South Carolina Rural Health Research Center

Current Projects

  • Characteristics and Utilization Patterns of Rural Medicaid Recipients
    This study will use the Medicaid Analytic Extract file to examine the characteristics of persons enrolled in Medicaid by type of eligibility. The study will also examine overall utilization and total payments for this utilization. All estimates will be subset by rurality and region.
    Topics: Medicaid and S-CHIP, Rural statistics and demographics
  • Creating County- and Census Tract-Level Estimates of Childhood Obesity in the U.S.: A Spatial Multilevel Modeling Approach
    Using the 2016 National Survey of Children’s Health, spatial multilevel models will be constructed to estimate county- and Census tract-level rates of childhood obesity in the U.S. Particular emphasis will be placed on rural areas, for which direct estimates are often unavailable because of small sample sizes in population-based surveys.
    Topics: Children, Obesity
  • For Amber "Waives" of Grain: The Impact of Medicaid Managed Care Waiver Programs on Care Choices in Rural America
    This project will use a combination of systematic review of waiver content and structured interviews with key informants to assess the potential for rural disparities in access to care for Medicaid enrollees.
    Topics: Health disparities, Medicaid and S-CHIP
  • Identification of High-Need Rural Counties Lacking an FQHC Presence
    Federally Qualified Health Centers (FQHCs) have been key safety net providers since the program was initiated. However, many rural communities lack this resource. Expanding on the index of relative rural deprivation developed by the SCRHRC, we will identify high-need rural counties that currently are not served by an FQHC or similar provider.
    Topics: Critical Access Hospitals and Rural Hospital Flexibility Program, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs)
  • Identifying Obesogenic Communities in the U.S.: An Urban-Rural Comparison
    In this study, we propose to create an obesogenic environment score for all U.S. counties and Census tracts, explore urban versus rural differences in obesogenic environment scores, and examine associations between obesogenic environments and childhood obesity overall and by level of rurality.
    Topics: Children, Obesity
  • Perceived Facilitators and Barriers to Rural Ambulatory Care Practice among Registered Nurses
    Although a quarter of all registered nurses work in ambulatory care settings, little research has addressed the factors associated with their remaining in the profession and current job settings. The current study will survey a sample of rural and urban nurses to ascertain perceived facilitators and barriers to remaining in rural practice.
    Topics: Nurses, Workforce
  • Rural Nursing Workforce: Current Educational Characteristics and Options for Improvement
    This project will examine the current distribution of nurses, subset by educational attainment, across the rural U.S. using data from Census Public Use Microfiles. Then a survey of the approximately 750 RN-to-BSN educational programs across the U.S. will identify the proportion of programs offering rural content or facilitating rural placement.
    Topics: Nurses, Workforce
  • Social Determinants of Health Among Minority Populations in Rural America
    This project will compile information from the U.S. Census, the Area Health Resource File, and the Robert Wood Johnson Foundation County Rankings data set into a comprehensive summary of key social determinants of health among rural populations: demographic characteristics, economic characteristics, health facility availability, and selected health outcomes.
    Topics: African Americans, American Indians and Alaska Natives, Hispanics, Minority health, Rural statistics and demographics