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Chronic Disease in Rural America – Resources

Selected recent or important resources focusing on Chronic Disease in Rural America.

Assessing Shifts in Outpatient Visits to Physicians of Other Specialties in Rural Areas with Shortages of Cardiologists and Gastroenterologists: A Preliminary Analysis
Examines "service shifting" in rural communities, a practice by which local physicians in medical shortage areas may adapt their services to meet needs that would normally be addressed by non-primary care specialists. Includes statistics with breakdowns by level of availability of cardiologists and gastroenterologists, and number of outpatient visits, using Medicare data from 2011.
Author(s): Donald E. Pathman, G. Mark Holmes, Samuel Berchuck, James W. Terry, Jr.
Date: 04/2015
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Addressing Chronic Disease Through Community Health Workers: A Policy and Systems-Level Approach
Provides guidelines for the integration of community health workers (CHWs) into community based chronic disease prevention programs. Includes examples from a variety of CHW programs, some of which serve rural communities.
Date: 04/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 2
Provides a rural focus for the Healthy People 2020 priorities with an overview for each of the top health priorities ranked 11 through 20 identified by rural stakeholders. (Volume 1 discussed the top 10 priorities.) Topics include: cancer, health education, oral health, immunizations and infectious disease, public health, sexual health and family planning, injury and violence prevention, and social determinants of health. Includes reviews of the relevant literature and model programs appropriate for rural communities. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 1
Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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QuickStats: Age-Adjusted Death Rates from Chronic Obstructive Pulmonary Disease (COPD) Among Persons Aged ≥55 Years, by Sex and Urbanization of County of Residence - United States, 2009-2011
Bar chart showing death rates from Chronic Obstructive Pulmonary Disease for metropolitan and nonmetropolitan areas by gender among adults over 55.
Citation: MMWR (Morbidity and Mortality Weekly Report), 63(44), 1016
Date: 11/2014
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Qualitative Exploration of Rural Focus Group Members' Participation in the Chronic Disease Self-Management Program, USA
Explores the benefits of a self-managed approach to chronic illness as perceived by rural residents. Also discusses research in support of self-managed care for chronic illness in rural areas.
Author(s): Idethia Harvey, Megan Janke
Citation: Rural and Remote Health, 14(4), 2886
Date: 10/2014
Type: Document
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Controlling Hypertension: Focusing on "Why" Makes "How" a Lot Easier
Overview of a quality improvement project initiated by a group of 5 small rural practices and designed to improve the outcomes of patients with hypertension.
Author(s): Jennifer L. Brull
Citation: Family Practice Management, 21(5), 23-27
Date: 09/2014
Type: Document
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The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
Examines the impact telemedicine has on cost, quality, and rural access to healthcare, focusing on three chronic diseases: congestive heart failure, stroke, and Chronic Obstructive Pulmonary Disease (COPD).
Author(s): Rashid L. Bashshur, Gary W. Shannon, Brian R. Smith, et al.
Citation: Telemedicine Journal and e-Health, 20(9), 769-800
Date: 09/2014
Type: Document
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HIV/AIDS in Rural America: Disproportionate Impact on Minority and Multicultural Populations
Overview of the impact of AIDS and HIV in rural areas. Summarizes the epidemiology of AIDS/HIV, including its impact on rural minority groups. Discusses the challenges rural areas face in preventing and treating AIDS. Includes policy recommendations.
Date: 04/2014
Type: Document
Sponsoring organization: National Rural Health Association
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Urban-Rural Differences in Coronary Heart Disease Mortality in the United States: 1999-2009
Describes the trends and magnitude of variations in death rates, with statistical breakdowns by age group, sex, race, geographical region, urbanization level, and year. Examines possible contributing factors for the disparities, including physical activity levels, access to health care, socioeconomic status, and education level.
Author(s): Ambar Kulshreshtha, Abhinav Goyal, Kaustubh Dabhadkar, Emir Veledar, Viola Vaccarino
Citation: Public Health Reports, 129(1)
Date: 01/2014
Type: Document
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Last Updated: 1/4/2023