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Rural Health
Resources by Type: Document

Review of Four CARA Programs and Preparing for Future Evaluations
Report highlights a review of four programs funded through the Comprehensive Addiction and Recovery Act (CARA) aimed at expanding access to overdose prevention and treatment of opioid use disorder. Explores the impact of the programs on their communities and makes recommendations for policy makers. Discusses challenges and program adaptations for rural communities.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 03/2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Income and Rural–Urban Status Moderate the Association Between Income Inequality and Life Expectancy in US Census Tracts
Examines how income inequality and life expectancy (LE) are impacted by socioeconomic status (SES) and rural versus urban status at the census-tract level. Utilizes 2010-2015 data to examine the relationship of LE to SES, urbanicity, and other sociodemographic factors. Presents the data through descriptive statistics, figures, and graphs.
Author(s): Steven A. Cohen, Caitlin C. Nash, Erin N. Byrne, Mary L. Greaney
Citation: Journal of Health, Population and Nutrition, 42, 24
Date: 03/2023
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Optimizing Population-Based Total Cost of Care (PB-TCOC) Models in the Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Adult Asthma Associated with Roadway Density and Housing in Rural Appalachia: The Mountain Air Project (MAP)
Describes the Mountain Air Project (MAP) in rural Appalachia and the relationship between asthma and small area environmental exposures, such as roadways, mining operations, oil and gas wells, and more. Includes maps showing geographic distribution of potential environmental health exposures as well as data of citizens with asthma broken down by demographic information, housing status, health behaviors, and environmental exposures.
Author(s): W. Jay Christian, John Flunker, Beverly May, et al.
Citation: Environmental Health, 22, 28
Date: 03/2023
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Changes in Suicide in California from 2017 to 2021: A Population-Based Study
Examines suicide trends in California in 2020 and 2021 compared to pre-COVID-19 pandemic years. Includes suicide mortality data broken down by sex, education, race, age, method, and rural versus urban location. Discusses the burden of suicide trends by specific demographic groups.
Author(s): Julia J. Lund, Elizabeth Tomsich, Julia P. Schleimer, Veronica A. Pear
Citation: Injury Epidemiology, 10, 19
Date: 03/2023
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A Novel Cardio-Oncology Service Line Model in Optimizing Care Access, Quality and Equity for Large, Multi-Hospital Health Systems
Examines the impact of establishing an academic cardio-oncology service line model for a large, multi-hospital health system to improve access, with rural populations as a primary focus. Discusses multidisciplinary approach, infrastructure elements, quality control, central governance, creation of protocols, and establishment of a cardio-oncology registry.
Author(s): Yan Liu
Citation: Cardio-Oncology, 9, 16
Date: 03/2023
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Improving Access - NAM Action Collaborative on Countering the U.S. Opioid Epidemic Telehealth and Virtual Care Meeting Series
Highlights the proceedings of a meeting discussing the use of telehealth and virtual care to treat substance use disorder (SUD). Explores the effect the COVID-19 pandemic on telehealth regulation and reimbursement. Features considerations for rural communities.
Date: 03/2023
Sponsoring organization: National Academy of Medicine
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Rural Working-Age Adults Report More Cost Barriers to Health Care
Policy brief examining rural-urban differences in affordability of care and cost-saving strategies among adults ages 18-64. Features demographics and statistics on prescription drug cost-saving measures and difficulty affording medical care in the past year, with breakdowns by rural and urban location.
Author(s): Erika C. Ziller, Carly Milkowski, Amanda Burgess
Date: 03/2023
Sponsoring organization: Maine Rural Health Research Center
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Social Determinants of Health and Emergency Department Utilization in Alabama Children's Health Insurance Program
Examines the relationship between social determinants of health (SDOH) and emergency department (ED) use in Alabama children. Utilizes 2015-2017 data from ALL Kids, Alabama's Children's Health Insurance Program, to analyze ED use by race, socioeconomic status (SES), urbanicity, availability of pediatricians, immigrant-density factors, and more.
Author(s): Ye Liu, Pradeep Sharma, David J. Becker, et al.
Citation: The American Journal of Managed Care, 29(3)
Date: 03/2023
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Integration of Case-Based Dialogue to Enhance Medical Students' Understanding of Using Health Communication to Address Social Determinants of Health
Examines the impact of case-based social determinants of health (SDOH) curriculum on third year medical student knowledge related to SDOH and willingness to care for patients with various cultural differences and needs. Analyzes pre- and post-test survey answers from 640 medical students about their SDOH perceptions and knowledge, including confidence levels in working with rural and medically underresourced patients.
Author(s): Jalysa King, Jennifer Taylor
Citation: Advances in Medical Education and Practice,14, 237-244
Date: 03/2023
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