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Rural Health Information Hub

Rural Health
Resources by Type: Document

Adolescent Birth Rates and Rural–Urban Differences by Levels of Deprivation and Health Professional Shortage Areas in the United States, 2017–2018
Provides rural versus urban data on birth rates in females aged 15 to 19 years by county area deprivation index (ADI), Health Professional Shortage Area (HPSA), race/ethnicity, and healthcare resources. Utilizes 2017-2018 data from the National Center for Health Statistics, American Community Survey 5-year population estimates, and the Area Health Resources Files.
Author(s): Sylvester O. Orimaye, Nathan Hale, Edward Leinaar, Michael G. Smith, Amal Khoury
Citation: American Journal of Public Health, 111(1), 136-144
Date: 01/2021
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A Just Recovery for Rural Equity in Wisconsin
Provides information for advancing health equity, with respect to the impact of COVID-19, for rural populations in Wisconsin. Discusses topics fundamental to supporting rural health equity, including: healthcare access, broadband and infrastructure, food and agriculture, job security, and availability of social services. Identifies proven policies and practices that can be implemented at the local and state level.
Date: 01/2021
Sponsoring organization: University of Wisconsin Population Health Institute
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Accountable Care Hospitals and Preventable Emergency Department Visits for Rural Dementia Patients
Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen
Citation: Journal of the American Geriatrics Society, 69(1), 185-190
Date: 01/2021
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Rural Availability of Sexual Assault Nurse Examiners (SANEs)
Study examining the availability of sexual assault nurse examiners (SANEs) in rural areas based on county-level and hospital-level data from Pennsylvania. Describes challenges for SANE availability, including inconsistent coverage and barriers to certification, noting the potential risk of lower quality sexual assault care for rural victims.
Author(s): Elizabeth Thiede, Sheridan Miyamoto
Citation: The Journal of Rural Health, 37(1), 81-91
Date: 01/2021
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Paving the Way to Equity: A Progress Report (2015-2021)
Provides an overview of the 2015 Centers for Medicare & Medicaid Services (CMS) Equity Plan for Improving Quality in Medicare and its Path to Equity, an organizing framework to achieve health equity. Discusses ways CMS has demonstrated progress in increasing understanding and awareness of disparities, developing and disseminating solutions to health equity, and implementing sustainable actions to achieve health equity. Considers emerging opportunities to build on this progress toward health equity. Includes information on rural disparities throughout.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Effect of Behavioral Therapy With In-Clinic or Telephone Group Visits vs In-Clinic Individual Visits on Weight Loss Among Patients With Obesity in Rural Clinical Practice
Examines the difference in weight loss improvements between in-clinic group or telephone visits and in-clinic individual visits. Utilizes data from 1,407 participants visiting 36 primary care practices in the rural Midwestern U.S. and includes descriptive statistics broken down by age, sex, rurality, weight and body mass index, race and ethnicity, and education, among others.
Author(s): Christie A. Befort, Jeffrey J. VanWormer, Cyrus Desouza
Citation: JAMA, 325(4), 363-372
Date: 01/2021
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Community Social Determinants and Health Outcomes Drive Availability of Patient-Centered Medical Homes
Examines the geographic distribution of patient-centered medical homes and whether they appear in communities with greater disease burdens and social vulnerability. Analyzes spatial clusters of mental and physical health surveys, health behaviors, and premature mortality and compares these metrics with medical home saturation and sociodemographic characteristics, including rurality.
Author(s): Nathaniel Bell, Rebecca Wilkerson, Kathy Mayfield-Smith, Ana Lopez-De Fede
Citation: Health & Place, 67, 102439
Date: 01/2021
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Understanding Challenges to Well-Being among Latina FarmWorkers in Rural Idaho Using in an Interdisciplinary, Mixed-Methods Approach
Identifies social, cultural, and workplace-related risk factors impacting well-being in the public and private spheres of 70 female farmworkers in southwestern Idaho. Focuses on 6 themes specific to rural geography and farmworker populations, including long working hours, pesticide exposure, lack of enforcement of regulatory protections, food security, childcare responsibilities, and social isolation.
Author(s): Cynthia L. Curl, Lisa Meierotto, Rebecca L. Som Castellano
Citation: International Journal of Environmental Research and Public Health, 18(1), 169
Date: 01/2021
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The Essential Role of Family Physicians in Providing Cesarean Sections in Rural Communities
Policy brief describing percentages of family physicians (FPs) providing obstetric services and cesarean deliveries as the primary surgeon, using data from the 2017 and 2018 American Board of Family Medicine's Family Medicine Certification Examination registration questionnaire for FPs seeking to continue their certification. Features statistics with breakdowns by urban, micropolitan, large rural, and small rural locations.
Author(s): Sebastian T. Tong, Aimee R. Eden, Zachary J. Morgan, Andrew W. Bazemore, Lars E. Peterson
Citation: Journal of the American Board of Family Medicine, 34(1), 10-11
Date: 01/2021
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January 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2021 meeting. Covers the review of draft chapters and recommendations regarding postpartum coverage, estate recovery, automatic countercyclical financing adjustment, design considerations for creating a new unified program for dually eligible beneficiaries, and housing supports for individuals with substance use disorder, among other things. Also details a MACPAC study on non-emergency medical transportation (NEMT), which includes a discussion of NEMT in rural areas.
Date: 01/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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