Designing Policy Solutions to Build a Healthier Rural America.

Published on Oct 6, 2020in Journal of Law Medicine & Ethics1.085
· DOI :10.1177/1073110520958874
Sameer Vohra2
Estimated H-index: 2
Carolyn A Pointer2
Estimated H-index: 2
+ 3 AuthorsElizabeth Weeks3
Estimated H-index: 3
Disparities exist in the health, livelihood, and opportunities for the 46-60 million people living in America’s rural communities. Rural communities across the United States need a new energy and f...
#1Elizabeth Crouch (USC: University of South Carolina)H-Index: 14
#2Elizabeth Radcliff (USC: University of South Carolina)H-Index: 12
Last. Selina Hunt McKinney (USC: University of South Carolina)H-Index: 3
view all 5 authors...
Purpose: The purpose of this study was to examine the prevalence of adverse childhood experiences (ACEs) exposure in 34 states and the District of Columbia, and whether exposure differs between rural and urban residents. Methods: This cross‐sectional study used data from the 2016 National Survey of Children's Health (NSCH), restricted to states in which rural versus urban residence was indicated in the public use data (n = 25,977 respondents). Bivariate analyses were used to estimate unadjusted ...
12 CitationsSource
Implications of an Aging Rural Physician Workforce As fewer younger physicians enter rural practice in the United States, the rural physician workforce is graying and nearing retirement. The uneven...
23 CitationsSource
: Rural status in the United States can be objectively measured using multiple designations within different geographic extents, often considering both population density and proximity to urban areas. However, these measurements are often incomplete for assessing the relationship between rural status and health and are often inadequately considered in analysis. To address these limitations, we posit four recommendations: two recommendations to improve current measures by including additional fac...
4 CitationsSource
#1Rebecca J Bergin (University of Melbourne)H-Index: 5
#2Jon Emery (University of Melbourne)H-Index: 51
Last. Victoria White (Deakin University)H-Index: 51
view all 11 authors...
Background: Longer cancer pathways may contribute to rural-urban survival disparities, but research in this area is lacking. We investigated time to diagnosis and treatment for rural and urban patients with colorectal or breast cancer in Victoria, Australia. Methods: Population-based surveys (2013-2014) of patients (aged ≥40, approached within six months of diagnosis), primary care physicians (PCP), and specialists were collected as part of the International Cancer Benchmarking Partnership, Modu...
26 CitationsSource
Offering incentives for young doctors to work in underserved areas appears to be paying off in the United States. According to [new data][1] from the Association of American Medical Colleges (AAMC), 23.7% of physicians who completed their residency from 2007 to 2016 are practising in underserved
3 CitationsSource
#1Sunita Desai (NYU: New York University)H-Index: 7
#2J. Michael McWilliams (Harvard University)H-Index: 33
Abstract Background The 340B Drug Pricing Program entitles qualifying hospitals to discounts on outpatient drugs, increasing the profitability of drug administration. By tying the program eligibility of hospitals to their Disproportionate Share Hospital (DSH) adjustment percentage, which reflects the proportion of hospitalized patients who are low-income, the program is intended to expand resources for underserved populations but provides no direct incentives for hospitals to use financial gains...
26 CitationsSource
#1Shannon M. Monnat (SU: Syracuse University)H-Index: 19
#2Khary K. Rigg (USF: University of South Florida)H-Index: 14
12 CitationsSource
#1Ernest Moy (National Center for Health Statistics)H-Index: 20
#2Macarena C. GarcíaH-Index: 11
Last. Michael F. IademarcoH-Index: 26
view all 11 authors...
PROBLEM/CONDITION:Higher rates of death in nonmetropolitan areas (often referred to as rural areas) compared with metropolitan areas have been described but not systematically assessed. PERIOD COVERED:1999-2014 DESCRIPTION OF SYSTEM: Mortality data for U.S. residents from the National Vital Statistics System were used to calculate age-adjusted death rates and potentially excess deaths for nonmetropolitan and metropolitan areas for the five leading causes of death. Age-adjusted death rates includ...
130 CitationsSource
#1Cynthia A. Fontanella (The Ohio State University Wexner Medical Center)H-Index: 16
#2Danielle L. Hiance-Steelesmith (OSU: Ohio State University)H-Index: 6
Last. John V. Campo (The Ohio State University Wexner Medical Center)H-Index: 35
view all 7 authors...
Importance Little is known about recent trends in rural-urban disparities in youth suicide, particularly sex- and method-specific changes. Documenting the extent of these disparities is critical for the development of policies and programs aimed at eliminating geographic disparities. Objective To examine trends in US suicide mortality for adolescents and young adults across the rural-urban continuum. Design, Setting, and Participants Longitudinal trends in suicide rates by rural and urban areas ...
156 CitationsSource
: To make them more responsive to their community's needs, federally qualified health centers (FQHCs) are required to have a governing board comprising at least 51 percent consumers. However, the extent to which consumer board members actually resemble the typical FQHC patient has not been assessed, which according to the political science literature on representation may influence the board's ability to represent the community. This mixed-methods study uses four years of data from the Health Re...
21 CitationsSource
Cited By1
#1Brietta R Clark (Washington College of Law)
#2Erin C. Fuse Brown (Washington College of Law)H-Index: 2
Last. Lindsay F. Wiley (Washington College of Law)H-Index: 8
view all 3 authors...