Research Reports

Reports by Topic: Health Care

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Health Care

Report of Recommendations: ARC's Substance Abuse Advisory Council
August 2019
ARC Substance Abuse Advisory Council
This report includes 14 recommendations developed by ARC’s Substance Abuse Advisory Council to support a robust recovery ecosystem in Appalachia.
Abstract & Report Contents
Issue Brief
Health Disparities Related to Opioid Misuse in Appalachia
Practical Strategies and Recommendations for Communities

April 2019
Kate Beatty, Nathan Hale, Michael Meit, Megan Heffernan, Michelle Dougherty, Luciana Rocha, Kelsey Ruane, Rob Pack, Stephanie Mathis, Bill Brooks, Angela Hagaman, and Sam Pettyjohn.
East Tennessee State University, NORC at the University of Chicago’s Walsh Center for Rural Health Analysis, Appalachian Regional Commission
This brief summarizes relevant health statistics, offers key strategies and resources for communities to explore, and provides recommendations aimed at reducing health disparities in the Appalachian Region related to opioid misuse.
Abstract & Report Contents Full Report in PDF (1 MB)
Issue Brief
Health Disparities Related to Smoking in Appalachia
Practical Strategies and Recommendations for Communities

April 2019
Kate Beatty, Nathan Hale, Michael Meit, Megan Heffernan, Michelle Dougherty, Luciana Rocha, and Kelsey Ruane, Ginny Kidwell, and Hadii Mamudu.
East Tennessee State University, NORC at the University of Chicago’s Walsh Center for Rural Health Analysis, Appalachian Regional Commission
This brief summarizes relevant health statistics, offers key strategies and resources for communities to explore, and provides recommendations aimed at reducing health disparities in the Appalachian Region related to smoking.
Abstract & Report Contents Full Report in PDF (1 MB)
Issue Brief
Health Disparities Related to Obesity in Appalachia
Practical Strategies and Recommendations for Communities

April 2019
Kate Beatty, Nathan Hale, Michael Meit, Megan Heffernan, Michelle Dougherty, Luciana Rocha, Kelsey Ruane, and Ginny Kidwell.
East Tennessee State University, NORC at the University of Chicago’s Walsh Center for Rural Health Analysis, Appalachian Regional Commission
This brief summarizes relevant health statistics, offers key strategies and resources for communities to explore, and provides recommendations aimed at reducing health disparities in the Appalachian Region related to obesity.
Abstract & Report Contents Full Report in PDF (1 MB)
Exploring Bright Spots in Appalachian Health: Case Studies
July 2018
Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, Michael L. Schwalbe, Randy Randolph, John Frank, Sharita Thomas, Janine Latus, Jonathan Rodgers, Alexa Cohen, Kelly Ivey, William Holding, Maura Lane, Pam Silberman, Katie Gaul, Lisa Villamil, Ashli Keyser
Appalachian Regional Commission; PDA, Inc.; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill; and Burness
The third report in a series exploring health in the Appalachian Region, this report presents in-depth studies of 10 of the 42 “Bright Spot” counties identified through the statistical analysis described in the series’ second report.
Abstract & Report Contents
Identifying Bright Spots in Appalachian Health: Statistical Analysis
July 2018
G. Mark Holmes, Nancy M. Lane, William Holding, Randy Randolph, Jonathan Rodgers, Pam Silberman, Lisa Villamil, Thomas A. Arcury, Kelly Ivey, Daniel Goolsby, Ashli Keyser, and J&J Editorial
Appalachian Regional Commission; PDA, Inc.; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
This report is the second in a series exploring health in the Appalachian Region and describes the results of the regression analysis used to identify Appalachian “Bright Spot” counties.
Abstract & Report Contents
Appalachian Diseases of Despair
August 2017
Michael Meit, Megan Heffernan, Erin Tanenbaum, and Topher Hoffmann
The Walsh Center for Rural Health Analysis
This study analyzed the impact of diseases of despair on mortality within Appalachia, focusing on increasing morbidity and mortality from three main causes: alcohol, prescription drug, and illegal drug overdose; suicide; and alcoholic liver disease.
Abstract & Report Contents
Health Disparities in Appalachia
August 2017
Julie L. Marshall, Logan Thomas, Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, Randy Randolph, Pam Silberman, William Holding, Lisa Villamil, Sharita Thomas, Maura Lane, Janine Latus, Jonathan Rodgers, and Kelly Ivey
PDA, Inc.; Cecil G. Sheps Center for Health Services Research; Appalachian Regional Commission
Health Disparities in Appalachia is the first report in a series exploring health issues in Appalachia. The 2017 report measures population health in Appalachia and documents disparities between the Region and the nation as a whole and within the Region.
Abstract & Report Contents Full Report in PDF (46.1 MB)
Program Evaluation of the Appalachian Regional Commission’s Health Projects, 2004-2010
August 2015
Community and Economic Development Initiative of Kentucky, University of Kentucky
This report presents an evaluation of 202 health projects funded by ARC between fiscal years 2004 and 2010.
Abstract & Report Contents Full Report in PDF (5 MB)
Health Care Costs and Access Disparities in Appalachia
July 2012
PDA, Inc., and the Cecil B. Sheps Center for Health Services Research, University of North Carolina-Chapel Hill
This report describes the relative availability of health care resources, level of health insurance coverage and cost of providing health services in the Appalachian Region compared with the rest of the United States.
Abstract & Report Contents Full Report in PDF (6.9 MB)
An Analysis of Oral Health Disparities and Access to Services in the Appalachian Region
July 2012
Denise D. Krause, Ph.D.; Warren L. May, Ph.D.; Nancy M. Lane, MA; Jeralynn S, Cossman, Ph.D.; Thomas R. Konrad, Ph.D.
This study analyzes disparities in oral health status and access to oral health care in the Appalachian Region, and examines relationships between oral health disparities and socioeconomic status indicators.
Abstract & Report Contents Full Report in PDF (6.8 MB)
An Analysis of Mental Health and Substance Abuse Disparities & Access to Treatment Services in the Appalachian Region
August 2008
National Opinion Research Center (NORC) at the University of Chicago, and East Tennessee State University
This report presents an analysis of disparities in mental health status and substance abuse prevalence, as well as access to treatment services, in the 410-county Appalachian Region comprising all or parts of 13 states.
Abstract & Report Contents Full Report in PDF (4.4 MB)
Underlying Socioeconomic Factors Influencing Health Disparities in the Appalachian Region
March 2008
Mary Babb Randolph Cancer Center/Office for Social Environment and Health Research, Department of Community Medicine, West Virginia University
This study investigates associations between measures of socioeconomic condition and rates of premature mortality for leading causes of death for counties in the U.S., with a focus on the Appalachian region.
Abstract & Report Contents Table of Contents and Executive Summary (in PDF)
An Analysis of Disparities in Health Status and Access to Health Care in the Appalachian Region
November 2004
Halverson, Joel A.
Office of Social Environment and Health Research (OSEAHR)/Prevention Research Center
This 2004 study provides baseline information needed to assess health disparities in the Appalachian Region, to investigate causes of regional and local disparities, and to aid in developing targeted interventions aimed at reducing these disparities.
Abstract & Report Contents Executive Summary in PDF (64 KB)
An Analysis of the Financial Conditions of Health Care Institutions in the Appalachian Region and their Economic Impacts
December 2002
Stensland, Jeffrey, Curt Mueller, and Janet Sutton
Project HOPE
This report describes the availability of health care services in Appalachia, the financial stability of Appalachian health care institutions, and the effect of hospital closures.
Abstract & Report Contents Full Report in PDF (430 KB)