Rural Health
Resources by Type: Document
Self-Employed Workers Are Less Likely To Have Health Insurance Than Those Employed by Private Firms, Governments
Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Risk of Closure Among Independent and Multihospital-Affiliated Rural Hospitals
Study examining the risk of rural hospital closure for independent hospitals and hospitals affiliated with other facilities or a health system. Analyzes 2007-2019 data from the American Hospital Association, Irving Levin Associates, and the University of North Carolina Sheps Center representing a national cohort of rural hospitals. Notes financial stability for affiliated and independent hospitals as well as policy interventions to support hospitals at risk of closure.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel Mosher Henke
Citation: JAMA Health Forum, 3(7), e221835
Date: 07/2022
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Study examining the risk of rural hospital closure for independent hospitals and hospitals affiliated with other facilities or a health system. Analyzes 2007-2019 data from the American Hospital Association, Irving Levin Associates, and the University of North Carolina Sheps Center representing a national cohort of rural hospitals. Notes financial stability for affiliated and independent hospitals as well as policy interventions to support hospitals at risk of closure.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel Mosher Henke
Citation: JAMA Health Forum, 3(7), e221835
Date: 07/2022
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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How a Desert Town Is Growing Its Way to Better Health
Highlights the work of a community garden program to address food insecurity in Huachuca City, Arizona, by offering fresh produce to the rural desert community through partnerships with the local library and senior center. Discusses the development of the garden, challenges related to water, and the efforts of the program to encourage healthy lifestyle through community and youth programming.
Author(s): Elizabeth Bellizzi
Date: 07/2022
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Highlights the work of a community garden program to address food insecurity in Huachuca City, Arizona, by offering fresh produce to the rural desert community through partnerships with the local library and senior center. Discusses the development of the garden, challenges related to water, and the efforts of the program to encourage healthy lifestyle through community and youth programming.
Author(s): Elizabeth Bellizzi
Date: 07/2022
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Mobile Health School Screening and Telemedicine Referral to Improve Access to Specialty Care in Rural Alaska: A Cluster-Randomised Controlled Trial
Study examining school-based telemedicine specialty referral for hearing loss in 15 rural Alaskan communities. Compares outcomes for participants who received a telemedicine specialty referral and who received a standard primary care referral, including time to follow-up, prevalence of hearing loss, hearing-related quality of life, and school performance.
Author(s): Susan D. Emmett, Alyssa Platt, Elizabeth L. Turner, et al.
Citation: The Lancet Global Health, 10(7), e1023-e1033
Date: 07/2022
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Study examining school-based telemedicine specialty referral for hearing loss in 15 rural Alaskan communities. Compares outcomes for participants who received a telemedicine specialty referral and who received a standard primary care referral, including time to follow-up, prevalence of hearing loss, hearing-related quality of life, and school performance.
Author(s): Susan D. Emmett, Alyssa Platt, Elizabeth L. Turner, et al.
Citation: The Lancet Global Health, 10(7), e1023-e1033
Date: 07/2022
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Life Expectancy by County, Race, and Ethnicity in the USA, 2000–19: A Systematic Analysis of Health Disparities
Examines county-level racial health disparities over a 20-year period by isolating geography and race/ethnicity in mortality rates. Utilizes death registration data from the U.S. National Vital Statistics System as well as population data from the U.S. National Center for Health Statistics. Includes U.S. maps that show county-level life expectancy by race/ethnicity and figures tracking state-by-state changes in life expectancy by race from 2000 to 2019. Free to download with registration.
Author(s): Laura Dwyer-Lindgren, Parkes Kendrick, Yekaterina O Kelly, et al.
Citation: The Lancet, 400(10345), 25-38
Date: 07/2022
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Examines county-level racial health disparities over a 20-year period by isolating geography and race/ethnicity in mortality rates. Utilizes death registration data from the U.S. National Vital Statistics System as well as population data from the U.S. National Center for Health Statistics. Includes U.S. maps that show county-level life expectancy by race/ethnicity and figures tracking state-by-state changes in life expectancy by race from 2000 to 2019. Free to download with registration.
