All-Payer Claims Databases Updated April 1, Cost Containment Strategy and Logic In recent years, a growing number of states have established databases that collect health insurance claims information from all health care payers into a statewide information repository. More than a dozen others have considered such a law or program They are designed to inform cost containment and quality improvement efforts.
American Journal of Preventive Medicine, 46 2 Article Abstract What regions of the country experience high levels of rural health disparities?
High levels of rural health disparities are found in several regions in the U. The South The rural South is consistently at the top of the list for high rates of mortality for nearly all leading causes of death.
Average life expectancy at birth is lower in the South than the national average by a year and in some states by 3 — 4 years. CDC has identified the nonmetropolitan areas of the South as having the highest rates of potentially excess deaths related to heart disease, cancer, chronic lower respiratory disease, and stroke.
In the Southeastern regionstates with largely rural populations exhibit a diabetes prevalence rate higher than Other health concerns with high mortality rates include septicemia, liver disease and suicide.
Appalachia Many areas of Appalachia overlap with the rural South and exhibit many of the same health disparities.
Research has shown mortality rates for cancer, heart disease, diabetes, chronic lower respiratory disease, unintentional injury, and stroke in Appalachia are higher than the rest of the nation. Other diseases and health concerns causing death which are prevalent in the region include septicemia, chronic liver disease, suicide, prescription drug and illegal drug overdose.
The Delta Region The Delta Region, also located in the South but limited to rural geographic areas along the Mississippi River, exhibits many of the same disparities found in the South and in Appalachia.
Life expectancy for counties located in the Delta Region are some of the lowest in the country, as low as Mortality rates for cancer, suicide, diabetes, lower respiratory, stroke, and septicemia are higher than the rest of the nation.
Heart disease is of special concern as it is higher than the national average for all age groups including children. Other health issues prevalent in the Delta Region include high mortality rates due to pregnancy, childbirth, and sudden infant death syndrome. Border areas also have some of the highest rates of diabetes in the U.
Mortality rates due to unintentional injuries from traffic fatalities and infectious disease such as tuberculosis continue to be a concern; however, in recent years these mortality rates have decreased, particularly on the U. Another important health issue in the border region is the prevalence of asthma affecting adults and children, which is often caused by poor air quality due to emissions from industry, electrical generation, unpaved roads, and vehicles on the road.
Health Mapan interactive map providing county-level data for the U. Health trend data by county is available for major causes of death, including several types of cancer, cardiovascular diseases, stroke, obesity, diabetes, hypertension, unintentional injury, and mental and substance use disorder.
IHME also publishes data and maps on major causes of death by county: What is the difference between health disparities and health inequities? Healthy People defines health disparities as: Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.
Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities.
Causes of health disparities in rural America are many and vary by region. Some frequently cited factors that underlie rural disparities include healthcare access, socioeconomic status, unhealthy behaviors, and chronic conditions. Access to Healthcare Rural people experience many barriers to healthcare access which can contribute to health disparities.
The following factors create access difficulties for rural Americans: Services available in rural areas are less likely to include specialized and highly sophisticated or high-intensity care. This exacerbates the problems with distance to care for people requiring higher levels of care.
For some services, such as emergency medical services, the lower level of care available, when added to the increased time to services caused by distance, can be the difference in life or death.
Transportation to care can be a barrier due to long distances, poor road conditions, and the limited availability of public transportation options in rural areas. Healthcare Access in Rural Communities. Socioeconomic Status According to the Kaiser Commission on Medicaid and the Uninsuredrural populations have a higher rate of low to moderate income, are less likely to have employer-sponsored insurance coverage, and are more likely to have Medicaid or another form of public health insurance.
Rural residents are more likely to be unemployed, have lower rates of post-secondary education, and have lower median household incomes than urban residents. Research has shown that these and other social determinants of health have a significant effect on health status.
Health Behaviors Whether populations adopt positive health behaviors impacts rates of disparities in health status and mortality. A Morbidity and Mortality Weekly Report article examined the prevalence of 5 key health-related behaviors by urban-rural status.
Urban residents were more likely to report 4 or 5 of the behaviors.Climate change threatens human health and well-being in many ways, including impacts from increased extreme weather events, wildfire, decreased air quality, and illnesses transmitted by food, water, and diseases carriers such as mosquitoes and ticks.
Leading and shaping Australia's health system and sporting outcomes through evidence based policy, well targeted programmes and best practice regulation.
The Voice of Rural Health! TM. MISSION MRHA is a non-profit, membership organization missioned to strengthen the health, health care and well-being of rural Minnesotans through leadership, advocacy, education and collaboration.
With the clock ticking down on the th Congress, we want to get the State Offices of Rural Health Reauthorization Bill (H.R. ) across the finish line.
Collecting Health Data: All-Payer Claims Databases. Updated April 1, Cost Containment Strategy and Logic. In recent years, a growing number of states have established databases that collect health insurance claims information from all health care payers into a statewide information repository.
RURAL HEALTH CARE. This Rural Health Care Chartbook is part of a family of documents and tools that support the National Healthcare Quality .