Southwest Rural Health Research Center
Listed by project completion date. You can also view these projects alphabetically.
How Well are We Doing Meeting Healthy People 2020 Mortality Objectives at Midterm? Rural v. Urban Differences
The purpose of this project is to conduct a midterm examination of urban versus rural disparities in meeting Healthy People 2020 mortality objectives for the top 10 leading causes of death in the U.S. utilizing existing secondary databases.
Topics: Chronic diseases and conditions, Health disparities and health equity
Community Health Worker Roles, Regulation and Growth in Rural America
This study looks at the role of Community Health Workers in improving access to healthcare services in rural and urban environments. Our project focuses on the growing and changing roles of these influential actors and how their responsibilities vary based on setting (hospital, clinic, community, etc.), location (rural vs. urban), and regulations.
Topics: Health disparities and health equity, Healthcare access
Examining the Legal Landscape in Rural America: Implications for the Healthcare Workforce, Access to Care, and Population Health
This project explores potential rural/urban differences in the prevalence of malpractice claims, clinical privilege actions, and state licensure actions among health care providers. We will also examine whether variations in nurse practitioner scope of practice laws affect rural residents differentially, especially with respect to preventive care.
Topics: Allied health professionals, Health services, Legislation and regulation, Nurses and nurse practitioners, Workforce
Rural/Urban Differences in Chronic Diseases and Delay of Needed Care
This project examined rural versus urban differences in the prevalence, incidence, stage, and severity of several chronic diseases, including heart disease, stroke, and selected cancers. There was a focus on delayed access to needed care and whether rural residents present later and with more advanced disease states.
Topics: Cancer, Chronic diseases and conditions, Health disparities and health equity
The Burden of Diabetes in Rural America
The purpose of this project was to determine rural versus urban differences in type 2 diabetes prevalence, morbidity and mortality in the U.S. Diabetes complications, disparities and associated demographics were reported. A comparison of Mexican-American border versus non-border states was also included.
Topics: Chronic diseases and conditions, Diabetes, Health disparities and health equity, Minority health
Are Rural Mothers and Infants Benefiting from Changes in National Women, Infants and Children (WIC) Policy?
This study explored breastfeeding practices among rural participants in the Women, Infants and Children (WIC) Program before and after a federal policy change in WIC Food Packages. National Food and Nutrition Survey data was used to examine the potential impact on breastfeeding, infant feeding practices, and food/beverage consumption.
Topics: Children and adolescents, Maternal health, Poverty, Women
Provision of Skilled Nursing in Rural America: Skilled Nursing Facilities and Swing Beds
This project will allow researchers and policy makers to understand the nature of swing bed and skilled nursing facility care provision in rural areas of the U.S. Our national comparison will include indicators such as service mix, length of stay, discharges, volume and census, and certifications and provider characteristics.
Topics: Aging, Hospitals and clinics, Long-term care, Medicare
Medicaid Budget Cuts: Effects on Rural Nursing Homes and Rural Elderly and Disabled
This project will investigate whether nursing home quality and access to nursing home care have eroded in rural areas as a result of changes in Medicare payments or reductions in Medicaid nursing home payments from 2000-2003.
Topics: Aging, Disabilities, Long-term care, Medicaid and CHIP
Mental Health Services: The Effect of Variations in State Policies
This study will identify variations in state licensure and payment or coverage polices and examine the effect of these variations on the availability of mental health services in rural areas.
Topics: Health services, Mental and behavioral health
Chronic Disease Management in Rural Areas: Examination of Medicare and Medicaid Managed Care Programs
The goal of this project was to advance knowledge of the use of disease management (DM) to address chronic conditions among rural populations, analyzing information from participating health plans and providers about special challenges and effective strategies in DM initiatives targeting rural populations.
Topics: Chronic diseases and conditions, Medicaid and CHIP, Medicare
Medicaid Budget Cuts and Long-Term Care Supplement
Data on each state will be collected identifying all the changes made to their Medicaid program in the area of long-term care or related services to the frail elderly and disabled, and a policy paper addressing the impact of Medicaid cuts on long term care services, particularly among the elderly in rural areas, will be produced.
Topics: Aging, Disabilities, Long-term care, Medicaid and CHIP
Nursing Home Quality: A Comparison between Rural and Non-Rural Nursing Homes
The research examines the effect of location (rural/non-rural) on the characteristics of nursing homes and residents, and on various indicators of quality of care.
Topics: Long-term care, Quality, Rural statistics and demographics
Rural Healthy People 2010 Expansion: Access to Long-Term Care and Rehabilitation Services, Educational and Community-Based Programs, and Public Health Infrastructure
This project expanded the work of Healthy People 2010 by adding three additional chapters and associated models for practice: Access to Long-Term Care and Rehabilitation Services, Educational and Community-Based Programs, and Public Health Infrastructure.
Topics: Cancer, Diabetes, Health services, Long-term care, Public health
State Child Health Insurance Program (S-CHIP) and Access to Medical Transportation Program Services
This project created a typology of S-CHIP models and the interface between each and the existing Medical Transportation Program (MTP) available to Medicaid recipients in select states. In addition, the project compared rural and non-rural variances in patterns of utilization of MTP service in S-CHIP programs, identified the strengths and weaknesses of the various approaches utilized by the different state MTP models, and compared the performance of the various state models in assuring access to covered medical services and identified barriers to S-CHIP services.
Topics: Children and adolescents, Medicaid and CHIP, Transportation
State of Rural Health Provider Organizations and Health Professional Shortages
This study addresses the convergence of health professions shortages and financial limitations among rural hospitals and rural home health providers. Successful strategies or best practices implemented in rural areas to address the shortages will be identified.
Topics: Allied health professionals, Home health, Nurses and nurse practitioners, Workforce
Chronic Disease Management in Rural Areas
Topics: Chronic diseases and conditions, Health promotion and disease prevention
Community Health Worker Certification Process in Texas: Implications for Practice and Policy
Topics: Hispanics, Legislation and regulation, Workforce
Comparing Assisted Living Facility Residents' Medication Use in Rural and Non-Rural Assisted Living Facilities
Topics: Long-term care, Pharmacy and prescription drugs
Comparison of Assisted Living in Rural and Non-Rural Areas
Topics: Long-term care, Rural statistics and demographics
Rural Healthy People 2010: A Companion Document for Rural Areas
This project identified and examined approximately one dozen high priority objectives for rural health as a subset of the hundreds of objectives defined within Healthy People 2010 including, Access to Quality Health Services (Insurance, Primary Care, and EMS); Cancer; Diabetes; Heart Disease and Stroke; Maternal, Infant, and Child Health; Mental Health and Mental Disorders; Nutrition and Overweight Concerns; Oral Health; Substance Abuse; and Tobacco Use.
Topics: Cancer, Diabetes, Health promotion and disease prevention, Public health
Rural Healthy People 2010: Expansion Project
The purpose of this expansion project is to build on the findings of Rural Health People 2010 by concentrating on the 13th and 14th highest ranking rural priority areas (Immunization and Infection Diseases; Injury and Violence Prevention) and their associated models for practice.
Topics: Health promotion and disease prevention, Public health, Violence and abuse
Use and Effect on Patients of Disease Management in Rural Areas
Topic: Health services
Evaluating Colonias and the Use of Promatoras on the U.S.-Mexico Border
Topics: Health promotion and disease prevention, Public health
Quality Differences between Rural and Non-Rural Nursing Homes
Topics: Long-term care, Quality