Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe Date: 09/2022 Type: Document Sponsoring organization: Consumer Financial Protection Bureau view details
Access to Oral Health Workforce Report: Part I
Examines ways in which the COVID-19 pandemic resulted in enhanced attrition of the Pennsylvania oral health workforce. Features statistics on Pennsylvania dentists, dental assistants, and dental hygienists, including number of Expanded Function Dental Assistants (EFDAs) in rural and urban Pennsylvania in 2019 and 2021, and county-level maps showing percentage change in licensed dental hygienists from 2015-2021, density of Public Health Dental Hygiene Practitioners (PHDHPs) and EFDAs in 2021, and Dental Health Professional Shortage Areas. Mentions rural throughout.
Executive Summary, Regional Assessment
Author(s): Helen Hawkey, Kelly A. Braun, Lauren Wagner, et al. Date: 07/2022 Type: Document Sponsoring organization: Pennsylvania Coalition for Rural Health view details
Survey of Pennsylvania Emergency Medical Services Agencies
Results of a December 2021 survey of 389 directors of urban, rural, and mixed Pennsylvania emergency medical services agencies. Features statistics on topics including staffing, finances, changes in providers, recruitment and retention, and strategic planning, with breakdowns by rural and urban/mixed classifications.
Date: 07/2022 Type: Document Sponsoring organization: Center for Rural Pennsylvania view details
Urban–Rural Differences in Health Care Utilization and COVID-19 Outcomes in Patients With Type 2 Diabetes
Examines associations of COVID-19 patients with type 2 diabetes by hospitalization outcomes and community type. Utilizes electronic health records (EHRs) from a Pennsylvania health system for COVID-19 outcomes such as death, intensive care unit (ICU) admission, ventilation, thromboembolism, and myocardial damage. Analyzes EHR data across township, borough, and city census tracts to understand relationships among rurality, socioeconomic deprivation, and COVID-19 outcomes.
Author(s): Annemarie G. Hirsch, Cara M. Nordberg, Karen Bandeen-Roche, et al. Citation: Preventing Chronic Disease, 19 Date: 07/2022 Type: Document view details
Delivery of High-Speed Broadband Services in Unserved and Underserved Areas of the Commonwealth (Pennsylvania)
Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; funding resources; developments in Pennsylvania state and local initiatives; and efforts to identify unserved and underserved Pennsylvania communities. Discusses the creation of the Pennsylvania Broadband Authority and the impact of new federal funding on broadband expansion and development in Pennsylvania.
Author(s): Yvonne Llewellyn Hursh, Lydia Hack, Allison N. Kobzowicz, Bryan W. DeWalt, Wendy L. Baker Date: 06/2022 Type: Document Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania view details
The Pennsylvania Rural Health Model (PARHM): Second Annual Evaluation Report
Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Appendix, Findings at a Glance
Date: 06/2022 Type: Document Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago view details
Geographic Disparities in New Onset of Internalizing Disorders in Pennsylvania Adolescents Using Electronic Health Records
Examines the prevalence of anxiety and depressive disorders among adolescents in 37 Pennsylvania counties. Includes demographic breakdowns of 7,974 subjects with internalizing disorder cases residing in rural, urban cluster, or urbanized areas. Discusses the relationship of geographic location, socioeconomic deprivation, and community greenness in relation to internalizing disorders.
Author(s): Irena Gorski-Steiner, Sean O'Dell, Karen Bandeen-Roche, et al. Citation: Spatial and Spatio-Temporal Epidemiology, 41 Date: 06/2022 Type: Document view details
Rural Youth Survey: Trends and Developments in the Attitudes and Aspirations of Rural Pennsylvania Youth
Results of a study conducted in the spring of 2021, to document the educational, career, and residential aspirations of rural Pennsylvania 9th and 11th grade students, to examine factors that shape aspirations, and to detail opportunities and barriers that youth experience. Notes that healthcare was the most common career field sought by students. Offers recommendation that additional mental health support be provided for rural youth as they return to in-person schooling after the COVID pandemic. Features demographics and statistics on career aspirations, with breakdowns by type of employment.
Author(s): Lacey Wallace, Sam Tanner, Freyca Calderon-Berumen, Lauren Jacobson Date: 05/2022 Type: Document Sponsoring organization: Center for Rural Pennsylvania view details
Access to Maternity and Obstetric Care in Rural Pennsylvania
Examines access to maternity care in rural Pennsylvania, using federal- and state-level data to determine the distribution of birthing facilities and
birth attendants. Includes a workforce analysis to forecast the supply of and demand for care providers and to identify gaps where supply will not meet demand. Provides a survey of stakeholders and key informants, to identify strengths, weaknesses, opportunities, threats, and solutions to improving access to maternity care.
Author(s): Sharon Bernecki DeJoy, David J. Doorn Date: 04/2022 Type: Document Sponsoring organization: Center for Rural Pennsylvania view details