New Documents Identified in the Past 30 Days:

Wireless Substitution: Early Release of Estimates from the National Health Interview Survey, January-June 2014
Provides data on households that rely on wireless telephones rather than landlines. Indicates trends by providing figures for 6-month periods from January 2011 to June 2014. Includes data for non-metropolitan compared to metropolitan areas. Telephone surveys conducted using only landline numbers could be biased if the wireless-only or population differs in relevant ways from the landline population.
Author(s): Stephen J. Blumberg, Julian V. Luke
Sponsoring organization: National Center for Health Statistics
Date: 12/2014
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Community Health Center Growth & Sustainability: State Profiles From the Northeastern and Mid-Atlantic United States
Provides health and economic data, and Medicaid policy information regarding Community Health Centers (CHCs) in rural and urban areas, from 13 Northeastern and Mid-Atlantic states (Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia and West Virginia) and the District of Columbia.
Author(s): Dan Lowenstein, Nancy Lager, Tom Manning
Sponsoring organization: RCHN Community Health Foundation, Inc.
Date: 12/2014
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Understanding Connections Between Rural Communities and Family Well-Being: A Study of Hampton, Iowa
Discusses how geographic location can affect the health and welfare of rural residents, particularly low-income residents. Study was developed from interviews with residents in Hampton, Iowa.
Author(s): Cynthia Fletcher
Sponsoring organization: Carsey School of Public Policy
Date: 12/2014
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The 2013 Small Area Income and Poverty Estimates (SAIPE): An Overview
Provides highlights from the 2013 SAIPE, which provides single-year median household income and poverty statistics. Includes many county-level maps showing income and poverty rates in 2013 and changes from 2007 to 2013. Figure 7 lists poverty data for metropolitan, micropolitan, and non-metropolitan areas. For additional information, including report charts, maps, and figures available for download, see SAIPE Release Highlights of 2013.
Sponsoring organization: U.S. Census Bureau
Date: 12/2014
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Older Americans With a Disability: 2008-2012
Provides information on adults 65 and over with a disability, based on 2008-2012 American Community Survey data. Includes three national maps showing county-level data for this population.
Author(s): Wan He, Luke J. Larsen
Sponsoring organization: U.S. Census Bureau
Date: 12/2014
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Rural-Urban Differences in Continuity of Care among Medicare Beneficiaries
This publication analyzes emerging innovative models of care such as patient-centered medical homes, Accountable Care Organizations (ACOs), and bundled payments to identify differences in continuity of care when applied to rural vs. urban settings.
Author(s): Matthew Toth, Caroleen Quach, Mark Holmes
Sponsoring organization: Cecil G. Sheps Center for Health Services Research
Date: 12/2014
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Best Practices for Health Insurance Marketplace Outreach and Enrollment in Rural Areas
Contains the results of a survey of health center staff, certified application counselors, and community organization staff to identify best practices for outreach and education on health insurance enrollment to rural residents.
Author(s): Pam Silberman, Sharita Thomas, Brystana Kaufman, Julie Perry, Mark Holmes
Sponsoring organization: North Carolina Rural Health Research and Policy Analysis Center
Date: 12/2014
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The Role of Medicare and the Indian Health Service for American Indians and Alaska Natives: Health, Access and Coverage
Examines the disparities that exist within the Native American and Alaskan Native population as well as the role of both Medicare and Indian Health Service (IHS) in addressing these disparities.
Author(s): Cristina Boccuti, Christina Swoope, Samantha Artiga
Sponsoring organization: Kaiser Family Foundation
Date: 12/2014
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Measuring Access to Healthful, Affordable Food in American Indian and Alaska Native Tribal Areas (Full report)
Compares the distances to food markets that provide healthful and affordable foods in tribal areas to the general U.S. population, and the effect of distance and limited food availability on the health of tribal populations.
Author(s): Phillip Kaufman, Chris Dicken, Ryan Williams
Sponsoring organization: USDA Economic Research Service
Date: 12/2014
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Measuring Access to Healthful, Affordable Food in American Indian and Alaska Native Tribal Areas (Summary Report)
Compares the distances to food markets that provide healthful and affordable foods in tribal areas to the general U.S. population, and the effect of distance and limited food availability on the health of tribal populations.
