Rural and Minority Health Research Center

Products

Listed by publication date. You can also view these publications alphabetically.

For a complete list of publications from the Center, which may include older publications and publications funded by other sources, please see the Center's website.

2020

  • Travel Grant Program 2018-2019
    Fact Sheet
    Rural and Minority Health Research Center
    Date: 01/2020
    This project promoted attendance at cancer-related meetings by Rural Health Research Centers by facilitating the dissemination of information regarding important cancer meetings and handling the travel arrangements for Rural Health Research Center personnel.

2019

  • RN-to-BSN Programs: Challenges for Rural Nurse Education
    Policy Brief
    Rural and Minority Health Research Center
    Date: 10/2019
    To ascertain the status of rural-focused nursing education, we surveyed registered nurse to bachelor of science in nursing (RN-to-BSN) programs. Using an American Association of Colleges of Nursing mailing list, surveys were mailed to all schools with RN-to-BSN programs. This report summarizes responses from the 237 that completed surveys.
  • Rural Registered Nurses: Educational Preparation, Workplace, and Salary
    Policy Brief
    Rural and Minority Health Research Center
    Date: 10/2019
    Using national data from census data from the 2011-2015 American Community Survey Public Use Microdata Sample, this brief looks at the reported education levels and worksites of rural and urban registered nurses.
  • Development of a Childhood Obesogenic Environment Index
    Policy Brief
    Rural and Minority Health Research Center
    Date: 08/2019
    The purposes of this study were to describe the development of a childhood obesogenic environment index and examine differences in obesogenic environment index values by rurality and region across the U.S.
  • Perceived Facilitators and Barriers to Rural Nursing Practice
    Policy Brief
    Rural and Minority Health Research Center
    Date: 08/2019
    A web-based survey was disseminated to a geographically diverse sample of nurses throughout the U.S. to assess perceived barriers and facilitators to nursing practice; job satisfaction; and self-identified challenges in nursing work environments and patient care. Of particular interest were nurses in ambulatory care practices.
  • Social Determinants of Health Among Rural American Indian and Alaska Native Populations
    Policy Brief
    Rural and Minority Health Research Center
    Date: 07/2019
    This policy brief is the third in a series of four policy briefs prepared by the Rural and Minority Health Research Center on the topic of social determinants of health. In this brief, we document current disparities within the rural American Indian and Alaska Native population.
  • Social Determinants of Health Among Rural Asian and Pacific Islander Populations
    Policy Brief
    Rural and Minority Health Research Center
    Date: 07/2019
    This policy brief is the fourth in a series of four policy briefs prepared by the Rural and Minority Health Research Center on the topic of social determinants of health. In this brief, we document current disparities within the rural Asian and Pacific Islander population.
  • Social Determinants of Health Among the Rural African American Population
    Policy Brief
    Rural and Minority Health Research Center
    Date: 07/2019
    This policy brief is the first in a series of four policy briefs prepared by the Rural and Minority Health Research Center on the topic of social determinants of health. It compares the distribution of social determinants among African American and White rural residents using information from the 2016 U.S. Census.
  • Social Determinants of Health Among the Rural Hispanic Population
    Policy Brief
    Rural and Minority Health Research Center
    Date: 07/2019
    This policy brief is the second in a series of four policy briefs prepared by the Rural and Minority Health Research Center on the topic of social determinants of health. In this brief, we document current disparities within the rural Hispanic population. Gaps are larger for those who were born in the U.S. compared to those born outside the U.S.
  • Identification of High-Need Rural Counties to Assist in Resource Location Planning
    Policy Brief
    Rural and Minority Health Research Center
    Date: 05/2019
    To identify high-need, low-resource locations, we began by identifying counties that lacked safety-net providers. For the purposes of this analysis, we identified Medicare-certified Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs) and Critical Access Hospitals (CAHs).
  • Identification of High-Need Rural Counties to Assist in Resource Location Planning for Primary Care
    Policy Brief
    Rural and Minority Health Research Center
    Date: 05/2019
    We examined simultaneously areas with poor health outcomes and limited access to primary care safety net settings. The combination of facility availability with health status indicators may help with identifying those areas in rural America that are in the greatest need of additional primary care resources.

