Rural Health
Resources by Type: Document
Addressing Unequal Access to Energy in Indiana
Examines disparities in energy needs in Indiana, defined by the minimum level of energy a household requires for basic needs like heating the home and cooking meals. Includes county-level map of energy burden in Indiana and discusses energy needs in rural areas.
Author(s): Kristi Schultz, Ted Deitz, Cheyenne Morris, Marissa Eckert
Date: 12/2022
Sponsoring organization: Indiana University Public Policy Institute
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Examines disparities in energy needs in Indiana, defined by the minimum level of energy a household requires for basic needs like heating the home and cooking meals. Includes county-level map of energy burden in Indiana and discusses energy needs in rural areas.
Author(s): Kristi Schultz, Ted Deitz, Cheyenne Morris, Marissa Eckert
Date: 12/2022
Sponsoring organization: Indiana University Public Policy Institute
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Early Effects of COVID-19 on Physical Activity and Screen Time Use among Elementary School Students in Columbus, New Mexico
Presents the results of an online survey among parents of students attending Columbus Elementary School in Columbus, New Mexico, a rural Hispanic colonia on the US-Mexico border, to identify and measure changes in their children's physical activity and screen time use during the initial stages of COVID-19. Discusses the significance of home and community and other considerations supporting physical activity for children in the event of a future public health threat.
Author(s): Juan C. Padilla, Jill A. McDonald, Christopher Sroka, Cynthia Kratzke, Jagdish Khubchandani
Citation: Dialogues Health, 2022,1
Date: 12/2022
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Presents the results of an online survey among parents of students attending Columbus Elementary School in Columbus, New Mexico, a rural Hispanic colonia on the US-Mexico border, to identify and measure changes in their children's physical activity and screen time use during the initial stages of COVID-19. Discusses the significance of home and community and other considerations supporting physical activity for children in the event of a future public health threat.
Author(s): Juan C. Padilla, Jill A. McDonald, Christopher Sroka, Cynthia Kratzke, Jagdish Khubchandani
Citation: Dialogues Health, 2022,1
Date: 12/2022
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Staffing Crisis Casts Shadow Over Vulnerable Rural Communities: Executive Summary
Summarizes key findings from a series of surveys of rural hospital leaders conducted in 2021 and 2022 regarding staffing shortages. Discusses COVID-19 vaccination and exemptions, nursing shortages and the impact on access to care, and the effectiveness of recruiting incentives on attracting staff.
Author(s): Michael Topchik, Troy Brown, Melanie Pinette, Billy Balfour, Ana Wiesse
Date: 12/2022
Sponsoring organization: The Chartis Group
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Summarizes key findings from a series of surveys of rural hospital leaders conducted in 2021 and 2022 regarding staffing shortages. Discusses COVID-19 vaccination and exemptions, nursing shortages and the impact on access to care, and the effectiveness of recruiting incentives on attracting staff.
Author(s): Michael Topchik, Troy Brown, Melanie Pinette, Billy Balfour, Ana Wiesse
Date: 12/2022
Sponsoring organization: The Chartis Group
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Sponsoring organization: Joint Legislative Audit and Review Commission
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Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Sponsoring organization: Joint Legislative Audit and Review Commission
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Disparities in Patient Portal Access by U.S. Adults Before and During the COVID-19 Pandemic
Reports on a population-based survey to determine if socio-demographic disparities exist in accessing online patient portals. Using data from the 2020 U.S. Health Information National Trends Survey, insured adults who had a medical visit in the previous 12 months were asked about their knowledge, access, and use of online medical records. Demographic characteristics of patients who were offered access, and for patients who accessed online portals are compared. Reasons for not using an online portal are discussed. Compares online patient portal use by different patient characteristics, including education, race/ethnicity, sex, age, location (metro vs nonmetro/rural), insurance type, use of internet, and quality of care.
Author(s): Akira Nishii, Celeste Campos-Castillo, Denise Anthony
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Reports on a population-based survey to determine if socio-demographic disparities exist in accessing online patient portals. Using data from the 2020 U.S. Health Information National Trends Survey, insured adults who had a medical visit in the previous 12 months were asked about their knowledge, access, and use of online medical records. Demographic characteristics of patients who were offered access, and for patients who accessed online portals are compared. Reasons for not using an online portal are discussed. Compares online patient portal use by different patient characteristics, including education, race/ethnicity, sex, age, location (metro vs nonmetro/rural), insurance type, use of internet, and quality of care.
