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 is Hiring a Postdoctoral Fellow Position

The South Carolina Rural Health Research Center (SCRHRC) is soliciting applications for Postdoctoral Fellows. Under the guidance of the Center Director, a Postdoctoral Fellow will be responsible for the implementation of funded research and evaluation projects. Responsibilities will vary and may include primary data collection and analysis of health systems; secondary data analysis using rigorous quasi-experimental study designs; federal project reporting; preparation of research and policy briefs; and manuscript writing. Information about the scope of SCRHRC research may be found at rhr.sph.sc.edu.

Requirements for a Postdoctoral position include:
1. A doctoral degree in public health or a closely related field by date of employment;
2. Experience and technical proficiency using statistical software (STATA, SAS, SUDDAN, etc), and
3. Experience or distinct interest in rural health and minority health disparities.

Please contact Ms. Janie Godbold (Phone: 803-251-6317 or email: GODBOLDJ@mailbox.sc.edu) for details regarding the application process.

SCRHRC Releases New Report: Intensity of Service Provision for Medicare Beneficiaries Utilizing Home Health Services

Medicare pays for home health (HH) services for beneficiaries who are homebound or for whom travel for care would be difficult or detrimental to health. These HH services are paid on a per-episode basis with an episode consisting of all services provided over a 60-day period. Each episode or claim can entail a varying number of visits; payment is adjusted to account for large differences in the number of visits. Patients with ongoing problems can receive more than one episode of care.

In a report to the Congress, the Medicare Payment Advisory Commission (MEDPAC) recommended a significant reduction in HH payments and the introduction of cost-sharing for beneficiaries. Proposed payment reforms could have detrimental impacts on HH service provision to elderly persons in rural America given the financial vulnerability of rural HH agencies (MedPAC,2009) and the reliance of rural elderly on Medicare HH services (Adams, Mechel, Defrates, and Corbett, 2001; McAuley, Spector, Van Nostrand, and Shaffer, 2004). Little is known about the current types of HH service and payments for these services across rural and urban Medicare beneficiaries. The research reported here examined the intensity of HH services per episode (number of visits and types of provider) and median payments per episode across levels of rurality.

Contact information:
Dr. Medha Iyer
Phone: 803-251-6317
medha@sc.edu


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
Phone: 803-251-6317
jprobst@mailbox.sc.edu


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

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
Phone: 803-251-6317
jprobst@mailbox.sc.edu

>> Read More SCRHRC's News and Events

 

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

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...

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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