Rural Health Reform Policy Research Center (RHRPRC)
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 health care services and the overall health status of rural residents.
Research conducted by the RHRPRC informs policy makers and rural providers to:
- Increase access to health care services
- Improve overall health status of rural residents
- Assist rural communities in securing adequate, affordable, high-quality health care 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
- 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
- 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
- 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
- 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
- Policy Brief: Rural-Urban Disparities in Heart Disease
Heart disease is the leading cause of death in the United States, claiming about 600,000 lives annually. This policy brief highlights rural-urban disparities in heart disease and focuses on three measures: 1) death rates for ischemic heart disease (IHD) among persons 20 years of age and older, 2) obesity among persons 18 years of age and older, and 3) physical inactivity during leisure time among persons 18 years of age and older.Author(s): Knudson, A., Meit, M., & Popat, S.
Date: October 2014
Most Recent Presentations
- The Maryland Global Budget Experiment: Insights from a Maryland Rural Hospital Under Total Patient Revenue
Presented by Moore, P., Knudson, A. on Feb 04, 2016 at the NRHA Policy Institute, Washington, DC
- Rural Public Health: A Dialogue on Rural Social Determinants and the Effect on Health
Presented by Knudson, A. on Nov 13, 2015 at the North Country Health Consortium, Whitefish, New Hampshire
- Rural Healthy Communities: The Role of Social Determinants and Transportation
Presented by Knudson, A. on Oct 27, 2015 at the National Rural Transit Assistance Program Technical Assistance Conference, Denver, Colorado
- Rural Public Health: Addressing Rural Inequalities and Health Disparities
Presented by Knudson, A., Meit, M. on Sep 01, 2015 at the NOSORH Annual Meeting, Portland, Oregon
- Social Determinants of Health: Rural Inequalities and Health Disparities
Presented by Knudson, A., Meit, M. on Aug 25, 2015 at the 2015 National Conference on Health Statistics, North Bethesda, Maryland