Rural Health
Resources by Type: Document
Policy, Systems, and Environmental Strategies Generated by Stakeholders to Support Food Security in Rural Communities
Examines policy, systems, and environmental (PSE) strategies in rural communities of Arizona, Georgia, Kentucky, Michigan, and Texas that address food insecurity. Provides recommendations based on interview data such as improving ease of program enrollment, providing more awareness of services, and making program use more hassle-free.
Additional links: Arizona Brief, Full Report, Georgia Brief, Kentucky Brief, Michigan Brief, Texas Brief
Author(s): Carmen Byker Shanks, Shelly Palmer, Emily Shaw, et al.
Date: 12/2023
Sponsoring organization: No Kid Hungry
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Examines policy, systems, and environmental (PSE) strategies in rural communities of Arizona, Georgia, Kentucky, Michigan, and Texas that address food insecurity. Provides recommendations based on interview data such as improving ease of program enrollment, providing more awareness of services, and making program use more hassle-free.
Additional links: Arizona Brief, Full Report, Georgia Brief, Kentucky Brief, Michigan Brief, Texas Brief
Author(s): Carmen Byker Shanks, Shelly Palmer, Emily Shaw, et al.
Date: 12/2023
Sponsoring organization: No Kid Hungry
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Retention in Telehealth Treatment for Opioid Use Disorder among Rural Populations: A Retrospective Cohort Study
Highlights a study on the efficacy of telehealth-based treatment of opioid use disorder (OUD) for rural populations. Draws patient data from 2020-2022 across 14 states and breaks down data by patient characteristics, such as insurance status, education, and rurality, among other measures. Explores retention in care and adherence over a 6-month treatment period.
Author(s): Marlene C. Lira, Cynthia Jimes, M. Justin Coffey
Citation: Telemedicine and e-Health, 29(12), 1890-1896
Date: 12/2023
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Highlights a study on the efficacy of telehealth-based treatment of opioid use disorder (OUD) for rural populations. Draws patient data from 2020-2022 across 14 states and breaks down data by patient characteristics, such as insurance status, education, and rurality, among other measures. Explores retention in care and adherence over a 6-month treatment period.
Author(s): Marlene C. Lira, Cynthia Jimes, M. Justin Coffey
Citation: Telemedicine and e-Health, 29(12), 1890-1896
Date: 12/2023
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Emergency Department Care for Children During the 2022 Viral Respiratory Illness Surge
Analyzed over 2.7 million pediatric viral and respiratory emergency department visits in Michigan in 2021 and 2022 to describe wait times, length of stay, and revisits in both surge and non-surge periods. Includes rural and urban comparisons.
Author(s): Alexander T. Janke, Courtney W. Mangus, Christopher M. Fung, et al.
Citation: JAMA Network Open, 6(12)
Date: 12/2023
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Analyzed over 2.7 million pediatric viral and respiratory emergency department visits in Michigan in 2021 and 2022 to describe wait times, length of stay, and revisits in both surge and non-surge periods. Includes rural and urban comparisons.
Author(s): Alexander T. Janke, Courtney W. Mangus, Christopher M. Fung, et al.
Citation: JAMA Network Open, 6(12)
Date: 12/2023
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The MN RIDE Pilot: Feasibility of a Synchronous, Remotely Delivered, Aerobic Exercise Training Program for Rural-Dwelling Adults with Subjective Cognitive Decline
Evaluates the feasibility of implementing an aerobic exercise (AEx) telerehabilitation program in rural Minnesota for middle-aged and older adults with subjective cognitive decline (SCD). Assesses participant attendance, intensity adherence, adverse events, and satisfaction with the program. Discusses the potential of utilizing telerehabilitation programs for rural patients with Alzheimer's disease and related dementias (ADRD).
Author(s): Dereck L. Salisbury, Wayne Warry, Joshua Fergen, et al.
Citation: Rural and Remote Health, 23(4), 8351
Date: 12/2023
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Evaluates the feasibility of implementing an aerobic exercise (AEx) telerehabilitation program in rural Minnesota for middle-aged and older adults with subjective cognitive decline (SCD). Assesses participant attendance, intensity adherence, adverse events, and satisfaction with the program. Discusses the potential of utilizing telerehabilitation programs for rural patients with Alzheimer's disease and related dementias (ADRD).
Author(s): Dereck L. Salisbury, Wayne Warry, Joshua Fergen, et al.
