Coronavirus Disease 2019 (COVID-19)
Research Products & Journal Articles
Browse the full list of research publications on this topic completed by the Rural Health Research Centers.
Products – Freely accessible products include policy briefs, fact sheets, full reports, chartbooks, and interactive data websites.
Journal Articles – Articles in peer-reviewed journals may require a subscription or affiliation with a subscribing library. For these publications, Gateway lists the article citation, a brief summary, a link to additional information and access to the full-text of the article, if available.
2024
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An Updated Model of Rural Hospital Financial Distress
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 10/2024
In fall 2024, the North Carolina Rural Health Research Program completed a study modeling financial distress among rural hospitals, "An Updated Model of Rural Hospital Financial Distress." The model updates a 2016 version, by adding recent changes in the operating environment. -
2018-23 Profitability of Rural and Urban Hospitals by Medicare Payment Designation
Policy Brief
North Carolina Rural Health Research and Policy Analysis Center, Rapid Response to Requests for Rural Data Analysis
Date: 06/2024
This study compares profitability of three types of hospitals in both urban and rural locations: Critical Access Hospitals, Prospective Payment System-only (PPS) hospitals by number of acute beds, and PPS hospitals with special payment designations hospitals over a five-year period. -
2018-23 Profitability of Rural Hospitals by Ownership and System Affiliation
Policy Brief
North Carolina Rural Health Research and Policy Analysis Center, Rapid Response to Requests for Rural Data Analysis
Date: 06/2024
This study compares the 2018-23 profitability of rural hospitals based on ownership and system affiliation status. The purpose of this brief is to describe the profitability of rural hospitals over a five-year period consisting of two years before and three years after COVID-19. -
2018-23 Profitability of Rural Hospitals by With and Without Rural Health Clinics and Long-Term Care
Policy Brief
North Carolina Rural Health Research and Policy Analysis Center, Rapid Response to Requests for Rural Data Analysis
Date: 06/2024
This study compares the 2018-23 profitability of rural hospitals for hospitals that provide and do not provide long-term care, and that operate and do not operate rural health clinics. -
COVID-19 Affected Rural and Urban Hospital Uncompensated Care
Fact Sheet
North Carolina Rural Health Research and Policy Analysis Center
Date: 03/2024
The purpose of this infographic is to illustrate the impact COVID-19 had on uncompensated care and operating margin among rural and urban hospitals.
2023
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The COVID-19 Pandemic Impact on Independent and Provider-Based Rural Health Clinics' Operations and Cancer Prevention and Screening Provision in the United States
Journal Article
University of South Carolina Rural Health Research Center
Date: 03/2023
The provision of Rural Health Clinic (RHC) cancer prevention and screening services was examined to identify any changes pre- and peri-pandemic. The research examined overall provision of cancer prevention and screening services by RHCs and the provision of these services by independent RHCs and by provider-based RHCs . -
COVID-19 Vaccination Rates
Policy Brief
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
Date: 03/2023
This rural data brief provides a longitudinal examination of completion of primary COVID-19 vaccination series in the age-eligible population in metropolitan, micropolitan, and noncore counties.
2022
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Review of Rural U.S. Economic and Health Care Trends
Report
Center for Economic Analysis of Rural Health
Date: 09/2022
This report reviews recent literature and publicly available data to explore important issues at the nexus of health care and local economic vibrancy. The report also explores the economic implications associated with COVID-19, however full impacts will not be known for several years.
2021
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COVID-19 Cases and Vaccination Rates
Policy Brief
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
Date: 09/2021
This data brief examines the relationship between vaccination rates, COVID-19 one-week incidence and metropolitan/nonmetropolitan location. Additional information is provided for Census regions and individual states. -
Confirmed COVID-19 Cases, Metropolitan and Nonmetropolitan Counties
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
Date: 08/2021
This data brief shows the spread of COVID-19 confirmed cases across the U.S., highlighting metropolitan and nonmetropolitan counties with confirmed cases of, and deaths from, COVID-19. -
County-Level 14-Day COVID-19 Case Trajectories
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
Date: 08/2021
Many locations in the U.S. are relaxing their community-level COVID-19 mitigation measures. But one of the key "gating" indicators for doing this is a downward trajectory of new cases during a 14-day period. The rural data brief examines county-level 14-day trajectories for new confirmed COVID-19 cases. -
COVID-19 Cases and Deaths, Metropolitan and Nonmetropolitan Counties Over Time (Update)
Report
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
Date: 08/2021
This data brief compares seven-day moving average COVID-19 incidence and mortality rates between metropolitan, micropolitan, and noncore counties in the U.S. The brief is updated twice a month. -
Pharmacy Vaccination Service Availability in Nonmetropolitan Counties
Policy Brief
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
Date: 02/2021
Pharmacies will play a role in administering the COVID-19 vaccination to the general public. But there are many rural locations in the U.S. where pharmacy resources are limited. This rural data brief examines the availability of pharmacies capable of delivering COVID-19 vaccinations in nonmetropolitan areas.
2020
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The Unique Impact of COVID-19 on Older Adults in Rural Areas
Journal Article
University of Minnesota Rural Health Research Center
Date: 06/2020
Older adults in rural areas of the U.S. face unique risks related to COVID-19, which puts them at risk of not only the virus, but of not being able to meet their healthcare, social, and basic needs. -
Metropolitan/Nonmetropolitan COVID-19 Confirmed Cases and General and ICU Beds
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 05/2020
The spread of COVID-19 across rural areas has fueled concern about the availability of healthcare resources for dealing with the pandemic. This brief looks at a single measure of healthcare resources – hospital beds – and reports of current COVID-19 cases in a single week to assess the impact on rural facilities. -
Most Rural Hospitals Have Little Cash Going Into COVID
North Carolina Rural Health Research and Policy Analysis Center
Date: 05/2020
This infographic uses Medicare Cost Report data to illustrate the type of rural hospitals most likely to struggle financially during the pandemic as measured by lower median days cash on hand.