Rural Health
Resources by Type: Document
Successful Implementation of the Healthy Diné Nation Act in Stores on the Navajo Nation
Highlights a study evaluating the implementation of the Healthy Diné Nation Act (HDNA), which adds a 2% tax on unhealthy foods and a 5% tax waiver for healthy foods in the grocery stores, training posts, and convenience stores across the Navajo Nation. Breaks down a timeline of the implementation process and the results from Navajo Nation stores.
Author(s): Carmen George, Carolyn Bancroft, Shine Salt, et al.
Citation: Preventive Medicine Reports, 24, 101573
Date: 12/2021
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Highlights a study evaluating the implementation of the Healthy Diné Nation Act (HDNA), which adds a 2% tax on unhealthy foods and a 5% tax waiver for healthy foods in the grocery stores, training posts, and convenience stores across the Navajo Nation. Breaks down a timeline of the implementation process and the results from Navajo Nation stores.
Author(s): Carmen George, Carolyn Bancroft, Shine Salt, et al.
Citation: Preventive Medicine Reports, 24, 101573
Date: 12/2021
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Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018
Presents an analysis of historical trends in inequities by race and ethnicity, sex, and rural-urban residence among Medicare beneficiaries enrolled in Medicare Advantage (MA) plans nationwide. Uses patient experience and clinical care measures to examine how inequities in healthcare have changed between 2009 and 2018, how scores for each beneficiary group have changed over time, and which inequities remained in 2018.
Date: 12/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Presents an analysis of historical trends in inequities by race and ethnicity, sex, and rural-urban residence among Medicare beneficiaries enrolled in Medicare Advantage (MA) plans nationwide. Uses patient experience and clinical care measures to examine how inequities in healthcare have changed between 2009 and 2018, how scores for each beneficiary group have changed over time, and which inequities remained in 2018.
Date: 12/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Through the Lens: Youth Experiences with Cancer in Rural Appalachian Kentucky Using Photovoice
Study examining a group of Appalachian Kentucky youth's recognition of cancer disparities in their communities through photography. Analyzes visual themes in participant submissions, including risk factors related to cancer-causing substances, products, or diets, community awareness and support, and healthcare, among other themes.
Author(s): Katie Gaines, Courtney Martin, Chris Prichard, Nathan L. Vanderford
Citation: International Journal of Environmental Research and Public Health, 19(1), 205
Date: 12/2021
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Study examining a group of Appalachian Kentucky youth's recognition of cancer disparities in their communities through photography. Analyzes visual themes in participant submissions, including risk factors related to cancer-causing substances, products, or diets, community awareness and support, and healthcare, among other themes.
Author(s): Katie Gaines, Courtney Martin, Chris Prichard, Nathan L. Vanderford
Citation: International Journal of Environmental Research and Public Health, 19(1), 205
Date: 12/2021
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Opioid Use Disorder: Opportunities to Improve Assessments of State Opioid Response Grant Program
Provides an overview of the Substance Abuse and Mental Health Services Administration (SAMHSA) State Opioid Response (SOR) grant program and examines how SAMHSA assesses the program. Offers recommendations to SAMHSA to identify potential limitations in its analyses and provide a more comprehensive assessment of the program to identify opportunities for improvement. Includes SOR grant funding awards by state for fiscal years 2020 and 2021.
Additional links: Full Report
Date: 12/2021
Sponsoring organization: Government Accountability Office
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Provides an overview of the Substance Abuse and Mental Health Services Administration (SAMHSA) State Opioid Response (SOR) grant program and examines how SAMHSA assesses the program. Offers recommendations to SAMHSA to identify potential limitations in its analyses and provide a more comprehensive assessment of the program to identify opportunities for improvement. Includes SOR grant funding awards by state for fiscal years 2020 and 2021.
Additional links: Full Report
Date: 12/2021
Sponsoring organization: Government Accountability Office
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Farmer and Rural Perceptions of Mental Health
Presents findings of a poll of 2,004 rural adults, addressing impressions of mental health stigma in rural and agricultural communities. Describes barriers to seeking mental health assistance, who rural adults feel comfortable talking to about stress or mental health issues, and the perceived mental health impacts of farm stress on farmers and farm workers. Compares results to polls conducted in 2019 and 2020.
Date: 12/2021
Sponsoring organization: American Farm Bureau Federation
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Presents findings of a poll of 2,004 rural adults, addressing impressions of mental health stigma in rural and agricultural communities. Describes barriers to seeking mental health assistance, who rural adults feel comfortable talking to about stress or mental health issues, and the perceived mental health impacts of farm stress on farmers and farm workers. Compares results to polls conducted in 2019 and 2020.
Date: 12/2021
Sponsoring organization: American Farm Bureau Federation
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Medicare and Beneficiaries Pay More for Preadmission Services at Affiliated Hospitals Than at Wholly Owned Settings
Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Date: 12/2021
Sponsoring organization: Office of Inspector General (HHS)
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Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Date: 12/2021
Sponsoring organization: Office of Inspector General (HHS)
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Reimagining Hunger Responses in Times of Crisis: Insights from Case Examples and a Survey of Native Communities' Food Access During COVID-19
Report examining food insecurity among American Indian and Alaska Native communities during the COVID-19 pandemic based on 504 food access survey responses. Discusses food insecurity rates in relation to respondent characteristics, resiliency of Native producers and food economies, and policy recommendations to address food access issues.
Author(s): Toni Stanger-McLaughlin, Sandy Martini, Geri Henchy, et al.
Date: 12/2021
Sponsoring organizations: Food Research & Action Center, Indigenous Food and Agriculture Initiative, Native American Agriculture Fund
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Report examining food insecurity among American Indian and Alaska Native communities during the COVID-19 pandemic based on 504 food access survey responses. Discusses food insecurity rates in relation to respondent characteristics, resiliency of Native producers and food economies, and policy recommendations to address food access issues.
Author(s): Toni Stanger-McLaughlin, Sandy Martini, Geri Henchy, et al.
Date: 12/2021
Sponsoring organizations: Food Research & Action Center, Indigenous Food and Agriculture Initiative, Native American Agriculture Fund
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Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices
Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
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Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
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2021 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability.
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability.
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Variation in Use of Anti-SARS-CoV-2 Monoclonal Antibody Therapies by Social Vulnerability and Urbanicity
Examines the variation in the use of the first two monoclonal antibody therapies for COVID-19 from November 2020 through March 2021. Presents data on the demographic characteristics of monoclonal antibody recipients and social vulnerability indices. Includes a discussion of the use of this therapy by urbanicity and density of primary care physicians.
Author(s): Allison Kolbe
Date: 12/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the variation in the use of the first two monoclonal antibody therapies for COVID-19 from November 2020 through March 2021. Presents data on the demographic characteristics of monoclonal antibody recipients and social vulnerability indices. Includes a discussion of the use of this therapy by urbanicity and density of primary care physicians.
Author(s): Allison Kolbe
Date: 12/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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