Rural Health
Resources by Type: Document
COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread
Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data
Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rates of Limited English Proficiency in Counties with Critical Access Hospitals
Describes the rates of residents with limited English proficiency (LEP) in counties with at least one Critical Access Hospital. Summarizes research on the relationship between the availability of language interpreting services and better healthcare outcomes.
Author(s): Robert Barclay, Nathan Bean, Madeleine Pick, Megan Lahr
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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Describes the rates of residents with limited English proficiency (LEP) in counties with at least one Critical Access Hospital. Summarizes research on the relationship between the availability of language interpreting services and better healthcare outcomes.
Author(s): Robert Barclay, Nathan Bean, Madeleine Pick, Megan Lahr
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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Impact of Healthcare Capacity Disparities on the COVID-19 Vaccination Coverage in the United States: A Cross-Sectional Study
Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
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Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
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Addressing Health Inequities in Rural California: An Interview with Roque Barros, Jr.
An interview with Roque Barros, Jr., executive director of the Imperial Valley Wellness Foundation (IVWF). Describes IVWF's work around civic engagement and community building, shares examples of successful rural philanthropy approaches, and discusses how philanthropy can help support rural communities facing health inequities.
Author(s): Joelle Cook, Roque Barros, Jr.
Date: 12/2022
Sponsoring organization: FSG
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An interview with Roque Barros, Jr., executive director of the Imperial Valley Wellness Foundation (IVWF). Describes IVWF's work around civic engagement and community building, shares examples of successful rural philanthropy approaches, and discusses how philanthropy can help support rural communities facing health inequities.
Author(s): Joelle Cook, Roque Barros, Jr.
Date: 12/2022
Sponsoring organization: FSG
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20 Years of RHIhub: A Message from the Director
Rural Health Information Hub program director Kristine Sande reflects on the mission, history, and future of RHIhub on its 20th anniversary. Describes how the program and its website have grown over time and highlights the partnerships and collaboration that have made this growth possible.
Author(s): Kristine Sande
Citation: Rural Monitor
Date: 12/2022
Sponsoring organization: Rural Health Information Hub
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Rural Health Information Hub program director Kristine Sande reflects on the mission, history, and future of RHIhub on its 20th anniversary. Describes how the program and its website have grown over time and highlights the partnerships and collaboration that have made this growth possible.
Author(s): Kristine Sande
Citation: Rural Monitor
Date: 12/2022
Sponsoring organization: Rural Health Information Hub
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Mental Health Disorders Among Delivery Inpatient Stays by Patient Race and Ethnicity, 2020
Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on the number and rate of delivery stays with a mental health disorder diagnosis by patient race and ethnicity for Asian/Pacific Islander, Black, White, and Hispanic populations. Includes data by location of patient residence for large metropolitan, small metro, and nonmetro areas.
Author(s): Audrey J. Weiss, Michael A. Head, Lawrence D. Reid
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Developing a Co-Production Strategy to Facilitate the Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions for Rural Health Systems: A Pilot Study
Reports on the process of introducing a co-production/bundle strategy of evidence-based colorectal cancer screening (CRCS) interventions in 2 rural clinics to allow the clinics to evaluate and select the CRCS interventions best suited for their clinics. Explains the study design, evaluation plan, measures, and results of the bundled implementation strategy to improve CRCS in rural areas.
Author(s): Jungyoon Kim, Paul Estabrooks, Alisha Aggarwal, Analisa McMillan, Khalid Alshehri
Citation: Implementation Science Communications, 3, 131
Date: 12/2022
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Reports on the process of introducing a co-production/bundle strategy of evidence-based colorectal cancer screening (CRCS) interventions in 2 rural clinics to allow the clinics to evaluate and select the CRCS interventions best suited for their clinics. Explains the study design, evaluation plan, measures, and results of the bundled implementation strategy to improve CRCS in rural areas.
Author(s): Jungyoon Kim, Paul Estabrooks, Alisha Aggarwal, Analisa McMillan, Khalid Alshehri
Citation: Implementation Science Communications, 3, 131
Date: 12/2022
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State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce
Discusses primary care physician and nursing workforce challenges, including the shortage of these providers in rural and underserved areas. Describes policies and strategies implemented by states to address these challenges. Offers resources for states, health systems, and academic institutions exploring innovative strategies to address healthcare workforce challenges.
Author(s): Elaine Chhean, Anita Cardwell, Lauren Block, Sarah Tocher
Date: 12/2022
Sponsoring organization: National Academy for State Health Policy
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Discusses primary care physician and nursing workforce challenges, including the shortage of these providers in rural and underserved areas. Describes policies and strategies implemented by states to address these challenges. Offers resources for states, health systems, and academic institutions exploring innovative strategies to address healthcare workforce challenges.
Author(s): Elaine Chhean, Anita Cardwell, Lauren Block, Sarah Tocher
Date: 12/2022
Sponsoring organization: National Academy for State Health Policy
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Doula Care and Maternal Health: An Evidence Review
Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the role of doula care in maternal health as well as impacts, challenges, access, disparities, reimbursement, and policy efforts related to maternity/doula care. Includes a county-level U.S. map of maternity care deserts and discussion of rural-specific maternity programs.
Author(s): Kathleen Knocke, Andre Chappel, Sarah Sugar, Nancy De Lew, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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