Rural Health Reform Policy Research Center (RHRPRC)

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The North Dakota and NORC Rural Health Reform Policy Research Center (RHRPRC) is a consortium that combines the resources of two premier institutions:

RHRPRC measures and projects the impact of health reform policies on rural and frontier communities. The center develops strategies for policy makers and rural providers in leveraging health reform to improve access to healthcare services and the overall health status of rural residents.

Research conducted by the RHRPRC informs policy makers and rural providers to:

  • Increase access to healthcare services
  • Improve overall health status of rural residents
  • Assist rural communities in securing adequate, affordable, high-quality healthcare services

The Center for Rural Health is the lead organization for the RHRPRC, working with its partner NORC Walsh Center for Rural Health Analysis. The RHRPRC was funded in September 2012. The RHRPRC's Expert Work Group provides input for the center on research activities.

Most Recent Publications

  • Rural and Urban Utilization of the Emergency Department for Mental Health and Substance Abuse
    Utilizes data from the Healthcare Cost and Utilization Project’s (HCUP’s) State Emergency Department Databases (SEDD) for seven states. Researchers explore, and describe in this brief, the use of the Emergency Department for mental health and substance abuse among Urban, Large Rural, Small Rural, and Isolated Small Rural residents.
    Author(s): Schroeder, S., Peterson, M.
    Date: June 2017
    Type: Policy Brief
  • Exploring Rural and Urban Mortality
    Exploring Rural and Urban Mortality Differences examines the impact of rurality on mortality and explores regional differences in mortality rates. This study used a quantitative analysis approach drawing upon the data available from the National Vital Statistics System (NVSS) at CDC WONDER. Exploring Rural and Urban Mortality Differences contains visual aids which displays indicators of mortality rates by cause of death (multiple cause of death), age group, rural-urban status, region, and sex for populations 15 years of age and older cross-referenced to tables and statistical results.
    Author(s): Knudson, A., Meit, M., Tanenbaum, E., Brady, J., Gilbert, T., Klug, M., Arsen, E., Popat, S., Schroeder, S.
    Date: February 2016
    Type: Report
  • Perspectives of Rural Hospice Directors
    Examines hospice care within a rural context, including issues regarding regulations, finance/reimbursement, workforce, general rural issues, relationships with other organizations, and technology. Identifies concerns of hospice directors in rural settings.
    Author(s): Gibbens, B., Schroeder, S., Knudson, A. and Hart, G.
    Date: March 2015
    Type: Policy Brief
  • Policy Brief: Use and Performance Variations in U.S. Rural Emergency Departments: Implications for Improving Care Quality and Reducing Costs
    Rural areas have a higher prevalence of subpopulations (younger, low income, and uninsured) that use the Emergency Department (ED) for non-emergent purposes than urban areas. ZIP Code areas with fewer than five primary care physicians per 10,000 had populations that were more likely to use those EDs for non-emergent conditions.
    Author(s): Jonk, Y., Klug, M., & Hart, G.
    Date: February 2015
    Type: Policy Brief
  • The 2014 Update of the Rural-Urban Chartbook
    The Chartbook presents information on population demographics, health-related behaviors and risk factors, age-specific and cause-specific mortality, access to care, health insurance coverage, mental health, and other health-related topics for U.S. residents across levels of rural and urban status. The data presented in this new Chartbook were collected prior to implementation of the Patient Protection and Affordable Care Act (ACA), providing baseline measurements for key aspects of health from which to measure future ACA-associated changes. Individual data tables are available in an Excel file.
    Author(s): Meit, M., Knudson, A., Gilbert, T., Tzy-Chyi Yu, A., Tanenbaum, E., Ormson, E., TenBroeck, S., Bayne, A., Popat, S., & NORC Walsh Center for Rural Health Analysis
    Date: October 2014
    Type: Report

Most Recent Presentations