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Rural Health Disparities – Resources

Selected recent or important resources focusing on Rural Health Disparities.

LGBTQIA+ Health in Rural America
Policy brief discussing LGBTQIA+ health and healthcare in rural areas. Explores limitations to address LGBTQIA+ health in rural communities, policy considerations, and policy recommendations to improve community-level disparities in LGBTQIA+ healthcare.
Author(s): Beth O'Connor, Kaitlin Phelon, Bryan Price, et al.
Date: 03/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Structural Factors That Impact Rural Life Expectancy
Policy position paper focused on challenges to improving life expectancy in rural areas. Offers policy recommendations to address health outcomes in rural populations.
Author(s): Bryan Price, Elizabeth Ruen, Wade Swenson
Date: 02/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Quantifying Rural Disparity in Healthcare Utilization in the United States: Analysis of a Large Midwestern Healthcare System
Analyzes patient utilization of rural versus urban outpatient clinics. Explores electronic health record data from 474,674 adult patients from June 2018 to March 2019 across variables such as age, gender, race, ethnicity, smoking status, and health status. Includes statistics and discussion of clinic utilization in relation to rural healthcare disparities.
Author(s): Akua Nuako, Jingxia Liu,Giang Pham, et al.
Citation: PLoS ONE, 17(2)
Date: 02/2022
Type: Document
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The Problem Of The Color Line: Spatial Access To Hospital Services For Minoritized Racial And Ethnic Groups
Study examining inequities in access to healthcare by race and geography, covering distances to hospital services for minoritized ZIP Code Tabulation Areas (ZTCAs). Discusses factors that lead to disparities in access for rural minority communities, including policy, rural hospital closures, and safety-net program issues.
Additional links: Story Map: The Problem Of The Color Line
Author(s): Jan M. Eberth, Peiyin Hung, Gabriel A. Benavidez, et al.
Citation: Health Affairs, 41(2), 237-246
Date: 02/2022
Type: Document
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Self-Rated Physical Health Among Working-Aged Adults Along the Rural-Urban Continuum — United States, 2021
Reports on differences in self-rated physical health among adults aged 18-64 in large urban, medium/small urban, metro-adjacent rural, and remote rural counties.
Author(s): Danielle C. Rhubart, Shannon M. Monnat
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(5), 161-166
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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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
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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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
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Identifying Key Barriers to Effective Breast Cancer Control in Rural Settings
Examines health disparities in rural women with breast cancer based on data from the SEER cancer registries. Discusses issues such as screening and access to treatment. Includes rural versus urban mortality rates.
Author(s): Brian L. Sprague, Thomas P. Ahern, Sally D. Herschorn
Citation: Preventative Medicine, 152(2)
Date: 11/2021
Type: Document
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2019 National Healthcare Quality and Disparities Report: Chartbook on Rural Health Care
Summarizes trends in healthcare quality and disparities for rural populations. Includes quality measures for access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and affordability.
Author(s): Barbara Barton, Romsai Tony Boonyasai, Cecilia Hahn
Date: 11/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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NIH Rural Health Seminar: Structural-Level Determinants of Rural Health Disparities
Recording of a seminar that examines structural-level determinants of rural health disparities, including sociocultural and economic determinants, physical environmental determinants, and research, evaluation, measurement, and policy methods and implications.
Additional links: Seminar Agenda, Speaker Biographies
Date: 11/2021
Type: Video/Multimedia
Sponsoring organizations: National Institute on Minority Health and Health Disparities, National Institutes of Health
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Last Updated: 3/29/2022