National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Events (1)
- Breast Feeding (2)
- Cancer (1)
- Children/Adolescents (3)
- Comparative Effectiveness (1)
- Diabetes (1)
- Disabilities (1)
- Education: Patient and Caregiver (2)
- Elderly (1)
- Electronic Health Records (EHRs) (1)
- Emergency Department (2)
- Emergency Medical Services (EMS) (1)
- Healthcare Costs (1)
- Health Information Technology (HIT) (4)
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- Medical Expenditure Panel Survey (MEPS) (1)
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- Outcomes (2)
- Patient Self-Management (1)
- Practice Patterns (1)
- Primary Care (1)
- Racial and Ethnic Minorities (2)
- Risk (1)
- (-) Rural Health (11)
- Screening (1)
- Telehealth (4)
- Urban Health (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 11 of 11 Research Studies DisplayedJoshi A, Amadi C, Meza J
Comparison of socio-demographic characteristics of a computer based breastfeeding educational intervention among rural Hispanic women.
The purpose of this study was to examine association between socio-demographic characteristics and breastfeeding knowledge, self-efficacy and breastfeeding attrition prediction among rural Hispanic women. It found a significant positive association between self-efficacy and intent to breastfeed. Self-efficacy is an important predictor of intent to breastfeed among rural Hispanic women.
AHRQ-funded; HS021321.
Citation: Joshi A, Amadi C, Meza J .
Comparison of socio-demographic characteristics of a computer based breastfeeding educational intervention among rural Hispanic women.
J Community Health 2015 Oct;40(5):993-1001. doi: 10.1007/s10900-015-0023-3..
Keywords: Breast Feeding, Health Information Technology (HIT), Rural Health, Education: Patient and Caregiver, Racial and Ethnic Minorities
Cochran GL, Horn SD
Potential effect of coding differences on comparisons of rural and urban outcomes.
To investigate the concern that systematic differences in coding exist, the researchers conducted a small pilot study. Their study compared rural and urban disease severity for four common diagnoses in a Midwestern urban academic medical center and eight critical access hospitals (CAHs). They found significantly fewer comorbidities (identified according to ICD-9 codes) in rural subjects, despite their being approximately 15 years older than subjects in the urban comparator group.
AHRQ-funded; HS018059.
Citation: Cochran GL, Horn SD .
Potential effect of coding differences on comparisons of rural and urban outcomes.
J Am Geriatr Soc 2015 Oct;63(10):2210-2. doi: 10.1111/jgs.13692..
Keywords: Rural Health, Urban Health, Comparative Effectiveness, Outcomes
Toth M, Holmes M, Van Houtven C
Rural Medicare beneficiaries have fewer follow-up visits and greater emergency department use postdischarge.
This study tested whether rural Medicare beneficiaries have a lower likelihood of follow-up care and greater likelihood of a readmission and ED visit within 30 days postdischarge, compared with urban beneficiaries. The results provide evidence of lower quality postdischarge care for Medicare beneficiaries in rural settings.
AHRQ-funded; HS000032.
Citation: Toth M, Holmes M, Van Houtven C .
Rural Medicare beneficiaries have fewer follow-up visits and greater emergency department use postdischarge.
Med Care 2015 Sep;53(9):800-8. doi: 10.1097/mlr.0000000000000401..
Keywords: Rural Health, Elderly, Medicare, Hospital Readmissions, Emergency Department, Hospital Discharge
Yang NH, Dharmar M, Yoo BK
Economic evaluation of pediatric telemedicine consultations to rural emergency departments.
The researchers conducted an economic evaluation to estimate the cost, effectiveness, and return on investment (ROI) of telemedicine consultations provided to health care providers of acutely ill and injured children in rural EDs compared with telephone consultations from a health care payer prospective. They found that treating 10 acutely ill and injured children at each rural ED with telemedicine resulted in an annual cost-savings of $46,620 per ED. They concluded that telemedicine consultations to health care providers of acutely ill and injured children presenting to rural EDs are cost-saving or cost-effective compared with telephone consultations.
AHRQ-funded; HS013179.
Citation: Yang NH, Dharmar M, Yoo BK .
Economic evaluation of pediatric telemedicine consultations to rural emergency departments.
Med Decis Making 2015 Aug;35(6):773-83. doi: 10.1177/0272989x15584916.
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Keywords: Healthcare Costs, Emergency Department, Children/Adolescents, Rural Health, Telehealth
Ray KN, Demirci JR, Bogen DL
Optimizing telehealth strategies for subspecialty care: recommendations from rural pediatricians.
The authors elicited rural pediatrician experiences and preferences regarding different pediatric subspecialty telehealth strategies. Rural pediatricians from 17 states described complementary roles for different subspecialty care telehealth strategies. Additionally, rural pediatricians, through semistructured telephone interviews, provided recommendations for optimizing individual telehealth strategies.
AHRQ-funded; HS022989.
Citation: Ray KN, Demirci JR, Bogen DL .
Optimizing telehealth strategies for subspecialty care: recommendations from rural pediatricians.
Telemed J E Health 2015 Aug;21(8):622-9. doi: 10.1089/tmj.2014.0186.
