for the purpose of policymaking. Evaluates the impact of expanding telehealth in rural Michigan, usage by Federally Qualified Health Centers and Rural Health Clinics, broadband, and more. Suggests policy recommendations including for issues in rural telehealth.
Author(s): Chad Ellimoottil, Ziwei Zhu, Xinwei Hi, Monica Van Til
Date: 06/2023
Sponsoring organizations: Ethel & James Flinn Foundation, Michigan Health Endowment Fund
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