Author(s): Akira Nishii, Celeste Campos-Castillo, Denise Anthony
Citation: JAMIA Open, 5(4)
Date: 12/2022
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Evaluation of the Rural Community Hospital Demonstration: Interim Report Two (Covering 2016-2018)
Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants as of fiscal year 2018, the Medicare payments received under the program, and the impact of the RCHD on hospital financial measures. Examines whether hospitals that continued to participate in the RCHD under the 21st Century Cures Act (CCA) extension experienced additional changes to their financial condition, as well as the impact of the program on hospitals that joined the demonstration for the first time under the CCA extension.
Additional links: Findings at a Glance
Date: 12/2022
Sponsoring organizations: American Institutes for Research, Centers for Medicare and Medicaid Services
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Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants as of fiscal year 2018, the Medicare payments received under the program, and the impact of the RCHD on hospital financial measures. Examines whether hospitals that continued to participate in the RCHD under the 21st Century Cures Act (CCA) extension experienced additional changes to their financial condition, as well as the impact of the program on hospitals that joined the demonstration for the first time under the CCA extension.
Additional links: Findings at a Glance
Date: 12/2022
Sponsoring organizations: American Institutes for Research, Centers for Medicare and Medicaid Services
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The Economic Contributions of North Carolina's Health Systems and Hospitals
Presents information for 137 hospital facilities in North Carolina, including number of jobs, wage income, total value added, taxes that result from health system and hospital operations, and community benefits such as reduced cost care. Features statistics including numbers of hospitals and beds, with breakdowns by rural, suburban, and urban areas.
Additional links: Two-Page Summary
Author(s): Sara Nienow, Rizwaan Lakhani, Michael Hogan, Chrystall Davis, Jared Woollacott,
Date: 12/2022
Sponsoring organization: North Carolina Healthcare Association
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Presents information for 137 hospital facilities in North Carolina, including number of jobs, wage income, total value added, taxes that result from health system and hospital operations, and community benefits such as reduced cost care. Features statistics including numbers of hospitals and beds, with breakdowns by rural, suburban, and urban areas.
Additional links: Two-Page Summary
Author(s): Sara Nienow, Rizwaan Lakhani, Michael Hogan, Chrystall Davis, Jared Woollacott,
Date: 12/2022
Sponsoring organization: North Carolina Healthcare Association
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Office of Rural Health and Primary Care Spotlight: Telehealth in Minnesota
Examines changes in telehealth use before COVID-19 compared to 2021 through 2022 in Minnesota. Provides data on telehealth use by profession, healthcare setting, frequency, and urban, micropolitan, small town, or rural/isolated location.
Date: 12/2022
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Examines changes in telehealth use before COVID-19 compared to 2021 through 2022 in Minnesota. Provides data on telehealth use by profession, healthcare setting, frequency, and urban, micropolitan, small town, or rural/isolated location.
Date: 12/2022
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Addressing Food Access In Arkansas: A Report & Recommendations From The 2022 Arkansas Governor's Food Desert Working Group
Reports on actionable steps at the community and policy level to eliminate food deserts in Arkansas. Provides county-level data on food insecurity and benefits programs such as the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutritional Program for Women, Infants, and Children (WIC), as well as working models to alleviate food insecurity in both urban and rural areas.
Date: 12/2022
Sponsoring organization: Winthrop Rockefeller Institute
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Reports on actionable steps at the community and policy level to eliminate food deserts in Arkansas. Provides county-level data on food insecurity and benefits programs such as the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutritional Program for Women, Infants, and Children (WIC), as well as working models to alleviate food insecurity in both urban and rural areas.
Date: 12/2022
Sponsoring organization: Winthrop Rockefeller Institute
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Public Law 117–328: Consolidated Appropriations Act, 2023
Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Sponsoring organization: U.S. Congress
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Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Sponsoring organization: U.S. Congress
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