Rural and Underserved Health Research Center
Diabetes Management in Urban and Rural Areas of the U.S.
This project will use the IBM MarketScan database to examine differences in type 2 diabetes prevalence and monitoring for a commercially insured sample. It will also employ definitions from the Health Effectiveness Data and Information Set guidelines for comprehensive diabetes care to determine if rural residents are more or less likely to meet recommended standards for type 2 diabetes monitoring and control.
Topics: Care management, Chronic diseases and conditions, Diabetes, Health disparities and health equity, Health promotion and disease prevention, Health services, Healthcare access, Private health insurance, Quality
Disparities in Screening, Prevention, and Management of Cardiovascular Disease in Rural and Urban Primary Care
This study will use a large national primary care registry to compare cardiovascular disease (CVD) screening, prevention, and management quality measures between rural and urban primary care practices. It will also assess for disparities by patient composition (race/ethnicity, insurance) of the practice.
Topics: Care management, Chronic diseases and conditions, Health disparities and health equity, Health promotion and disease prevention, Health services, Minority health, Physicians, Quality
Review of Current Research on Rural/Urban Differences in Social Determinants of Health
Social determinants of health are social, economic, and community variables that influence health outcomes. This project will synthesize the extant literature on rural/urban differences in the social determinants of health, culminating in a comprehensive report that includes a summary of information gaps and further research needs.
Topics: Health disparities and health equity, Healthcare access, Poverty, Quality, Social determinants of health, Uninsured and underinsured
Rural Access to Opioid Treatment Program Clinics and Certified Community Behavioral Health Clinics
This project will identify all Certified Community Behavioral Health Clinics and Opioid Treatment Program Clinics in the U.S. and then present the number of rural and urban clinics in each state as frequency tables and map visualizations.
Topics: Health services, Healthcare access, Mental and behavioral health, Substance use and treatment
Rural and Urban Cancer Survivors' Follow-Up Care Experiences
This project examines rural vs. urban differences in cancer survivors' follow-up care experiences using the 2017 Medical Expenditure Panel Survey.
Topics: Cancer, Care management, Health disparities and health equity, Health services, Healthcare access, Physicians, Post-acute care, Quality
Rural and Urban Primary Care Physicians' Colorectal Screening Performance
The objectives of this project are to profile, compare, and further understand rural versus urban differences in colorectal screening performance among primary care physicians nationally.
Topics: Cancer, Chronic diseases and conditions, Health promotion and disease prevention, Healthcare access, Physicians
Rural Family Physicians' Ability to Address Patients' Social Determinants of Health Needs
This project examines how practice-level and community-level characteristics are associated with a family physician's assessment of their practice's ability to address patients' social needs.
Topics: Health disparities and health equity, Physicians, Poverty, Social determinants of health
Rural/Urban and Racial/Ethnic Inequities in Patient-Reported Health Care Access and Quality among Medicare Beneficiaries with Lung or Colorectal Cancer
Incidence and mortality for colorectal and lung cancer are higher among rural versus urban residents, but many rural cancer patients lack accessible, high-quality care. This study will 1) Identify rural/urban inequities in Medicare cancer patient-reported health care access and quality and 2) Determine if rural racial/ethnic minority patients have worse health care access and quality than rural White patients.
Topics: Cancer, Health disparities and health equity, Healthcare access, Maternal health, Medicare, Minority health, Quality
Rural/Urban Variations in Cancer Screening During the COVID-19 Pandemic
Using the National Cancer Institute Health Information National Trends Survey, we will examine how the COVID-19 pandemic has disrupted the receipt of recommended screenings for common cancers. Findings will inform policymakers about potential widening of rural/urban disparities in the receipt of cancer preventive services and the potential need to target these services toward rural residents.
Topics: Cancer, Coronavirus Disease 2019 (COVID-19), Health disparities and health equity, Health promotion and disease prevention, Health services, Healthcare access
Third Party Negotiated Pricing in Rural and Urban Hospitals
We will use third party negotiated pricing information to compare prices in urban and rural hospitals, across a variety of common services. Because there has been poor compliance with the Centers for Medicare & Medicaid Services (CMS) requirement to publish third party negotiated pricing, we will also examine if the availability of this information differs for rural and urban hospitals.
Topics: Critical Access Hospitals, Federally Qualified Health Centers (FQHCs), Healthcare financing, Hospitals and clinics, Medicare, Medicare Prospective Payment System (PPS), Private health insurance
Work Settings, Education, and Intent to Leave Practice among Rural vs. Urban Nurses
Using data from the 2022 National Nursing Workforce Survey, this project will describe rural/urban differences in nurses' work settings, levels of education and licensure, demographic characteristics, income, and intention to retire or leave practice. Study findings could be applied to implement policies aimed at increasing nursing school output and attracting nurses to practice in rural areas.
Topics: Health disparities and health equity, Nurses and nurse practitioners, Workforce