According to the Centers for Disease Control and Prevention, almost 15 percent of Americans live in a rural area, and those individuals are at increased risk for certain health conditions. Some rural areas have characteristics that put residents at higher risk of death—such as long travel distances to specialty and emergency care, or exposures to specific environmental hazards. In addition, rural-dwelling Americans tend to have higher rates of cigarette smoking, high blood pressure, and obesity. Rural residents also have higher rates of poverty, less access to healthcare, and are less likely to have health insurance. All of these factors can lead to poor health outcomes. For Veterans dwelling in rural areas, those existing health concerns are compounded by experiences unique to military service. HSR&D research into rural health comprises everything from lack of access to care, to telehealth services, to social work outreach and suicide prevention.
Each "widget" below is populated by a dynamic search of the HSR&D website and its underlying databases. Search results are generated based on the search term "Rural". Results are updated regularly, as new data are available.
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(5 of more than 678 RURAL focused publications)
- Duan KI, Donovan LM, Spece LJ, Feemster LC, Bryant AD, Plumley R, Collins MP, Au DH. Trends and Rural-Urban Differences in the Initial Prescription of Low-Value Inhaled Corticosteroids among U.S. Veterans with Chronic Obstructive Pulmonary Disease. Annals of the American Thoracic Society. 2023 May 1; 20(5):668-676.
- Bogulski CA, Acharya M, Pro G, Ali MM, Rabbani M, Hayes CJ, Eswaran H. A State Profile of Disparities in Telehealth Utilization Among Medicare Beneficiaries: An Intersection Between Race/Ethnicity, Rurality, and Chronic Conditions-Arkansas, 2019. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2023 Apr 19; doi:10.1089/tmj.2023.0012.
- Leung LB, Yoo C, Chu K, O'Shea A, Jackson NJ, Heyworth L, Der-Martirosian C. Rates of Primary Care and Integrated Mental Health Telemedicine Visits Between Rural and Urban Veterans Affairs Beneficiaries Before and After the Onset of the COVID-19 Pandemic. JAMA Network Open. 2023 Mar 1; 6(3):e231864.
- Kaufman BG, Holland DE, Vanderboom CE, Ingram C, Wild EM, Dose AM, Stiles C, Gustavson AM, Chun A, Langan EM, Baer-Benson HA, Mandrekar J, Griffin JM. Implementation Costs of Technology-Enhanced Transitional Palliative Care for Rural Caregivers. The American journal of hospice & palliative care. 2023 Feb 16; 10499091231156145.
- Cheney AM, McCarthy WJ, Pozar M, Reaves C, Ortiz G, Lopez D, Saldivar PA, Gelberg L. "Ancestral recipes": a mixed-methods analysis of MyPlate-based recipe dissemination for Latinos in rural communities. BMC public health. 2023 Feb 1; 23(1):216.
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(5 of more than 46 RURAL focused publication briefs)
- Rural-Urban Telemedicine Disparity among Veterans Worsens Following Onset of COVID-19 Pandemic
This study examined changes over time in rural-urban differences in telemedicine use for primary care and mental health integration services among nearly 64 million primary care and 4 million mental health integration visits. Findings showed that the pandemic exacerbated the rural-urban telemedicine divide across VA, possibly because underlying causes of digital inequity were not addressed as init...
Date: March 7, 2023
- Timeliness of VA Purchased Community Primary Care Did Not Improve Following Early Expansion Under MISSION Act
This study examined whether early Community Care Network (CCN) implementation impacted community primary care (PC) appointment wait times. Findings showed that expanded contracting with community providers and new provider network adequacy standards implemented through CCNs did not, in early stages, improve the timeliness of community primary care for Veterans. Wait times increased sharply for bot...
Date: October 28, 2022
- New Metric Determines Adequacy of VA Primary Care Staffing
This study created a primary care provider (PCP) staffing measure using clinic-level provider FTE and number of assigned patients to identify primary care (PC) clinics at risk of insufficient staffing and describe rural-urban staffing variation. Using this metric, over the 3.5-year study period at 916 clinics, 38 (4%) were always under-staffed, 21 (2%) were always marginally staffed, and 200 (22%)...
