1 2 3

Welcome to the South Carolina Rural Health Research Center

We focus on investigating persistent inequities in health status within the population of the rural US, with an emphasis on inequities stemming from socioeconomic status, race and ethnicity, and access to healthcare services.

We strive to make our research findings useful to organizations and individuals working to improve the quality of life for rural residents.

The Center allows us to build on and expand our ongoing cooperative research partnerships with other key organizations - government, academia, health services delivery and the rural community who can join our quest to improve the health of rural Americans.

New! SCRHRC Releases New Report: Role of Free Clinics in the Rural Safety Net

This brief explores two issues. First, we examine where free clinics are located and describe their availability in rural counties across all 50 states. This information was derived from clinic listings on the website of the National Association of Free and Charitable Clinics (NAFC). Second, through telephone interviews with leadership at 14 of the 21 state free clinic associations, we explore issues facing free clinics during the current period of change. Issues examined include perceived changes in demand subsequent to implementation of the Affordable Care Act and different funding models and strategies used by free clinics. ... Click here to read the Finding Brief.

New! SCRHRC Releases New Report: Post-Acute Stroke Care Delivery for Rural Medicare Beneficiaries

Stroke is the fourth leading cause of death and the leading cause of long-term disability in the United States. Post-discharge care has been shown to be vital in preventing long-term morbidity and improving functionality and quality of life for stroke patients.The most appropriate post-discharge rehabilitation care (PDRC) setting for stroke patients depends on several factors including the patient'S clinical profile, patient preferences, provider recommendations, and proximity to available resources. Limited evidence suggests geographic as well as racial and ethnic disparities in receipt of PDRC. We sought to examine the following research questions... Click here to read the Finding Brief.

Rural Dually Eligible Beneficiaries Had Lower Readmission Rates Than Other Beneficiaries

Little has been published regarding dual-eligible beneficiaries readmission rates and factors affecting readmission. The August issue of The Journal of Rural Health published Thirty-Day Readmission Rates Among Dual-Eligible Beneficiaries, by Dr. Bennett and Dr. Probst of SCRHRC. Dual-eligibles had higher hospitalization and 30 day readmission rates than Medicare-only beneficiaries. Rural dually eligible beneficiaries had lower readmission rates than other beneficiaries, and they had a protective effect of physician follow up care. ... Click here to read the article.

SCRHRC Releases New Report: Area Deprivation is Higher Among Rural Counties but Not All Rural Counties are Deprived

This brief is the first of two in a series that provides policy makers and interested parties with information on the role of residence and community deprivation on potentially avoidable hospitalizations among children. This brief describes the development of the area deprivation index, examines area deprivation across all U.S. counties, and describes findings when applied to rates of potentially avoidable hospitalizations among a nine-state sample of children... Click here to read the report.

SCRHRC Releases New Report: The Intersection of Residence and Area Deprivation: The Case of Hospitalizations from Ambulatory Care Sensitive Conditions among Children

The passing and implementation of the 2010 Affordable Care Act (ACA) ushered in a new era for the delivery of health services in the United States. The broad goals of expanding insurance coverage, controlling health care costs, and improving health care delivery system are ambitious and have implications for providers and the population. Observers have suggested that expanding insurance and decreasing financial barriers for receipt of health services will increase the demand for healthcare; simultaneously, the existing supply of providers remains constrained, as they struggle to accommodate new patients... Click here to read the report.

A Community Water Fluoridation Education Training in the Spartanburg Community

The SCDA partnered with SCDHEC and educational consultants to deliver an informative training that provided attendees with valuable information as well as some useful resources that support water fluoridation education in the community. A tour of the water plant was also be provided. The pictures include a photo of the Spartanburg Water System operators and the Community Water Fluoridation Training Team.

Dr. Probst Played a Profound Role in HSPM student Professional Development Who wins Outstanding Student Abstract Award

Sadiq's most recent accomplishment is winning the Public Health Outstanding Student Abstract Award from the S.C. Institute of Medicine and Public Health at the annual meeting of the S.C. Public Health Association. Together with Professor Janice Probst, Sadiq found that home ownership was not associated with dental caries prevalence, but they did find that home owners were more likely to have had prior treatment for dental caries. "She engaged me in various research activities in order to polish my skills as a researcher and as an academician, and I feel so lucky to have a mentor like Dr. Probst." Read full news here.

Dr. Probst, Director of SCRHRC Served as A Consultant for The National Campaign to Prevent Teen and Unplanned Pregnancy

While SCRHRC messages generally feature our own Center’s work, in this case we would like to highlight an important report for which Dr. Jan Probst, Director, served as a consultant.  The National Campaign to Prevent Teen and Unplanned Pregnancy recently released a new report, “Sex in the (Non) City: Why Rates of Teen Childbearing Are Higher in Rural Areas”  Given the potential life-long consequences of early, unplanned pregnancy for rural youth,  this particular rural disparity can replicate itself over generations.  We encourage our rural health colleagues to examine the National Campaign’s analysis and recommendations for possible use in their own communities.

>> Read More SCRHRC's News and Events



New! Thirty-Day Readmission Rates Among Dual-Eligible Beneficiaries

Having a 30-day physician follow-up had differential effects in urban versus rural locations, yet rural residents had a higher rate of follow-up care. The Journal of Rural Health in the August 2015 issue helps to understand the impact of adequate follow-up care, and how rural populations are successful, would be beneficial to understand. Substantial savings could accrue if interventions reduced readmissions among dual-eligible beneficiaries

Defining the Rural HIV Epidemic

The publication of Defining the Rural HIV Epidemic: Correlations of 3 Definitions-South Carolina, 2005-2011 in The Journal of Rural Health in the December 2013 issue helps to gain a better understanding of the HIV epidemic in rural South Carolina.

Higher Risk of Death In Rural Blacks And Whites Than Urbanites

South Carolina Rural Health Research Center is pleased to announce the publication of Higher Risk Of Death In Rural Blacks And Whites Than Urbanites Is Related To Lower Incomes, Education, And Health Coverage in the October 2011 issue of Health Affairs..


Intensity of Service Provision for Medicare Beneficiaries

The reported examined the intensity of HH services per episode (number of visits and types of provider) and median payments per episode across levels of rurality .... Read more

Rural Border Health Chartbook II

The chartbook presents a cross-sectional analysis of border counties, urban and rural, comparing these counties to other counties within the four border states and to .... Read more

Differences in Case-Mix between Rural and Urban Recipients

Home health care is both an important part of the care continuum for Medicare beneficiaries and, .... Read more

Home Health Care Agency Availability in Rural Counties

We used Medicare Compare Home Health Agency files for 2008 to examine two aspects of home health care (HHC) ... Read more...