Author(s): Phillip Kaufman, Chris Dicken, Ryan Williams
Sponsoring organization: USDA Economic Research Service
Date: 12/2014
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Utilization of Intensive Care Services, 2011
Provides data utilization of intensive care services. Table 3 provides information on ICU utilization by hospital characteristic, including metro and non-metropolitan as well as hospital designation (critical access or teaching).
Author(s): Marguerite Barrett, Mark Smith, Anne Elixhauser, Leah Honigman, Jesse Pines
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 12/2014
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Physician Motivations for Adoption of Electronic Health Records
Identifies characteristics of physicians who have not yet adopted an electronic health record (EHR) to understand gaps and barriers in EHR use. Indicates that there was no difference in adoption rates between rural and urban locations.
Author(s): Dawn Heisey-Grove, Vaishali Patel
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 12/2014
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National Hospital Ambulatory Medical Care Survey: 2011 Emergency Department Summary Tables
Provides data on emergency department hospital visits, including information for non-metropolitan hospitals. Table 27 provides detailed hospital and emergency department characteristics by metropolitan status. Additional tables that include metro/non-metro data include Table 1, with general overview information, and Table 14, with injury visit data.
Sponsoring organization: National Center for Health Statistics
Date: 11/2014
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Facilitators of Health Systems Change for Tobacco Dependence Treatment: A Qualitative Study of Stakeholders' Perceptions
An evaluation of tobacco treatment programs in rural and urban health systems in Minnesota that demonstrates they can implement extensive changes in a short time period to enhance the treatment of tobacco dependence. Emphasizes the use of electronic health records and healthcare quality measures to improve the healthcare environment for tobacco dependence.
Author(s): Amanda L Jansen, Traci R Capesius, Randi Lachter, et al.
Journal citation: BMC Health Services Research Volume 14 Issue 575
Date: 11/2014
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Ready or Not? The Affordable Care Act and Safety-Net Primary Care Clinic Capacity in Iowa
Projects increased insurance enrollees due to the Affordable Care Act for the next five years and what demand that would create for Community Health Centers and Rural Health Clinics in Iowa. The study suggests that the current projections predicts a need for more support and makes the case to help these safety-net primary care facilities.
Author(s): Brad Wright, Peter Damiano, Suzanne Bentler
Sponsoring organization: University of Iowa Public Policy Center
Date: 11/2014
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Results from the 2013 National Survey on Drug Use and Health: Mental Health Detailed Tables
Provides data on mental health conditions, co-occurring substance use disorders, use of mental health services, and unmet needs. Rural-specific information is available in the detailed tables that list "geographic characteristics."
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 11/2014
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Twenty-Second Report: The Role of Graduate Medical Education in the New Health Care Paradigm
Presents seven recommendations from the Council on Graduate Medical Education (COGME) regarding the expansion of Graduate Medical Education training. Suggests expanding GME clinical training into ambulatory and community settings, and ensuring accountability including providing rural and underserved practice locations. Discusses the need for increased funding for GME, and providing future physicians with the training and skills needed for emerging care delivery systems.
Sponsoring organization: Council on Graduate Medical Education
Date: 11/2014
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The ACA and Beyond: Public Policy and Marketplace Changes Affecting the Future of Rural Health
The slide deck of a presentation by Keith Mueller, Rural Policy Research Institute, discussing the changing face of rural healthcare. The presentation discusses how changes initiated by the Affordable Care Act in insurance coverage, quality requirements, and payment and system reform have led to paradigm shifts in service delivery in rural areas.
Author(s): Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 11/2014
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Using PhenX Toolkit Measures and Other Tools to Assess Urban/Rural Differences in Health Behaviors: Recruitment Methods and Outcomes
Describes the recruitment approaches used in a health behaviors study that sought participants from urban and rural locations in Minnesota and North Dakota. Reports on the response by gender for three separate recruitment mailings. Offers suggestions for cost-effective recruitment strategies to ensure an adequate number of participants.
