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Rural Health
Resources by Type: Document

Changes in Physical Inactivity Among US Adults Overall and by Sociodemographic Characteristics, Behavioral Risk Factor Surveillance System, 2020 Versus 2018
Analyzes changes in physical activity in U.S. adults during the COVID-19 pandemic by comparing 2020 Behavioral Risk Factor Surveillance System (BRFSS) data to 2018 and 2016 data. Focuses on prevalence of physical inactivity according to age, sex, race/ethnicity, education, income, and rural versus urban geographic location.
Author(s): Miriam E. Van Dyke, Tiffany J. Chen, Jasmine Y. Nakayama, Latetia V. Moore, Geoffrey P. Whitfield
Citation: Preventing Chronic Disease, 20
Date: 07/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Medicaid and CHIP Enrollees in 2020
Presents data on Medicaid and Children's Health Insurance Program (CHIP) enrollees who resided in rural areas in 2020. Compares the percentage of rural and urban enrollment by state, race and ethnicity, disability-related eligibility, Medicaid managed care participation, and benefit package.
Date: 07/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural-Urban Differences in Health Care Unaffordability
Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
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Epidemiology and Outcomes of Choledocholithiasis and Cholangitis in the United States: Trends and Urban-Rural Variations
Analyzes hospitalization, management, and outcomes for U.S. patients who have complications resulting from gallstone disease. Utilizes the National Inpatient Sample between 2005 and 2014 to examine 189,362 patient admissions, procedural interventions, and deaths related to choledocholithiasis and cholangitis in rural versus urban hospitals. Includes data breakdowns according to patient sociodemographic variables.
Author(s): Suqing Li, Leonardo Guizzetti, Christopher Ma, et al.
Citation: BMC Gastroenterology, 23, 254
Date: 07/2023
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Emergency Medical Services Outcome Measurement Strategies for State Flex Programs
Presents a framework regarding emergency medical services (EMS) outcome measurement for State Flex Programs (SFPs). Outlines a series of sequential steps, including identifying the needs to be addressed, educational programming, developing shared learning collaboratives/cohorts to support performance improvement, and implementing interventions. Offers practical examples of EMS performance improvement activities with short, intermediate, and long-term outcomes.
Author(s): John Gale, Karen Pearson, Celia Jewell, Sara Kahn-Troster, Kenneth Rosati
Date: 07/2023
Sponsoring organization: Flex Monitoring Team
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Population Health Outcome Measurement Strategies for State Flex Programs
Presents a framework for population health outcome measurement strategies for State Flex Programs (SFPs). Outlines a series of sequential steps, including identifying the needs to be addressed, educational programming, developing shared learning collaboratives/cohorts to support performance improvement, and implementing interventions. Offers practical examples of population health improvement performance improvement activities with short, intermediate, and long-term outcomes to document program impact over time.
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster
Date: 07/2023
Sponsoring organization: Flex Monitoring Team
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Availability of Cancer Care Services and the Organization of Care Delivery at Critical Access Hospitals
Examines the availability and organization of cancer care services at Critical Access Hospitals (CAHs). Summarizes results of a survey of nursing and patient care leaders at 135 CAHs. Describes cancer treatment, diagnostic, and screening services provided at CAHs and the staff used to deliver patient care. Identifies four levels of CAH cancer care services.
Author(s): Ira Moscovice, Helen Parsons, Nathan Bean, et al.
Citation: Cancer Medicine, 2023
Date: 07/2023
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Rural Health Policy Landscape: Implications for Addressing Behavioral Health
Presentation slides from a July 22, 2023, presentation at the 48th Annual Rural Social Work Conference. Provides an overview of the federal, state, and commercial insurance policy landscapes regarding healthcare value and payment. Offers policy recommendations related to rural behavioral health.
Author(s): Keith J. Mueller
Date: 07/2023
Sponsoring organization: Rural Policy Research Institute
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Homicides Among Infants in the United States, 2017–2020
Report details the rate of infant homicides from 2017-2020. Highlights the factors that correlate with infant homicide such as the age of mother, access to prenatal care, level of education, and rurality, among other factors.
Author(s): Isabelle Horon, Anne K. Driscoll
Citation: National Vital Statistics Reports, 72(9)
Date: 07/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Changes in Telehealth Experienced by Advanced Practice RNs During COVID-19
Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
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