2018

  • Medicaid Managed Care and the Rural Exception: A Review of Issues and Perspectives from the Field
    Policy Brief
    Rural and Minority Health Research Center
    Date: 05/2018
    To examine the intersection of state Medicaid procedures with rural populations, we conducted a review of Medicaid waivers current as of September 2017. This was supplemented with calls to State Offices of Rural Health (SORHs), state Medicaid offices, and other relevant stakeholders in an attempt to understand the process of waiver development.
  • Characteristics of Rural Medicaid Recipients, 2012, 35 States
    Policy Brief
    Rural and Minority Health Research Center
    Date: 04/2018
    The purpose of this brief is to examine the characteristics of Medicaid enrollees prior to Medicaid expansion in 2014, using enrollment and claims data from the Medicaid Analytic Extract Files. This sample allowed for a detailed examination of Medicaid populations in the pre-Medicaid expansion period.
  • Health Care Utilization Patterns of Rural Medicaid Recipients, 2012, 35 States
    Policy Brief
    Rural and Minority Health Research Center
    Date: 04/2018
    The purpose of this brief is to examine inpatient and other institutional encounters among individuals enrolled in Medicaid prior to expansion in 2014, using enrollment and claims data from the Medicaid Analytic Extract Files. All Medicaid-covered individuals, institutionalized and living in the community, are included.

2017

  • ESRD Facility Characteristics by Rurality and Risk of Closure
    Report
    Rural and Minority Health Research Center
    Date: 11/2017
    This study's purpose was to profile rural end stage renal disease (ESRD) facilities, focusing on those at greatest risk for closure. We examined the characteristics of these facilities, the quality of care provided, and the distance patients in rural areas would have to travel if the facilities closed.
  • Chartbook: Trends in Rural Children's Oral Health and Access to Care
    Chartbook
    Rural and Minority Health Research Center
    Date: 08/2017
    Assessing progress at improving children's oral health requires examining trends to see whether rural disparities, if present, are being reduced. Our report uses data from the National Survey of Children's Health (2003, 2007, and 2011- 2012) to assess progress in access to oral health care, and perceived status of teeth among rural children.
  • Differences in Medicare Service Use in the Last Six Months of Life Among Rural and Urban Dual – Eligible Beneficiaries
    Report
    Rural and Minority Health Research Center
    Date: 08/2017
    In this brief, we compare rural and urban dual-eligible beneficiaries to Medicare-only beneficiaries in their service utilization in the last six months of life. Within rural beneficiaries, we further explore differences associated with race/ethnicity.
  • Improving Rural Oral Health: Six States' Response to the United States Department of Health and Human Services Oral Health Strategic Framework
    Policy Brief
    Rural and Minority Health Research Center
    Date: 08/2017
    The U.S. Public Health Service Oral Health Coordinating Committee published the Oral Health Strategic Framework 2014-2017. The framework includes 5 goals for advancing oral health in America. We explore how 6 states have responded to the Strategic Framework; specifically, how they address oral health inter-professional practice, and access to care.
  • Rural-Urban Differences in Medicare Service Use in the Last Six Months of Life
    Report
    Rural and Minority Health Research Center
    Date: 08/2017
    This brief focuses on the current status of healthcare use during the last six months of life among Medicare beneficiaries. We used data from a sample of Medicare beneficiary claims to assess whether service utilization differed between rural and urban decedents and across decedents of different race/ethnicity categories.
  • Transitions in Care Among Rural Residents with Congestive Heart Failure, Acute Myocardial Infarction, and Pneumonia
    Report
    Rural and Minority Health Research Center
    Date: 08/2017
    Rural and urban hospitals vary with regard to the levels of care they are able to provide, requiring that a subset of patients be transferred from the first point of encounter to a second facility. The degree to which inter-hospital transfers occur, and the outcomes for transfer patients, have not been studied across rural and urban institutions.
  • Trends in Rural Children's Health and Access to Care
    Chartbook
    Rural and Minority Health Research Center
    Date: 01/2017
    The past ten years have seen positive trends in the availability of health insurance coverage for children. This project examines data from three iterations of the National Survey of Children's Health to see if rural children have benefited equally from any improvements in health insurance, healthcare use, and health status.

2016

  • Colonoscopy Access and Utilization – Rural Disparities in the Carolinas, 2001-2010
    Policy Brief
    Rural and Minority Health Research Center
    Date: 07/2016
    This study aims to use data on where patients travel for their colonoscopies to determine the extent to which access is changing over space and time, and to better understand utilization patterns among rural residents of North and South Carolina between 2001 and 2010.
  • Looking Ahead: Rural-Urban Differences in Anticipated Need for Aging-Related Assistance
    Policy Brief
    Rural and Minority Health Research Center
    Date: 07/2016
    Rural older adults with a disability can anticipate a longer lifespan than urban adults. Rural areas tend to be served by fewer providers of home health services. This brief describes the degree to which rural and urban pre-retirement age adults, persons ages 40-64, anticipate the need for assistance later in life and where they obtain such help.
  • Vulnerable Rural Counties: The Changing Landscape, 2000-2010
    Policy Brief
    Rural and Minority Health Research Center
    Date: 07/2016
    This brief illustrates the distribution of rural vulnerable populations and the challenges they face. Understanding the demography of rural America is vital to understanding what programs, interventions and policy initiatives are needed to improve healthcare access, delivery and outcomes.

