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Our research team has identified topical areas warranting further investigation to inform federal and state health policy makers, health insurers, health system managers, and providers about how to more effectively organize, finance, and deliver care in highly impoverished/underserved and other rural areas across America.

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Work Settings, Education, and Intent to Leave Practice among Rural vs. Urban Nurses

Project Link: Rural Health Research Gateway

Using data from the 2022 National Nursing Workforce Survey, this project will describe rural/urban differences in nurses’ work settings, levels of education and licensure, demographic characteristics, income, and intention to retire or leave practice. Study findings could be applied to implement policies aimed at increasing nursing school output and attracting nurses to practice in rural areas.

Principal Investigator

Tyrone F. Borders, PhD, Professor and Chair, Department of Applied Health Sciences, Harris College of Nursing and Health Sciences, TCU

176

Availability and Characteristics of Outpatient and Residential Substance Use Treatment in Rural and Urban Areas

Project Link: Rural Health Research Gateway

This study will look at: 1) the availability of residential and outpatient treatment centers in rural and urban counties, including identifying counties with no facilities; and 2) characteristics of services offered (e.g., residential, outpatient), demographics of persons treated, and insurance plans accepted by rural vs urban centers.

Principal Investigator

Tyrone F. Borders, PhD, Professor and Chair, Department of Applied Health Sciences, Harris College of Nursing and Health Sciences, TCU

Co-Investigator

Jeffery Talbert, PhD, Chair of the Department of Artificial Intelligence and Health, Medical College of Georgia (MCG) at Augusta University

Project Data Scientist-Statistician

Aaron P. Smith, PhD

175

Mental Health Treatment among Rural and Urban Adults at Risk for Suicide

Project Link: Rural Health Research Gateway

This study will look at rural/urban disparities in 1) the receipt and sources of mental health treatment among adults with suicidal thoughts and attempts using data from the National Survey on Drug Use and Health (NSDUH); and 2) mental health follow-up visits among adults with a hospital admission or emergency department visit for self-inflicted harm using data from a national insurance claims dataset.

Principal Investigator

Tyrone F. Borders, PhD, Professor and Chair, Department of Applied Health Sciences, Harris College of Nursing and Health Sciences, TCU

Co-Investigator

Jeffery Talbert, PhD, Chair of the Department of Artificial Intelligence and Health, Medical College of Georgia (MCG) at Augusta University

Project Data Scientist-Statistician

Aaron P. Smith, PhD