Rural Health Disparities – Resources

The Impact of Rural General Hospital Closures on Communities—A Systematic Review of the Literature
Presents a literature review of studies on the health and economic effects hospital closures have had on rural communities. Analyzes 21 studies completed in the previous 8 years and details the economic and healthcare access outcomes identified.
Author(s): Carol A. Mills, Valerie A. Yeager, Kathleen T. Unroe, et al.
Citation: Journal of Rural Health, 40(2), 238-248
Date: 03/2024
Type: Document
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Clinical Risk and Outpatient Therapy Utilization for COVID-19 in the Medicare Population
Evaluates COVID-19 treatment disparities among Medicare beneficiaries, with comparisons by age, race and ethnicity, Medicaid eligibility, nursing home use, telemedicine use, rural/urban status, and more. Utilizes Medicare Master Beneficiary Summary and Standard Analytic Claim files for the year 2022. Provides data on rates of COVID-19 therapy use, including medication, hospitalization, and outpatient treatment. Highlights undertreatment experienced by populations with high risk of severe infection.
Author(s): Andrew D. Wilcock, Stephen Kissler, Ateev Mehrotra
Citation: JAMA Health Forum, 5(1), e235044
Date: 01/2024
Type: Document
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Unequal Treatment Revisited - The Current State of Racial and Ethnic Disparities in Health Care: Proceedings of a Workshop
Highlights the proceedings of a workshop on addressing racial and ethnic disparities and equitable healthcare delivery. Presents care perspectives for American Indian, Alaska Native, Native Hawaiian, and Pacific Islander communities, among others. Discusses health equity research strategies and challenges.
Author(s): Board on Health Care Services
Date: 01/2024
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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The Role of Comorbidities, Medications, and Social Determinants of Health in Understanding Urban-Rural Outcome Differences among Patients with Heart Failure
Analyzes health outcomes for patients with heart failure and mitigating factors such as comorbidities, guideline-directed medical therapy (GDMT), and social determinants of health (SDOH) in rural versus urban areas. Utilizes data from Medicare beneficiaries who had a heart failure hospitalization between 2008 to 2017 to observe mortality rates within 30 days or 1 year, hospital readmission rates, and emergency room (ER) admissions. Discusses health outcome disparities that correlate to patient location.
Author(s): Emily P. Zeitler, Joanna Joly, Christopher G. Leggett, et al.
Citation: Journal of Rural Health, 40(2), 386-393
Date: 2024
Type: Document
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Research Note Showing That the Rural Mortality Penalty Varies by Region, Race, and Ethnicity in the United States, 1999–2016
Evaluates rural mortality penalties by region, race, and ethnicity using 1999-2016 CDC WONDER data. Identifies regional variations in metro versus nonmetro mortality disparities experienced by Black/African American, Hispanic/Latino, White, Asian/Pacific Islander, and American Indian/Alaska Native populations.
Author(s): Danielle Rhubart, Alexis Santos
Citation: Demography, 60(6), 1699-1709
Date: 12/2023
Type: Document
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2023 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Disparities in LTSS Needs and Supportive Resources at Age 55, and Outcome Disparities During the Next Decade
Reports on disparities in long-term services and supports (LTSS) needs and resources of adults at age 55, and analyzes outcomes over the next 10 years of their lives, using 2008-2018 longitudinal Health and Retirement Study data. Covers race and ethnicity, rural or urban setting, and other demographic information. Highlights financial resources, health insurance, social supports, cognitive decline, assets, and more.
Date: 12/2023
Type: Document
Sponsoring organizations: ATI Advisory, Robert Wood Johnson Foundation
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The Impact of Health Disparities on the Subjective Well-Being in Rural Communities
Examines the effects of health, socioeconomic, and spatial indicators on well-being and happiness in rural areas/countryside and rural towns. Utilizes North Central Region (NCR)-Stat: Baseline Survey 2022 data to analyze well-being according to physical and mental health status, insurance status, income, work status, education level, and marital status.
Author(s): Zuzana Bednarik
Date: 12/2023
Type: Document
Sponsoring organization: North Central Regional Center for Rural Development
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2023 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2022, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions, medication-related issues, and access to and availability of care.
Date: 11/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Distance as a Barrier to HIV Testing Among Sexual and Gender Minority Populations in the Rural Southern US: A Cross-Sectional Study
Explores the role distance plays in access to HIV testing for gay, transgender, and gender non-conforming people in the rural southern U.S. Breaks down data by age, race, and distance traveled to receive care, among other measures.
Author(s): Alyssa Clausen, Rob B Stephenson, Patrick S Sullivan, et al.
Citation: Rural and Remote Health, 23(4), 8227
Date: 11/2023
Type: Document
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