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**The Latest Research, Commentary, and News from Health Affairs**

**Wednesday, November 20, 2019**

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IN THE JOURNAL

AHEAD OF PRINT

Declines In Pediatric Mortality Fall Short For Rural US Children

By Janice Probst, Whitney Zahnd, and Charity Breneman

While pediatric death rates have declined nationally, disparities remain
for some groups of children. Janice Probst and coauthors analyzed
mortality data from the Centers for Disease Control and Prevention,
finding that rural youth ages 0-19 were more likely than urban youth
to die during childhood throughout the period from 1999 through 2017. In
addition, while the death rate for rural children dropped 19 percent
between 1999 and 2017, from 77.6 per 100,000 children to 62.9 per
100,000, the decline among urban children was significantly greater-a
decrease of 24 percent, from 66.4 per 100,000 to 50.2 per 100,000. Among
rural children, non-Hispanic black infants and American Indian/Alaska
Native children were particularly at risk. Read More >>

This study will also appear in the journal's December issue, Rural
Health.

Read the November 2019 Table of Contents

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**for full journal access**

HEALTH AFFAIRS EVENTS-Rural Health

Wednesday, December 4, 9:00 am - 1:00 pm Eastern
National Press Club - 529 14th Street NW, Washington DC (Metro Center)
Registration Open

The December 2019 issue of Health Affairs explores various dimensions of
health and health care in rural America. Authors examine the health
needs of people living in rural areas, investigate inequities in the
availability, accessibility, and financing of care, and identify
policies, financing mechanisms, and practices that can improve the
health and well-being of rural Americans. View Speaker List

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TODAY ON THE BLOG

COMMUNITY HEALTH

Lessons About Leading For Racial Equity From Seattle's Health Care For
The Homeless Network

By John Gilvar

In the HCHN experience, normalizing discussions about race and racism
led to a much deeper appreciation of the barriers to trust and
accumulated experiences of aggression with which many people of color
must continually grapple. Read More >>

FOLLOWING THE ACA

Third Court Rules Against Provider Conscience Rule

By Katie Keith

Yesterday, Judge William Alsup, a federal district court judge in the
Northern District of California, became the third judge to vacate a
provider conscience regulation in less than two weeks.Read More >>

PALLIATIVE CARE

States Take Up Palliative Care: NASHP's Work With The John A. Hartford
Foundation

By Trish Riley and Kitty Purington

States can play a critical role in educating the public and providers
about the value of palliative care services and their place in a
comprehensive system of care for people with serious illness and/or
chronic conditions. Following a recent National Academy for State Health
Policy meeting, the authors discuss ways to promote access to and
quality of palliative services and how to address common roadblocks to
implementing them in the states.
Read More >>

A CLOSER LOOK-Student Suicide

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****A survey conducted at more than 100 colleges found that one in five
students said that they had thought of suicide, while about one in 10
had actually attempted it. Each of those statistics is more than double
the national average for adults. This Narrative Matters piece on mental
illness in medical school discusses what can be done to addressmental
illness among medical students
.

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About Health Affairs

Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs
Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
humanitarian relief organization that places power in the hands of local
health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

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