Conducting Rural Health Research, Needs Assessments, and Program Evaluations – Resources

An Updated Model of Rural Hospital Financial Distress
Discusses a potential model to predict financial distress in rural hospitals, including negative cash flow margin, negative equity, or closure of facility. Tests 2,311 rural hospitals from 2013 to 2019 with the model and discusses its potential to predict financial distress and create accurate assessments.
Author(s): Tyler L. Malone, George H. Pink, George M. Holmes
Citation: Journal of Rural Health
Date: 10/2024
Type: Document
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Tracking Implementation Strategies in Real-World Settings: VA Office of Rural Health Enterprise-Wide Initiative Portfolio
Examines implementation strategies of rural health innovations utilizing the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Utilizes 2020-2022 annual reports from the Veterans Affairs (VA) Office of Rural Health (ORH) to analyze 875 implementation strategies. Provides descriptive statistics on strategies utilized, including those focused on rurality benchmarks, and discusses utility of using annual reports to evaluate success of rural health innovations.
Author(s): Heather Schacht Reisinger, Sheila Barron, Erin Balkenende, et al.
Citation: Health Services Research
Date: 09/2024
Type: Document
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The Implicit and Explicit Exclusion of People with Disabilities in Clinical Trials
Reports on barriers for people with disabilities in participating in clinical research trials and offers recommendations to various federal agencies for removing those barriers. Discusses rural concerns including opportunities for participation due to distance.
Date: 08/2024
Type: Document
Sponsoring organization: National Council on Disability
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Implementing Evidence-Based Practices in Rural Settings: A Scoping Review of Theories, Models, and Frameworks
Scoping review of literature on theories, models, and frameworks commonly used in rural health research. Includes 61 articles published since 1998. Discusses Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM), Community-Based Participatory Research (CBPR), Consolidated Framework for Implementation Research (CFIR), and Promoting Action on Research Implementation in Health Services (iPARIHS).
Author(s): Robert E. Brady, Kathleen D. Lyons, Courtney J. Stevens, et al.
Citation: Frontiers in Health Services, 4, 1326777
Date: 07/2024
Type: Document
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Wireless Substitution: Early Release of Estimates from the National Health Interview Survey, July-December 2023
Provides data on households that rely on wireless telephones rather than landlines. Includes data on the percent of adults who live in wireless-only households and have their own wireless telephone, as well as data on phoneless adults. Provides data for nonmetropolitan compared to metropolitan areas. Discusses the need for surveys to include adequate representation of wireless-only households and households with landlines.
Author(s): Stephen J. Blumberg, Julian V. Luke
Date: 06/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Same People, Different Results: Categorizing Cancer Registry Cases Across the Rural-Urban Continuum
Evaluates patient categorization results produced by applying 9 U.S. rural-urban indexes to 1,569 Wisconsin Pancreatic Cancer Registry patients. Discusses indexes' consistency of results, geographic scale, and other concerns related to their application to cancer research.
Author(s): Andrea M. Schiefelbein, John K. Krebsbach, Amy K. Taylor, et al.
Citation: Wisconsin Medical Journal, 123(2), 78-87
Date: 05/2024
Type: Document
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A Standard Framework for Evaluating Large Health Care Data and Related Resources
Identifies a set of actions, criteria, and tools that can be used in evaluating large healthcare data and related resources. Includes information on evaluating data coverage, representativeness, inclusion, and equity, including the availability of information on rural or urban location.
Author(s): Suad El Burai Felix, Hussain Yusuf, Matthew Ritchey, et al.
Citation: MMWR Supplements, 73(Suppl. 3), 1-13
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Resource of Health Equity-Related Data Definitions, Standards, & Stratification Practices
Resource for providers, states, community organizations, and others that want to improve their health equity-related data collection and analysis. Outlines suggested definitions, standards, and stratification practices for race and ethnicity, sexual orientation and gender identity (SOGI), disability status, rurality, and other sociodemographic data elements.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Area Deprivation Index in Rural Health Research, with Casey Balio
An episode of the Exploring Rural Health podcast featuring Casey Balio, PhD, Research Assistant Professor at East Tennessee State University's Center for Rural Health Research and part of the ETSU/NORC Rural Health Equity Research Center. Focuses on the uses and methodology of the Area Deprivation Index.
Date: 05/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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RE-AIM For Rural Health Innovations: Perceptions of (Mis) Alignment Between the RE-AIM Framework and Evaluation Reporting in the Department of Veterans Affairs Enterprise-Wide Initiatives Program
Interviewed 48 Department of Veterans Affairs (VA) Office of Rural Health's (ORH) Enterprise-Wide Initiatives (EWI) team members on perceptions of, as well as barriers and facilitators to, implementation of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) method of evaluation. Discusses the benefits and challenges of implementing a shared framework across diverse initiatives.
Author(s): Emily E. Chasco, Jennifer Van Tiem, Nicole Johnson, et al.
Citation: Frontiers in Health Services, 4, 1278209
Date: 04/2024
Type: Document
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