SCRHRC
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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.


SCRHRC Releases Releases Border Health Chartbook II

The forty-four U.S. counties in states that adjoin the border with Mexico (Arizona, California, New Mexico and Texas) share many health concerns with corresponding counties in Mexico. The U.S.-Mexico Border Health Commission established health goals for the region, in which eight of ten leading causes of death are the same across both countries.[1] Within the U.S. Department of Health and Human Services, the Office of Rural Health Policy is responsible for facilitating intra-agency border health activities and addressing collaboration across programs to leverage resources and services of the Health resources and Services Administration along the border. 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 rural and urban counties in the rest of the U.S.

Contact information:
Dr. Janice Probst
South Carolina Rural Health Research Center
Phone: 803-251-6317
jprobst@mailbox.sc.edu


SCRHRC Releases Differences in Case-Mix between Rural and Urban Recipients of Home Health Care Report

Medicare pays for home health care for beneficiaries who require certain services but for whom travel to receive care is physically and/or mentally difficult or not medically recommended. Covered services include skilled nursing care; physical, occupational and speech-language pathology services; medical social services; and home health aide services. A beneficiary who has experienced a stroke and needs rehabilitative and support care during the recovery period is one example.

Home health care is both an important part of the care continuum for Medicare beneficiaries and a major program cost. However, little information about the actual health status and needs of the population receiving home health services has been published. Thus, the purpose of the analysis reported here is to provide a thorough, clinically based description of the health status and service needs of rural and urban Medicare home health patients based on a professional assessment of their condition at the start of care. The Centers for Medicare and Medicaid Services (CMS) requires that each home health care recipient be assessed at the start of care using a set of questions developed to reflect the specific needs of home health patients. Our report is based on a review of 1,468,465 unique beneficiary assessments from the 2010 Outcome Assessment Information Set (OASIS).

Contact information:
Dr. Janice Probst
South Carolina Rural Health Research Center
Phone: 803-251-6317
jprobst@mailbox.sc.edu


A Doctoral Student Was Awarded Excellent Poster Presentation at 2014 Southeastern Conference Symposium

Tushar Trivedi, an epidemiology doctoral student associated with the SCRHRC, was awarded first place in the graduate student "Excellence in Poster Presentation" competition at the SEC Symposium on Obesity, held in Atlanta in September.

Mr. Trivedi's poster was entitled "Obesity and Obesity-Related Behaviors Among Rural and Urban Adults in the United States".


SCRHRC Releases Home Health Care Agency Availability In Rural Counties Report

A range of medical services can be provided in the home setting, allowing patients to be discharged from hospital or inpatient rehabilitation settings more quickly. Medicare reimburses for six types of home health care: skilled nursing, physical therapy, occupational therapy, speech pathology, medical social work, and home health aide services. In November 2011, The Centers for Medicare and Medicaid Services modified Medicare reimbursement for home health care, seeking to control costs by reducing inflation-associated adjustments in charges. In the past, changes in reimbursement may have affected rural home health care agencies more adversely than those in urban areas. The purpose of the current report is to describe the status of home health care service delivery in the rural U.S. in 2008, before passage of the Patient Protection and Affordable Care Act and related efforts.

We used Medicare Compare Home Health Agency files for 2008 to examine two aspects of home health care (HHC) across the U.S.: HHC agency availability and quality of services provided. Home health agencies are required to report the geographic areas they serve by ZIP Code; they are also required to report quality results across a range of 12 outcomes. This report is based on agency reports; we did not independently verify that services were actually provided within all listed areas.

Contact information:
Dr. Janice Probst
South Carolina Rural Health Research Center
Phone: 803-251-6317
jprobst@mailbox.sc.edu

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RESEARCH SPOTLIGHT


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..

FACT SHEET

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...

Racial and Rural Differences in Cervical Cancer Prevention

We examined differences in receipt of cervical cancer screening and HPV vaccination .... Read more...

Dental Sealant Among Childern

Children at greatest risk of subsequent decay because they lack dental sealants .... Read more.


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