Diabetes

Research Products & Journal Articles

Browse the full list of research publications on this topic completed by the Rural Health Research Centers.

Products – Freely accessible products include policy briefs, fact sheets, full reports, chartbooks, and interactive data websites.

Journal Articles – Articles in peer-reviewed journals may require a subscription or affiliation with a subscribing library. For these publications, Gateway lists the article citation, a brief summary, a link to additional information and access to the full-text of the article, if available.

2024

Availability and Quality of Dialysis Care in Rural Versus Urban U.S. Counties
Journal Article
University of South Carolina Rural Health Research Center
Date: 02/2024
An examination of rural-urban differences in quality of dialysis care offered across the United States was conducted using data from Medicare certified dialysis facilities in 2020 from the Centers for Medicaid and Medicare.

2019

The Changing Landscape of Diabetes Mortality in the United States Across Region and Rurality, 1999-2016
Journal Article
Southwest Rural Health Research Center
Date: 02/2019
This brief report examines place-based differences in diabetes mortality to understand whether disparities in diabetes mortality have changed across U.S. Census regions and levels of rurality over time. Reductions in diabetes mortality are lagging in rural areas, and the rural South in particular, relative to other areas of the country.
Diabetes-Related Hospital Mortality in the U.S.: A Pooled Cross-Sectional Study of the National Inpatient Sample
Journal Article
Southwest Rural Health Research Center
Date: 02/2019
This study examined place-based and individual-level variations in diabetes-related hospital deaths using the 2009-2015 National Inpatient Sample. Results show that place-based disparities exist. Targeted focus should be placed on the control of diabetic complications in the South, West, and Midwest census regions and among rural residents.

2016

Pilot Testing a Rural Health Clinic Quality Measurement Reporting System
Policy Brief
Maine Rural Health Research Center
Date: 02/2016
More than 4,000 Rural Health Clinics (RHCs) serve the primary care needs of rural communities. Unfortunately, the Rural Health Clinic Program is plagued by a lack of data participating clinics. This reports on the results with a focus on assessing the feasibility and utility of the reporting system and quality measures for the participating RHCs.

2014

Implications of Rurality and Psychiatric Status for Diabetic Preventive Care Use Among Adults With Diabetes
Policy Brief
Maine Rural Health Research Center
Date: 05/2014
This brief examines patterns of diabetic preventive care use among adults with diabetes to determine whether these patterns vary according to respondents' rural/urban residence or the presence/absence of a mental health diagnosis.

2012

Lower Rehospitalization Rates Among Rural Medicare Beneficiaries With Diabetes
Journal Article
University of South Carolina Rural Health Research Center
Date: 2012
Evaluates 30-day readmission rates of Medicare beneficiaries with diabetes in rural areas.

2007

Ambulatory Care Sensitive Condition Hospitalizations Among Rural Children (Brief)
Upper Midwest Rural Health Research Center
Date: 06/2007
This brief reports results from a study examining children's inpatient hospitalizations for ambulatory care sensitive conditions, rural residence, poverty, health insurance, and physician supply. Admission rates were examined for asthma, diabetes short-term complications, gastroenteritis, urinary tract infection, and perforated appendix.

2006

Elements of Successful Rural Diabetes Management Programs
RUPRI Center for Rural Health Policy Analysis
Date: 07/2006
This report shares findings from a study about local innovations implemented by rural chronic disease management programs. Using diabetes as a proxy for all chronic diseases, the authors explored how local innovations overcame challenges of the rural setting to provide effective and efficient disease management.
Chronic Disease Management Systems (Registries) in Rural Health Care
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 05/2006
A Chronic Disease Management System (CDMS) is a tool that helps providers collect and analyze patient information to promote quality care. This study shows that CDMSs are readily available to rural clinics and are being implemented and maintained by clinic staff with minimal expenditures for technology.

2005

Rural Diabetes Care Management Programs: An Inventory of Sample Programs in Six States
RUPRI Center for Rural Health Policy Analysis
Date: 12/2005
This report was developed to share key contact and program information with organizations that are interested in starting a chronic disease management program in their facility.
Barriers Associated With the Delivery of Medicare Reimbursed Diabetes Self-Management Education
Journal Article
University of South Carolina Rural Health Research Center
Date: 11/2005
Explores the barriers that practitioners face in providing diabetes self-management education to Medicare beneficiaries. Barriers identified for rural providers include costs, the shortage of designated specialists, fewer resources, amount of Medicare reimbursement, transportation and more.

2002

Diabetes and the Rural Safety Net
Maine Rural Health Research Center
Date: 01/2002
This paper investigates the extent to which the rural safety net is able to meet the needs of people with diabetes.

2001

Improving the Quality of Outpatient Care for Older Patients With Diabetes: Lessons From a Comparison of Rural and Urban Communities
Journal Article
WWAMI Rural Health Research Center
Date: 08/2001
Compares the quality of diabetic care received by patients in rural and urban communities in Washington State. Concludes that large rural towns may provide the best conditions for high-quality care-growing communities that serve as regional referral centers and have an adequate, but not excessive, supply of generalist and specialist physicians.

1999

Rural and Urban Physicians: Does the Content of Their Medicare Practices Differ?
Journal Article
WWAMI Rural Health Research Center
Date: 1999
Rural and urban areas have significant differences in the availability of medical technology, medical practice structures and patient populations. This study uses 1994 Medicare claims data to examine whether these differences are associated with variation in the content of practice between physicians practicing in rural and urban areas.