Rural Health
Resources by Type: Document
Rural and Urban Variations in Pap Screening During the COVID-19 Pandemic
Poster presentation that shows data on rural and urban receipt of Pap screenings between 2019 and 2022. Utilizes National Cancer Institutes HINT data to examine demographic differences and disparities in preventative cancer screenings during the COVID-19 pandemic.
Author(s): Amanda T. Wiggins, Tyrone F. Borders
Date: 09/2023
Sponsoring organization: Rural and Underserved Health Research Center
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Poster presentation that shows data on rural and urban receipt of Pap screenings between 2019 and 2022. Utilizes National Cancer Institutes HINT data to examine demographic differences and disparities in preventative cancer screenings during the COVID-19 pandemic.
Author(s): Amanda T. Wiggins, Tyrone F. Borders
Date: 09/2023
Sponsoring organization: Rural and Underserved Health Research Center
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Exploring Patient Care Navigation in the Medicare Program
Presents an overview of patient navigation programs through an environmental scan of literature published between 2013 and 2023 and discussions with key informants at four healthcare organizations. Describes the variety of patient navigation services, types of patients targeted, settings that offer navigation services, staffing, funding, clinical outcomes, and more. Includes a brief discussion of programs targeting patients in rural areas. Identifies implementation and policy considerations and potential barriers to supporting patient navigation services.
Additional links: Annex, Executive Summary
Author(s): Zachary Predmore, Joachim Hero, Stephanie Dellva, et al.
Date: 09/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Health Care
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Presents an overview of patient navigation programs through an environmental scan of literature published between 2013 and 2023 and discussions with key informants at four healthcare organizations. Describes the variety of patient navigation services, types of patients targeted, settings that offer navigation services, staffing, funding, clinical outcomes, and more. Includes a brief discussion of programs targeting patients in rural areas. Identifies implementation and policy considerations and potential barriers to supporting patient navigation services.
Additional links: Annex, Executive Summary
Author(s): Zachary Predmore, Joachim Hero, Stephanie Dellva, et al.
Date: 09/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Health Care
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Environmental Scan on Encouraging Rural Participation in Population-Based TCOC Models
Presents results of an environmental scan regarding population-based total cost of care (PB-TCOC) payment models and encouraging rural participation in these models. Describes challenges affecting rural patients and providers; opportunities for alternative payment models (APMs) and PB-TCOC models to address challenges in rural areas; trends in rural providers' participation in APMs; driving care delivery transformation in rural providers, including models that include or target rural participants in their model designs; leveraging financial incentives to improve rural health care; adoption and use of health information technology, including telehealth and data analytics among rural providers; and the measurement of rural providers' performance in APMs.
Date: 09/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Presents results of an environmental scan regarding population-based total cost of care (PB-TCOC) payment models and encouraging rural participation in these models. Describes challenges affecting rural patients and providers; opportunities for alternative payment models (APMs) and PB-TCOC models to address challenges in rural areas; trends in rural providers' participation in APMs; driving care delivery transformation in rural providers, including models that include or target rural participants in their model designs; leveraging financial incentives to improve rural health care; adoption and use of health information technology, including telehealth and data analytics among rural providers; and the measurement of rural providers' performance in APMs.
Date: 09/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Effect of a Telephone-Based Lifestyle Intervention on Weight, Body Composition, and Metabolic Biomarkers in Rural Ohio: Results from a Randomized Pilot Study
Examines the effectiveness of a 15-week telephone counseling intervention encouraging healthy eating and physical activity among 27 rural Ohio adults with overweight or obesity. Provides data on participants' weight, body composition, fasting blood lipids, and inflammatory biomarkers after 15 weeks of intervention. Highlights findings related to weight and cholesterol management, and discusses rural health disparities and access barriers.
Author(s): Xiaochen Zhang, Victoria R. DeScenza, Zachary L. Chaplow, et al.
Citation: Nutrients, 15(18), 3998
Date: 09/2023
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Examines the effectiveness of a 15-week telephone counseling intervention encouraging healthy eating and physical activity among 27 rural Ohio adults with overweight or obesity. Provides data on participants' weight, body composition, fasting blood lipids, and inflammatory biomarkers after 15 weeks of intervention. Highlights findings related to weight and cholesterol management, and discusses rural health disparities and access barriers.
Author(s): Xiaochen Zhang, Victoria R. DeScenza, Zachary L. Chaplow, et al.
Citation: Nutrients, 15(18), 3998
Date: 09/2023
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2023 Nebraska Rural Poll Research Report: Perceptions of Well-Being and the Economy in Nonmetropolitan Nebraska
Analyzes 2023 Nebraska Rural Poll Results related to how rural Nebraskans perceive their current and future well-being, life satisfaction, personal finances, the health of the economy, the usefulness of education, and more. Includes survey data and demographic information on survey respondents.
Author(s): Rebecca Vogt, Heather Akin, Cheryl Burkhart-Kriesel, et al.
