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Rural Health
Resources by Type: Document

Overview of Major Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2019
Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Oral Health in America: Advances and Challenges
Report explores the relationship oral health has to overall health and wellness. Discusses the societal factors that affect oral health and oral healthcare access. Features a discussion on rural oral health disparities and access to care in rural areas.
Additional links: Errata Notice, Executive Summary
Date: 12/2021
Sponsoring organizations: National Institute of Dental and Craniofacial Research, National Institutes of Health
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Public Health Forward: Modernizing the U.S. Public Health System
Provides a framework for policymakers and public health officials to guide investments and decision-making to implement a public health system to address challenges beyond the COVID-19 pandemic with a focus on equity. Covers six core areas: financing, laws and governance, community engagement, partnerships, workforce, and data and information technology. Highlights challenges and considerations for rural communities and Tribal nations throughout.
Date: 12/2021
Sponsoring organization: Bipartisan Policy Center
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Feasibility of Promoting Physical Activity Using mHealth Technology in Rural Women: The Step-2-It Study
Describes a pilot study that examined the potential of text-messaging and utilization of a pedometer to promote walking among rural women age 40 and over in Illinois. Discusses efforts to increase physical activity through rural-specific interventions and assesses the pilot program's feasibility by analyzing participant data.
Author(s): Manorama M. Khare, Kristine Zimmermann, Rebecca Lyons, Cara Locklin, Ben S. Gerber
Citation: BMC Women's Health, 21, 415
Date: 12/2021
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Report of Health Care Provider Recommendation for COVID-19 Vaccination Among Adults, by Recipient COVID-19 Vaccination Status and Attitudes — United States, April–September 2021
Examines provider recommendations for COVID-19 vaccination and the impact of those recommendations on COVID-19 vaccination coverage and attitudes. Includes data for urban (MSA principal city), suburban (MSA nonprincipal city), and rural (non-MSA) areas.
Author(s): Kimberly H. Nguyen, David Yankey, Peng-jun Lu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(50), 1723-1730
Date: 12/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Most Frequent Reasons for Emergency Department Visits, 2018
Report examining emergency department visits based on 2018 Nationwide Emergency Department Sample (NEDS) data. Breaks down visits by diagnosis, and offers rates of ED visits resulting in hospital admission and treat-and-release ED visits by rural, medium and small metro, and large metro residence, sex, age, and region.
Author(s): Audrey J. Weiss, H. Joanna Jiang
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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COVID-19: Selected States Modified Meal Provision and Other Older Americans Act Services to Prioritize Safety
Examines how four states utilized COVID-19 funding and regulatory flexibilities to address challenges to serving older adults during the COVID-19 pandemic. Identifies strategies states and localities used to meet nutrition and other needs of older adults. Includes perspectives from rural localities and service providers.
Additional links: Full Report
Date: 12/2021
Sponsoring organization: Government Accountability Office
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December 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report on changes to the low-volume hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021
Sponsoring organization: Medicare Payment Advisory Commission
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For-profit Hospitals as Anchor Institutions in the United States: A Study of Organizational Stability
Examines whether for-profit hospitals are stable enough to fulfill the role of long-standing anchor institutions through a long-term presence in communities. Analyzes if for-profit hospitals had higher odds of closing and merging, and discusses the potential economic contributions of for-profit anchor institution hospitals to the surrounding community. Includes statistics by hospital characteristics, including rural location, and a discussion of rural hospital closures.
Author(s): Berkeley Franz, Cory E. Cronin, Vanessa Rodriguez, et al.
Citation: BMC Health Services Research, 21
Date: 12/2021
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Health Care Experiences During the COVID-19 Pandemic by Race and Social Determinants of Health among Adults Age ≥ 58 years in the REGARDS Study
Presents results of a survey of Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study participants about their experiences with SARS-CoV-2 testing and access to care. Presents data on COVID-19 testing, symptoms of COVID-19 without a diagnosis, and changes to access to care by participant characteristics, including rural and urban residence.
Author(s): Emily B. Levitan, Virginia J. Howard, Mary Cushman, et al.
Citation: BMC Public Health, 21
Date: 12/2021
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