Author(s): Michael M Hitz, Pat G Conway, Jeanette A Palcher, Catherine A McCarty
Journal citation: BMC Research Notes Volume 7 Issue 847
Date: 11/2014
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Access to Health Services (Kansas)
Describes the issues concerning access to health services in the State of Kansas including health insurance coverage, primary care medical homes, and electronic medical records. Identifies and quantifies specific health care facility types that are found in the rural areas of the state. Provides an urban/rural comparison.
Sponsoring organization: Kansas Department of Health and Environment
Date: 11/2014
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Growth of the 340B Program: Past Trends, Future Projections
Highlights an increase in the number of disproportionate share hospitals (DSH) that are eligible for, and then enroll in, the 340B discount drug program. Causes of the increase include hospital acquisitions and changes in the Affordable Care Act, among other things. The report projects continued, rapid growth of 340B enrollment for years to come.
Author(s): Aaron Vandervelde
Sponsoring organization: Alliance for Integrity and Reform of 340B
Date: 11/2014
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The Obstetric Care Workforce in Critical Access Hospitals (CAHs) and Rural Non-CAHs
Examines current obstetric practice models in critical access hospitals and other rural hospitals to understand obstetric care services and obstetric workforce issues. Types of clinicians providing obstetric care in a sample of rural hospitals are reported including obstetricians, family physicians, certified nurse midwives and general surgeons.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 11/2014
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Transforming Interprofessional Health Education and Practice: Moving Learners from the Campus to the Community to Improve Population Health
Examines how health professions education and healthcare delivery can be transformed through interprofessional collaboration and community-based learning. Presents four recommendations for health professions educators, policymakers, and funders. Includes sections on the Quentin N. Burdick Program for Rural Interdisciplinary Training, Area Health Education Centers, and educational support for health professionals serving in underserved communities.
Sponsoring organization: Advisory Committee on Interdisciplinary Community-Based Linkages
Date: 10/2014
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Hospital Reclassifications Fact Sheet
Provides information on hospital reclassifications applicable to the Medicare Fee-For-Service Program including urban to rural hospital reclassification, geographic reclassification, Rural Referral Center status, Sole Community Hospital status, and Critical Access Hospital status.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 10/2014
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Pathways to BSN: A look at Virginia’s Registered Nurse Workforce
Provides information about the registered nurse workforce in Virginia including how registered nurses advance in the profession, their educational debt and their income. Provides rural, suburban, and urban data.
Sponsoring organization: Virginia Department of Health Professions
Date: 10/2014
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Improving the Emergency Department Discharge Process: Environmental Scan Report
Presents an environmental scan which includes a literature search on the emergency department (ED) discharge process. Identifies factors involved with high risk patients for ED failure. Discusses barriers that may hinder the discharge process including miscommunication, inadequate health insurance, homelessness, age, and low income. Presents literature findings on discharge instructions and education for rural adults age 60 and over, ED follow-up appointments, and prescription assistance.
Author(s): Romsai T. Boonyasai, O. Mayowa Ijagbemi, Julius Cuong Pham, et al.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 10/2014
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Earned Income Tax Credit and Rural Households
Examines the Earned Income Tax Credit by place of residence and discusses how this tax credit can be a safety-net effort and financial support to help rural families out of poverty.
Author(s): Jon M. Bailey
Sponsoring organization: Center for Rural Affairs
Date: 10/2014
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Characteristics of Medicaid and Uninsured Hospitalizations, 2012
Provides data on hospital stays in 2012 where the payer was Medicaid or the patient was uninsured. Table 2 provides data on rural versus urban hospitals and Table 3 provides data for patients who were residents of rural areas.
Author(s): Lorena Lopez-Gonzalez, Gary T. Pickens, Raynard Washington, Audrey J. Weiss
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 10/2014
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Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings
Presents summary results of the 2013 survey on the use of illicit drugs, alcohol, and tobacco by youth and adults. Includes data for metropolitan and non-metropolitan areas. Detailed tables are also available.
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 09/2014
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Geographic Variation in Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2005-2011
Examines potentially preventable hospitalizations for adults from 2005 to 2011. Includes data for acute and chronic conditions by location of patient residence for large and small metropolitan, micropolitan, and remote rural areas.