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Keywords: Children/Adolescents, Children/Adolescents, Practice Patterns, Rural Health, Telehealth
Tsilimingras D, Schnipper J, Duke A
Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study.
The researchers aimed to determine the rate of postdischarge adverse events (AEs), classify the types of post-discharge AEs, and identify risk factors for post-discharge AEs in urban and rural patients. They found that post-discharge AEs were common in both urban and rural patients and many were preventable or ameliorable.
AHRQ-funded; HS018694.
Citation: Tsilimingras D, Schnipper J, Duke A .
Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study.
J Gen Intern Med 2015 Aug;30(8):1164-71. doi: 10.1007/s11606-015-3260-3..
Keywords: Adverse Events, Hospital Discharge, Outcomes, Risk, Rural Health
Lepard MG, Joseph AL, Agne AA
Diabetes self-management interventions for adults with type 2 diabetes living in rural areas: a systematic literature review.
The authors systematically reviewed the evidence for the impact of diabetes self-management education interventions designed for patients living in rural areas on glycemic control and other diabetes outcomes. They were able to identify examples of both telehealth interventions and face-to-face interventions that resulted in improved behavioral, biologic, and diabetes knowledge-related outcomes in adults with T2DM living in rural areas.
AHRQ-funded; HS019465.
Citation: Lepard MG, Joseph AL, Agne AA .
Diabetes self-management interventions for adults with type 2 diabetes living in rural areas: a systematic literature review.
Curr Diab Rep 2015 Jun;15(6):608. doi: 10.1007/s11892-015-0608-3..
Keywords: Diabetes, Patient Self-Management, Rural Health, Telehealth, Health Information Technology (HIT)
Horner-Johnson W, Dobbertin K, Iezzoni LI
Disparities in receipt of breast and cervical cancer screening for rural women age 18 to 64 with disabilities.
The authors examined the combination of disability status and rurality in association with receipt of breast and cervical cancer screening among women age 18 to 64 in the United States. They found that women with disabilities were less likely to be up to date with mammograms and Pap tests compared with women with no disabilities, and women in rural areas were less likely to have received breast or cervical cancer screening within recommended timeframes. Women with a disability who lived in a rural area were the least likely to be current with screening.
AHRQ-funded; HS022981.
Citation: Horner-Johnson W, Dobbertin K, Iezzoni LI .
Disparities in receipt of breast and cervical cancer screening for rural women age 18 to 64 with disabilities.
Womens Health Issues 2015 May-Jun;25(3):246-53. doi: 10.1016/j.whi.2015.02.004.
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Keywords: Cancer, Disabilities, Medical Expenditure Panel Survey (MEPS), Rural Health, Screening
Joshi A, Perin DM, Amadi C
Evaluating the usability of an interactive, bi-lingual, touchscreen-enabled breastfeeding educational programme: application of Nielson's heuristics.
The study purpose was to conduct heuristic evaluation of an interactive, bilingual touchscreen-enabled breastfeeding educational program for Hispanic women living in rural settings in Nebraska. The results demonstrated that the system was more consistent with Nielsen’s usability heuristics. With Nielsen’s usability heuristics, it is possible to identify problems in a timely manner.
AHRQ-funded; HS021321.
Citation: Joshi A, Perin DM, Amadi C .
Evaluating the usability of an interactive, bi-lingual, touchscreen-enabled breastfeeding educational programme: application of Nielson's heuristics.
J Innov Health Inform 2015 Mar 5;22(2):265-74. doi: 10.14236/jhi.v22i2.71..
Keywords: Health Information Technology (HIT), Education: Patient and Caregiver, Rural Health, Breast Feeding, Racial and Ethnic Minorities
Yang NH, Dharmar M, Kuppermann N
Appropriateness of disposition following telemedicine consultations in rural emergency departments.
The researchers compared the overall and stratified observed-to-expected hospital admission ratios between telemedicine and telephone cohorts of acutely ill and injured children. They found that there were no statistically significant differences between the observed-to-expected admission ratios using Pediatric Risk of Admission II and Revised Pediatric Emergency Assessment Tool.
AHRQ-funded; HS013179; HS019712.
Citation: Yang NH, Dharmar M, Kuppermann N .
Appropriateness of disposition following telemedicine consultations in rural emergency departments.
Pediatr Crit Care Med 2015 Mar;16(3):e59-64. doi: 10.1097/pcc.0000000000000337..
Keywords: Children/Adolescents, Emergency Medical Services (EMS), Hospitalization, Rural Health, Telehealth
Green LA, Potworowski G, Day A
Sustaining "meaningful use" of health information technology in low-resource practices.
The objective of this paper was to identify potential barriers to maintenance of meaningful use of EHRs in priority primary care practices using a qualitative observational study for federally qualified health centers and priority practices in Michigan. The authors concluded that priority practices, especially in rural areas, are at high risk for falling on the wrong side of a digital divide as payers and regulators enact increasing expectations for EHR use and information management.
AHRQ-funded; HS018170.
Citation: Green LA, Potworowski G, Day A .
Sustaining "meaningful use" of health information technology in low-resource practices.
Ann Fam Med 2015 Jan-Feb;13(1):17-22. doi: 10.1370/afm.1740.
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Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Primary Care, Rural Health