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 section 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 708 RURAL focused publications)
- Melhado TV, Schneegans S, Rochat A, Kawasaki K, Finley EP, Wheeler D, Allison WE. Utilizing PRISM and RE-AIM to implement and evaluate the Rural Telementoring Training Center (RTTC) for health care workforce development in rural communities. Frontiers in Health Services. 2023 Oct 19; 3:1219308.
- Kusters IS, Amspoker AB, Frosio K, Day SC, Day G, Ecker A, Hogan J, Lindsay JA, Shore J. Rural-Urban Disparities in Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans. JAMA psychiatry. 2023 Oct 1; 80(10):1055-1060.
- Sheinfil AZ, Day G, Walder A, Hogan J, Giordano TP, Lindsay J, Ecker A. Rural Veterans with HIV and Alcohol Use Disorder receive less video telehealth than urban Veterans. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 2023 Sep 27.
- Baldomero AK, Kunisaki KM, Wendt CH, Henning-Smith C, Hagedorn HJ, Bangerter A, Dudley RA. Guideline-discordant inhaler regimens after COPD hospitalization: associations with rurality, drive time to care, and fragmented care - a United States cohort study. Lancet Regional Health. Americas. 2023 Oct 1; 26:100597.
- Pizer SD, Sites EP, Thorsness R. Underserved and Rural Access Strategies: Briefing before the IVC's Executive Leadership Team Lisa Arfons, Executive Director, Integrated Field Operations, and Mary Fields, National Director of Field Support; 2023 Sep 11; Virtual Briefing.
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(5 of more than 48 RURAL focused publication briefs)
- Despite Equal Access and Use of VA Care, Black Veterans are More Likely to Experience Postpartum Rehospitalization and Low-Birthweight Infants
This study sought to determine whether Black/white racial disparities in access, use, and outcomes are present among pregnant and postpartum Veterans and their infants using VA maternity care. Findings showed no statistically significant racial disparities in access or use of care during the perinatal period; nevertheless, Black Veterans were more likely than white Veterans to experience postpartu...
Date: July 1, 2023
- Thirty-Day Mortality Higher for Older Veterans Hospitalized with COVID-19 in Community vs. VA Hospitals
This study compared outcomes among Veterans ages 65+ admitted for COVID-19 in VA and community hospitals. Findings showed that admission to community hospitals was associated with higher unadjusted (27% vs. 18%) and risk adjusted 30-day mortality compared to admission to VA hospitals. Readmission within 30 days was less common following admission to community compared to VA hospitals (13% vs. 14%)...
Date: May 30, 2023
- 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
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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.
Overview: VA Telehealth || In Progress
...particularly important for Veterans living in rural states. On December 6, 2018, VA hosted...particularly important for Veterans living in rural states. On December 6, 2018, VA hosted...with 45% of these Veterans living in rural areas.1 HSR&D is conducting numerous
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
Collaborations Reveal Opportunities to Improve Rural Health Care B. Josea Kramer, PhD, Beth...patient-level impact was unknown in rural areas where access is limited for all
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The most recent "Rural" seminars are displayed.
Harnessing Technology to Increase Access to Couple and Family Treatment for Alcohol Use Disorders among Veterans
|| Flanagan, Julianne
Santa Ana, Elizabeth
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
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