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Rural Health Information Hub

Pennsylvania Resources

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
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Coroner/Medical Examiner Services in Pennsylvania
Provides information about Pennsylvania coroner/medical examiners (C/MEs), including office caseloads, funding, facilities, forensic capacity, vehicles and equipment, and staffing and training resources. Assesses how the opioid epidemic and the COVID-19 pandemic affected county C/ME offices in urban and rural areas. Features statistics including deaths from COVID-19 and drug overdose from 2015-2021, with breakdowns by urban and rural counties.
Additional links: Executive Summary
Author(s): Harry D. Holt, Ramona Stone, Christina VandePol
Date: 08/2022
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Experience in the Pennsylvania Rural Health Model: Barnes-Kasson County Hospital
Profiles Barnes-Kasson County Hospital, a Critical Access Hospital with three hospital-based Rural Health Clinics and a skilled nursing facility in Pennsylvania. Discusses the CAH's experience participating in the Pennsylvania Rural Health Model (PARHM). Describes the Barnes-Kasson transformation plan, challenges of the global budget model, peer learning and networking opportunities, and next steps.
Date: 08/2022
Type: Document
Sponsoring organization: Rural Health Value
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Communities in Crisis: Exploring the PA Oral Health Workforce Shortages
Webinar presenting a panel discussion of Access to Oral Health Workforce Report: Part I, a July 2022 report on the status of the dental workforce in Pennsylvania. Transcript available by clicking the three dots on the line above the red Subscribe button.
Author(s): Helen Hawkey, Kelly A. Braun, Lauren Wagner, Meghan Bastin, Sean C. Boynes
Date: 08/2022
Type: Video/Multimedia
Sponsoring organization: Pennsylvania Coalition for Oral Health
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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.
Additional links: 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 Oral Health
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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
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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
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COVID-19 Effects on Pennsylvania Crime Trends: A Rural/Urban Comparison
Examines the effect of the COVID-19 pandemic on murder and abuse in Pennsylvania, and identifies rural-urban differences in these outcomes before and during the pandemic. Features statistics on yearly homicide totals and protection orders, with breakdowns by rural counties, Philadelphia county, and other urban counties.
Additional links: Executive Summary
Author(s): David Yerger, Brandon Vick, Robert Orth, Charles Gartside
Date: 06/2022
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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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, 100439
Date: 06/2022
Type: Document
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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
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Additional resources are available. See a full list of Pennsylvania Resources.


Last Updated: 1/8/2024