Author(s): Laura Dwyer-Lindgren, Parkes Kendrick, Yekaterina O Kelly, et al.
Citation: The Lancet, 400(10345), 25-38
Date: 07/2022
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A Hybrid Implementation-Effectiveness Study of a Community Health Worker-Delivered Intervention to Reduce Cardiovascular Disease Risk in a Rural, Underserved Non-Hispanic Black Population: The CHANGE Study
Examines a sample of 255 Black participants on the effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program delivered by Community Health Workers (CHW) to rural adults in North Carolina. Provides information on program content, participant characteristics, implementation variables, and overall program effectiveness on blood pressure, nutritious eating, and physical activity.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: American Journal of Health Promotion, 36(6), 948-958
Date: 07/2022
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Examines a sample of 255 Black participants on the effectiveness of the Carolina Heart Alliance Networking for Greater Equity (CHANGE) Program delivered by Community Health Workers (CHW) to rural adults in North Carolina. Provides information on program content, participant characteristics, implementation variables, and overall program effectiveness on blood pressure, nutritious eating, and physical activity.
Author(s): Carmen D. Samuel-Hodge, Ziya Gizlice, Sallie D. Allgood, et al.
Citation: American Journal of Health Promotion, 36(6), 948-958
Date: 07/2022
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Subjective Cognitive Decline among Rural Adults
Infographic that presents findings from the Behavioral Risk Factor Surveillance System (BRFSS) describing subjective cognitive decline (SCD) in rural adults aged 45 years old or older. Identifies the prevalence of SCD and the impact of SCD on day-to-day and social activities.
Date: 07/2022
Sponsoring organizations: Alzheimer's Association, Centers for Disease Control and Prevention
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Infographic that presents findings from the Behavioral Risk Factor Surveillance System (BRFSS) describing subjective cognitive decline (SCD) in rural adults aged 45 years old or older. Identifies the prevalence of SCD and the impact of SCD on day-to-day and social activities.
Date: 07/2022
Sponsoring organizations: Alzheimer's Association, Centers for Disease Control and Prevention
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Planting TREES in Rural Places: Training and Rural Health Professions Education that is Community Engaged and Sustainable
Outlines a process for academic-community engagement and decision-making for residency education. Details benefits to hospitals and local communities, and contains tools and other resources to promote exploration and consideration of the perspectives of many people and interested parties.
Author(s): Randall Longenecker, David Schmitz
Date: 07/2022
Sponsoring organization: Rural Medical Training Collaborative (formerly the RTT Collaborative)
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Outlines a process for academic-community engagement and decision-making for residency education. Details benefits to hospitals and local communities, and contains tools and other resources to promote exploration and consideration of the perspectives of many people and interested parties.
Author(s): Randall Longenecker, David Schmitz
Date: 07/2022
Sponsoring organization: Rural Medical Training Collaborative (formerly the RTT Collaborative)
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Barriers and Facilitators Associated with Establishment of Emergency Department-Initiated Buprenorphine for Opioid Use Disorder in Rural Maine
Presents a study on the barriers and facilitators for implementing programs that initiate buprenorphine treatment for patients with opioid use disorder (OUD) seeking care in Critical Access Hospital (CAH) emergency departments (EDs) in rural Maine. Highlights findings of a survey of CAH ED directors on the challenges of implementing buprenorphine initiation programs.
Author(s): Noah K. Rosenberg, Alexander B. Hill, Lily Johnsky, et al.
Citation: Journal of Rural Health, 38(3), 612-619
Date: 06/2022
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Presents a study on the barriers and facilitators for implementing programs that initiate buprenorphine treatment for patients with opioid use disorder (OUD) seeking care in Critical Access Hospital (CAH) emergency departments (EDs) in rural Maine. Highlights findings of a survey of CAH ED directors on the challenges of implementing buprenorphine initiation programs.
Author(s): Noah K. Rosenberg, Alexander B. Hill, Lily Johnsky, et al.
Citation: Journal of Rural Health, 38(3), 612-619
Date: 06/2022
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