Citation: Rural and Remote Health, 23(4), 8351
Date: 12/2023
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Addressing COVID-19 Vaccine Hesitancy in Rural Community Pharmacies: A Protocol for a Stepped Wedge Randomized Clinical Trial
Evaluates implementation strategies of rural-located pharmacies looking to address COVID-19 vaccine hesitancy in their communities. Describes how the study will examine intervention fidelity, effectiveness, feasibility, acceptability, adoption, reach, and cost.
Author(s): Geoffrey Curran, Cynthia Mosley, Abigail Gamble, et al.
Citation: Implementation Science, 18, 72
Date: 12/2023
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Evaluates implementation strategies of rural-located pharmacies looking to address COVID-19 vaccine hesitancy in their communities. Describes how the study will examine intervention fidelity, effectiveness, feasibility, acceptability, adoption, reach, and cost.
Author(s): Geoffrey Curran, Cynthia Mosley, Abigail Gamble, et al.
Citation: Implementation Science, 18, 72
Date: 12/2023
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Final Annual Report
Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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The Association Between Tribal Transit And Food Insecurity Status among Native Americans in North Dakota
Examines the relationship between food insecurity in rural tribal areas and transportation access. Analyzes 2022 survey data from Native American respondents in North Dakota and reports on respondent demographics, traditional indigenous food pathways, factors leading to food insecurity, disability and health status, availability of transportation, and more. Provides information on Native American reservations and populations as well as strategies to reduce food insecurity.
Author(s): J. Hough, J. Mattson, H. Al Qublan, B. Rahman
Date: 12/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Examines the relationship between food insecurity in rural tribal areas and transportation access. Analyzes 2022 survey data from Native American respondents in North Dakota and reports on respondent demographics, traditional indigenous food pathways, factors leading to food insecurity, disability and health status, availability of transportation, and more. Provides information on Native American reservations and populations as well as strategies to reduce food insecurity.
Author(s): J. Hough, J. Mattson, H. Al Qublan, B. Rahman
Date: 12/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Mortality in Adults Age 65 and Older: United States, 2000–2019
Examines mortality trends in adults aged 65 or older from 2000-2019. Provides data breakdowns by various demographics, urban versus rural status, and top 10 leading causes of death.
Author(s): Ellen A. Kramarow, Betzaida Tejada-Vera
Citation: National Vital Statistics Reports, 72(14)
Date: 12/2023
Sponsoring organization: National Center for Health Statistics
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Examines mortality trends in adults aged 65 or older from 2000-2019. Provides data breakdowns by various demographics, urban versus rural status, and top 10 leading causes of death.
Author(s): Ellen A. Kramarow, Betzaida Tejada-Vera
Citation: National Vital Statistics Reports, 72(14)
Date: 12/2023
Sponsoring organization: National Center for Health Statistics
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VA Health Care: Actions Needed to Improve Information Reported on Mobile Medical Units
Describes how the Department of Veterans Affairs (VA) utilizes mobile medical units to provide primary and specialty medical care to veterans in communities with veteran populations too small to support local facilities and in areas with limited access to specialty care, including rural areas. Examines VA's annual reports to Congress between 2018 and 2023 about mobile medical units' operations and performance. Offers recommendations to the VA to improve the reliability of the data and contextual information reported to Congress on mobile medical units.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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Describes how the Department of Veterans Affairs (VA) utilizes mobile medical units to provide primary and specialty medical care to veterans in communities with veteran populations too small to support local facilities and in areas with limited access to specialty care, including rural areas. Examines VA's annual reports to Congress between 2018 and 2023 about mobile medical units' operations and performance. Offers recommendations to the VA to improve the reliability of the data and contextual information reported to Congress on mobile medical units.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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Suicide Rates by Industry and Occupation — National Vital Statistics System, United States, 2021
Examines suicide rates for major and detailed industry and occupational groups. Includes information on suicide rates for occupations in industries that are largely rural, including mining, agriculture, fishing, and hunting.
Additional links: Supplementary Table 1: Major and Detailed Industry Groups, Supplementary Table 2: Major and Detailed Occupational Groups
Author(s): Aaron Sussell, Cora Peterson, Jia Li, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(50), 1346-1350
Date: 12/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Examines suicide rates for major and detailed industry and occupational groups. Includes information on suicide rates for occupations in industries that are largely rural, including mining, agriculture, fishing, and hunting.
Additional links: Supplementary Table 1: Major and Detailed Industry Groups, Supplementary Table 2: Major and Detailed Occupational Groups
Author(s): Aaron Sussell, Cora Peterson, Jia Li, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(50), 1346-1350
Date: 12/2023
Sponsoring organization: Centers for Disease Control and Prevention
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