Date: 09/2023
Sponsoring organization: University of Nebraska-Lincoln
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Analyzes 2023 Nebraska Rural Poll Results related to how rural Nebraskans perceive their current and future well-being, life satisfaction, personal finances, the health of the economy, the usefulness of education, and more. Includes survey data and demographic information on survey respondents.
Author(s): Rebecca Vogt, Heather Akin, Cheryl Burkhart-Kriesel, et al.
Date: 09/2023
Sponsoring organization: University of Nebraska-Lincoln
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Medicare Advantage Value-Based Insurance Design Model Phase II: Second Annual Evaluation Report
Presents findings from an evaluation of Phase II of the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model, which allows participating MA parent organizations to offer supplemental benefits and incentives to beneficiaries, hospice benefits, and wellness and healthcare planning through their MA plans. Summarizes findings from interviews with representatives of participating MA organizations, in-network and out-of-network hospices, and beneficiaries. Covers MA organization and beneficiary implementation experiences, plan enrollment, quality of care, health outcomes, and more, for the VBID Model generally and for the VBID Hospice Benefit Component.
Additional links: Appendices, Findings at a Glance, Hospice Benefit Component Findings at a Glance
Date: 09/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Presents findings from an evaluation of Phase II of the Medicare Advantage (MA) Value-Based Insurance Design (VBID) Model, which allows participating MA parent organizations to offer supplemental benefits and incentives to beneficiaries, hospice benefits, and wellness and healthcare planning through their MA plans. Summarizes findings from interviews with representatives of participating MA organizations, in-network and out-of-network hospices, and beneficiaries. Covers MA organization and beneficiary implementation experiences, plan enrollment, quality of care, health outcomes, and more, for the VBID Model generally and for the VBID Hospice Benefit Component.
Additional links: Appendices, Findings at a Glance, Hospice Benefit Component Findings at a Glance
Date: 09/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Measuring Supply Capacity at Center-Based CCEE Programs
Provides information and methodology to estimate enrollment and vacancies at center-based child care and early education (CCEE) programs by utilizing 2019 National Survey of Early Care and Education (NSECE) data. Lists CCEE enrollment expansion potential data for infants and 4-year old children according to provider and community characteristics, including urbanicity.
Author(s): W. Wong, A.R. Datta
Date: 09/2023
Sponsoring organization: Administration for Children and Families
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Provides information and methodology to estimate enrollment and vacancies at center-based child care and early education (CCEE) programs by utilizing 2019 National Survey of Early Care and Education (NSECE) data. Lists CCEE enrollment expansion potential data for infants and 4-year old children according to provider and community characteristics, including urbanicity.
Author(s): W. Wong, A.R. Datta
Date: 09/2023
Sponsoring organization: Administration for Children and Families
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Exploring Changes in the Supply of Listed Home-Based Child Care and Early Education between 2012 and 2018
Examines home-based child care provider attrition from 2012 to 2018. Provides data on providers who stayed versus those who left according to demographic variables, child care characteristics, and community characteristics, including urbanicity.
Author(s): A.R. Datta, W. Wong
Date: 09/2023
Sponsoring organizations: Administration for Children and Families, NORC at the University of Chicago
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Examines home-based child care provider attrition from 2012 to 2018. Provides data on providers who stayed versus those who left according to demographic variables, child care characteristics, and community characteristics, including urbanicity.
Author(s): A.R. Datta, W. Wong
Date: 09/2023
Sponsoring organizations: Administration for Children and Families, NORC at the University of Chicago
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New Mexico Children, Youth and Families Department 2023-2024 Annual Progress and Services Plan (APSR)
Reports on progress made towards outcomes in the areas of child welfare services, early childhood services, behavioral health services, and juvenile justice services. Addresses issues specific to rural areas, collaboration with tribes in the state, and coordination with the state Medicaid system for the behavioral and physical health needs of children, families, and youth in New Mexico.
Date: 09/2023
Sponsoring organization: New Mexico Children, Youth, and Families Department
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Reports on progress made towards outcomes in the areas of child welfare services, early childhood services, behavioral health services, and juvenile justice services. Addresses issues specific to rural areas, collaboration with tribes in the state, and coordination with the state Medicaid system for the behavioral and physical health needs of children, families, and youth in New Mexico.
Date: 09/2023
Sponsoring organization: New Mexico Children, Youth, and Families Department
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Hunger Pains: How Food Insecurity Affects Oral Health
Report discusses the ways food insecurity affects oral health outcomes. Highlights populations suffering from food insecurity and compares rural and urban populations. Details the oral health disparities that correlate with food insecurity.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 09/2023
Sponsoring organization: CareQuest Institute for Oral Health
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Report discusses the ways food insecurity affects oral health outcomes. Highlights populations suffering from food insecurity and compares rural and urban populations. Details the oral health disparities that correlate with food insecurity.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 09/2023
Sponsoring organization: CareQuest Institute for Oral Health
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