2015

  • Free Clinics in the Rural Safety Net, 2014
    Policy Brief
    Rural and Minority Health Research Center
    Date: 09/2015
    This brief explores two issues. First, it examines where free clinics are located and describes their availability in rural counties across all 50 states. Second, through telephone interviews with leadership at 14 of the 21 state free clinic associations, it explores the issues they face.
  • Post-discharge Rehabilitation Care Delivery for Rural Medicare Beneficiaries with Stroke
    Policy Brief
    Rural and Minority Health Research Center
    Date: 09/2015
    Provision/type of post-discharge rehab care (PDRC) received by stroke survivors by rurality and race/ethnicity are examined as are the distances between their homes and the discharge hospitals related to the type of PDRC recommended. The brief also looks at whether factors such as initial hospital admission relate to the PDRC provision/type.
  • Area Deprivation is Higher Among Rural Counties - But Not All Rural Counties are Deprived
    Policy Brief
    Rural and Minority Health Research Center
    Date: 08/2015
    This brief is one of two on the role of residence/community deprivation on potentially avoidable hospitalizations (PAH) of children. It details development of an area deprivation index, examines area deprivation across all U.S. counties, and describes findings when applied to rates of PAH among a nine-state sample of children.
  • The Intersection of Residence and Area Deprivation: The Case of Hospitalizations from Ambulatory Care Sensitive Conditions Among Children
    Policy Brief
    Rural and Minority Health Research Center
    Date: 08/2015
    This brief is the second in a series providing information on the role of residence and community deprivation on potentially avoidable hospitalizations among children. This brief describes the findings from a nine-state sample of children's hospitalizations and discusses the potential implications for rural health research and policy.

2014

2013

  • Diffusion of Preventive Innovation: Racial and Rural Differences in Cervical Cancer Prevention and Control Practices
    Rural and Minority Health Research Center
    Date: 05/2013
    This report examines differences associated with residence and race/ethnicity in receipt of cervical cancer screening and HPV vaccination.
  • Dental Sealant Utilization Among Rural and Urban Children
    Rural and Minority Health Research Center
    Date: 03/2013
    This report examines the proportion of rural children who have received dental sealants applied to the surface of their teeth to prevent or delay the development of dental decay.
  • Dialysis Availability in Rural America
    Rural and Minority Health Research Center
    Date: 01/2013
    This study explores the availability of dialysis services in rural America, including the prevalence of dialysis use across urban and rural counties, travel distance for services, and dialysis quality outcomes.
  • HIV/AIDS in Rural America (Key Facts)
    Rural and Minority Health Research Center
    Date: 01/2013
    This report describes the proportion of the population affected by HIV/AIDS.
  • HIV/AIDS in Rural America: Prevalence and Service Availability
    Rural and Minority Health Research Center
    Date: 01/2013
    This report examines the prevalence of HIV/AIDS in rural counties across 28 states in 2008 and the rural-versus-urban distribution of Ryan White providers.
  • Rural Border Health Chartbook
    Rural and Minority Health Research Center
    Date: 01/2013
    The chartbook examines potential geographic and ethnic disparities among U.S. border residents and describes select indicators related to access to care, women's preventive services, oral health, infectious and communicable diseases, and mental health that have been identified as disparities.
  • Rural Border Health Chartbook (Key Facts)
    Rural and Minority Health Research Center
    Date: 01/2013
    This report examines potential geographic and ethnic disparities among U.S. border residents and describes select indicators related to access to care, women's preventive services, oral health, infectious and communicable diseases, and mental health that have been identified as disparities.

2012

2011

2010

2009

2008

  • Health Disparities: A Rural-Urban Chartbook (Fact Sheet)
    Rural and Minority Health Research Center
    Date: 12/2008
    This fact sheet expands the work of the National Healthcare Disparities Reports, issued annually by the Agency for Healthcare Research and Quality, by examining potential disparities among rural populations in health, health behaviors, preventive services, and diabetes care.
  • Health Disparities: A Rural-Urban Chartbook (Full Report)
    Rural and Minority Health Research Center
    Date: 06/2008
    This chartbook expands the work of the National Healthcare Disparities Reports, issued annually by the Agency for Healthcare Research and Quality, by examining potential disparities among rural populations in health, health behaviors, preventive services, and diabetes care.
  • Chartbook: Dental Health and Access to Care Among Rural Children: A National and State Portrait (Full Report)
    Rural and Minority Health Research Center
    Date: 03/2008
    This chartbook examines dental health status, use of preventive services, and dental insurance among rural and urban children. It provides information specific to rural children, and in particular rural minority children, not available in similar detail from other sources.

2007

2006

2005

2004

2003

2002

2001