Author(s): Celeste M. Torio , Roxanne M. Andrews
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 09/2014
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Trends in Emergency Department Visits, 2006-2011
Provides data on changes in emergency department (ED) visits from 2006 to 2011. Table 1 includes information on the rate of ED use for rural areas compared to urban.
Author(s): Halcyon G. Skinner, Janice Blanchard, Anne Elixhauser
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 09/2014
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Rural Adoption Rates of Electronic Medical Records Overtake Those in Urban Areas: The Gap is More Pronounced for Specialists
Discusses rural and urban adoption rates of electronic medical records (EMR) among office-based physicians and reports that EMR adoption rates are higher for practices in rural areas (56%) than urban areas (49%).
Author(s): Brian E. Whitacre
Date: 08/2014
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Telehealth in Connecticut: Perspectives from Home Health Care Providers
Provides an overview of telehealth services in Connecticut and the results of a survey by licensed home health care providers serving patients in rural areas of the state.
Sponsoring organization: Connecticut State Office of Rural Health
Date: 07/2014
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Indicators of School Crime and Safety: 2013
Presents data on crime and safety concerns in schools across the nation including rural schools. Discusses physical injuries and deaths at school, weapons on school property, illegal substances, bullying, gangs, campus safety, and security measures to keep students safe.
Author(s): Simone Robers, Jana Kemp, Amy Rathbun, Rachel E. Morgan, Thomas D. Snyder
Sponsoring organization: National Center for Education Statistics
Date: 06/2014
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Virginia’s Pharmacist Workforce: 2013
Presents pharmacist workforce data for Virginia including demographics and background, education, employment situation, wages, work site distribution, retirement data and maps of workforce investment areas. Reports that more than one-third of all pharmacists grew up in a rural area and nearly one-quarter of these pharmacists work in non-metropolitan areas of Virginia.
Sponsoring organization: Virginia Department of Health Professions
Date: 06/2014
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Overview of Emergency Department Visits in the United States, 2011
Provides data on emergency department (ED) visits, including information on ED visits in rural areas.
Author(s): Audrey J. Weiss, Lauren M. Wier, Carol Stocks, Janice Blanchard
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 06/2014
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 12
Chapter 12 of the report discusses hospice and palliative support services. Discusses rural throughout. Includes tables that show the percentage of rural beneficiaries who use hospice, and rural hospice costs per day.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 03/2014
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Opioid Prescribing Patterns for Non-Malignant Chronic Pain for Rural Versus Non-Rural U.S. Adults: A Population-Based Study Using 2010 NAMCS Data
Discusses the results of a survey comparing rural and non-rural prescribing patterns of opioid drugs for non-malignant chronic pain management. Rurality was indicated to be a factor in the over-prescribing of opioids.
Author(s): Jacob P. Prunske, Catherine A. St. Hill, Keri D. Hager, et al.
Journal citation: BMC Health Services Research Volume 14 Issue 563
Date: 01/2014
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Trends in Pediatric and Adult Hospital Stays for Asthma, 2000-2010
Provides data on inpatient hospital stays for asthma in community hospitals. Table 1 includes information on 2010 stays for children and adults based on the location of patients' residence, for metropolitan, micropolitan, and non-metro areas.
Author(s): Marguerite L. Barrett , Lauren M. Wier, Raynard Washington
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 01/2014
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Rural Poverty, Before and After the War
Shows the geography of poverty in the U.S. and describes how rural communities helped shape the federal response to poverty in the 50 years since the War on Poverty.
Author(s): James P. Ziliak
Sponsoring organization: Housing Assistance Council
Date: 2014
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Impact Report: The Economic and Human Impact of Nonprofit Organizations on Rural America
Includes success stories from rural housing organizations that provide affordable homes and rental housing opportunities in rural areas.
Sponsoring organization: National Rural Housing Coalition
Date: 2014
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Federal Health IT Strategic Plan, 2015-2020
Outlines federal health information technology priorities including secure and interoperable health information exchange, and improving quality of and access to healthcare. Discusses efforts to improve broadband access to all areas including rural and tribal areas to support secure telehealth and information technology applications.
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 2014
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