Date: August 4, 2022
- Receipt of Video Tablets among Rural Veterans Associated with Increased Use of Mental Health Care and Less Suicidal Behavior
This study sought to evaluate the association between the escalated distribution of VA’s video-enabled tablets during the COVID-19 pandemic and rural Veterans’ mental health service use and suicide-related outcomes. Findings showed that receipt of a video tablet was associated with the increased use of mental healthcare via video and increased psychotherapy visits across all modalities. Tablets al...
Date: April 6, 2022
- Changes in the Association between Race and Urban Residence with COVID-19 Outcomes among Veterans
This study examined whether key sociodemographic and clinical risk factors for COVID-19 infection and mortality changed between February 2020 and March 2021 among more than 9 million Veterans enrolled in VA healthcare. Findings showed that strongly positive associations of Black race, American Indian/Alaska Native (AI/AN) race, and urban residence with COVID-19 infection, mortality, and case fatal...
Date: October 21, 2021
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( 5 of more than 33 RURAL focused projects
|| Addressing Social Determinants of Health Among Rural Veterans
|| Understanding Community-based Mental Healthcare for Rural Veterans with Military Sexual Trauma
|| COVID-19 Impact on Biopsychosocial Factors of Loneliness in Rural Older Veterans and Caregivers
|| Veteran Engagement Implementation Strategies to Prevent Rural Veteran Suicide
|| Connecting Women to Care: Home-based Psychotherapy for Women with MST Living in Rural Areas
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HSR&D Briefs, Reports, Newsletters
5 sample "Rural" publications displayed.
Rural Healthcare Workforce: A Systematic Review
...Rural Healthcare Workforce: A Systematic Review...Rural Healthcare Workforce: A Systematic Review Rural Healthcare Workforce:...101 APPENDIX 1. SEARCH STRATEGY KQ1 – RURAL HEALTH PROVIDER NEEDS DATABASE SEARCHED
Management Briefs eBrief-no112 -- Rural Healthcare Workforce
Management Briefs eBrief-no112 -- Rural Healthcare Workforce...Synthesis Program. Systematic Review: Rural Healthcare Workforce Approximately...population lives in rural areas, and Veterans living in rural areas represent one-third
Management Briefs eBrief-no38 -- Rural vs. Urban Ambulatory Healthcare
Management Briefs eBrief-no38 -- Rural vs. Urban Ambulatory Healthcare...June 2011 A Review of the Literature: Rural vs. Urban Ambulatory Healthcare There...system who live in rural areas (as defined by VA). The Rural Veterans Care Act
Rural Healthcare Workforce: A Systematic Review
...Rural Healthcare Workforce: A Systematic Review...Rural Healthcare Workforce: A Systematic Review Department of Veterans Affairs...Service Evidence-based Synthesis Program Rural Healthcare Workforce: A Systematic
FORUM, Summer 2017: Rural Health
Partnered Research to Improve Health of Rural Veterans Teresa Hudson, PharmD, PhD...Arkansas The health and health care of rural Veterans is a major priority for the
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The most recent "Rural" seminars are displayed.
Reproductive Health Needs and Organization of Care for Women and Gender-Diverse Veterans: Trends Over Time
|| Katon, Jodie
VA’s Video Telehealth Tablets, Access to Mental Health Care, Suicide Risk Assessment, and Suicidal Behavior among Rural and Urban Veterans
|| Gujral, Kritee
Tele-Collaborative Outreach to Rural Patients with Chronic Pain: The CORPs Trial
|| Lovejoy, Travis
HSR&D National Meeting Paper Session: COVID-19
|| Research Community, HSR&D
A Novel Gap Staffing Metric for Primary Care Providers and Implications for Urban and Rural Areas
|| O'Shea, Amy
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