Research and Evaluation
The Center for Rural Health undertakes research and evaluation initiatives to support rural and tribal communities by:
- identifying and describing health disparities
- examining issues related to health care service delivery
- determining the effectiveness of programs and interventions aimed at improving rural and tribal health
- supporting the development of research expertise
What We Can Do for You
In the area of research and evaluation, we offer:
- Key research findings on a wide range of topics via presentations and publications, including fact sheets, policy briefs, reports and journal articles, related to our research.
- Information about areas we research through the key research contacts listed below.
- Opportunities to collaborate on research relating to rural and tribal health at the state, regional, and national level.
- Program evaluation services to help organizations assess the effectiveness of their efforts, improve programs, and report accomplishments to stakeholders and funders.
- Community-based participatory research through the National Resource Center on Native American Aging and CDC Community Transformation Grant.
- Research education and mentorship through the Seven Generations Center of Excellence in Native Behavioral Health, North Dakota Master of Public Health at the University of North Dakota program, and support of the American Indian Health Research Conference.
- Findings on the impact of health reform on rural communities through work conducted by the Center's Rural Health Reform Policy Research Center.
- Access to publications and projects conducted by Office of Rural Health Policy-funded rural research centers via the Rural Health Research Gateway.
The Center for Rural Health is home to many programs engaged in research. The Rural Health Reform Policy Research Center is one of seven federally-funded rural health research centers. CRH is also home to the National Resource Center on Native American Aging, which works with tribes nationwide on community-based participatory research. CRH faculty conduct research on behalf of foundations and North Dakota state government agencies, as well as through support from a variety of federal agencies. The Center's researchers have a wide network of contacts involved in rural health research across the country, as well as connections with key organizations and agencies within North Dakota. Mapping and working with large databases, including Medicare data, are particular skills of the Center's research team. The Center also has faculty with extensive experience in program planning and evaluation for local, county, state, federal, and international programs. Our evaluation experts can help plan and conduct evaluations for a wide variety of programs.
We are interested in all aspects of research that relate to rural and tribal health. For general inquiries about CRH research:
- Gary Hart, PhD - Director
For inquiries about specific research topics:
- Alzheimer’s Disease and Dementia – Marilyn G. Klug, PhD
- Critical Access Hospitals – Brad Gibbens, MPA
- Health Care Data and Methodology – Marilyn G. Klug, PhD
- Health Disparities – Marilyn G. Klug, PhD
- Health Reform - Brad Gibbens, MPA
- Health Workforce – Gary Hart, PhD
- Native American Health – Paula Carter, PhD and Jacque Gray, PhD
- Program Evaluation - Ralph Renger, PhD
- Geographic Definitions - Gary Hart, PhD
- Oral Health - Shawnda Schroeder, PhD
Most Recent Publications
- Indicators of Buy-in to Gauge Evaluation Success
Becker, K., Renger, R., McPherson, M.
Evaluation Journal of Australasia, Volume 15 Issue 2 Pages 12-21, June 2015The article suggests a set of indicators of buy-in that novice evaluators can use to assess stakeholder engagement and responsiveness. It also showcases a tracking tool which serves as a systematic, responsive prompt to monitor buy-in.
- Perspectives of Rural Hospice Directors
Gibbens, B., Schroeder, S., Knudson, A. and Hart, G. March 2015Examines 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.
- Brushing Up on Dental Care in North Dakota
Massmann, N. March 2015North Dakota Medicine, Vol. 40, Issue 1. The Center for Rural Health makes recommendations based on a study of ways to improve North Dakotans’ oral health.
- Policy Brief: Use and Performance Variations in U.S. Rural Emergency Departments: Implications for Improving Care Quality and Reducing Costs
Jonk, Y., Klug, M., & Hart, G. February 2015Rural 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.
- Intra Rural and Urban Primary Care Physician Findings: AAMC 2009 Physician Survey of Primary Care Chartbook
Hart, G. February 2015This publication was produced for the U.S. Department of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy by Gary Hart Associated under HRSA contract. The report utilizes primary care physician (PCP) survey data, collected by the Association of American Medical Colleges (AAMC) in 2009/2010 shortly before the Affordable Care Act was made law to preserve a baseline from which to compare future post Affordable Care Act implementation surveys.
Most Recent Presentations
- State of Caregiving for People with Dementia in Indian Country
Presented by Carter, P. on Oct 15, 2015 at the Inaugural National Conference on Alzheimer's disease/Dementia in Native American Communities, Scottsdale, AZ
- Evaluating Cardiac Care Systems: A South Dakota Perspective
Presented by Renger, R. on Sep 09, 2015 at the South Dakota Cardiac System of Care Conference, Pierre, South Dakota
- Rural Mortality and Health Disparities in the U.S. and Appalachia
Presented by Knudson, A. on May 27, 2015 at the National Advisory Committee on Rural Health and Human Services, Slade, Kentucky
- Web-Based Stakeholder Feedback Portals: Allowing Wider Stakeholder Feedback
Presented by McPherson, M. on May 26, 2015 at the Canadian Evaluation Society's Annual Conference, Montreal, Canada
- Evaluating Systems: A Case Illustration
Presented by Renger, R. on May 25, 2015 at the Canadian Evaluation Society's Annual Conference, Montreal, Canada