New Documents Identified in the Past 30 Days:

Health, United States, 2015: With Special Feature on Racial and Ethnic Health Disparities
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access and expenditures. Includes data on rural areas - see index under "Metropolitan/nonmetropolitan data." This year's edition includes a section on racial and ethnic health disparities, covering health status, health behaviors, and healthcare access and utilization.
Sponsoring organization: National Center for Health Statistics
Date: 05/2016
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Systematic Review: Rural Healthcare Workforce
Management brief describing literature review of 59 publications from 2005-2015, identifying need for rural healthcare providers, exploring provider geographic choices, synthesizing evidence on interventions to increase recruitment and retention, and documenting efficacy of student training for rural healthcare.
Author(s): S Hempel, M Maggard Gibbons, JG Ulloa, et al.
Sponsoring organization: VA Health Services Research & Development Service
Location: Management Brief no. 112
Date: 05/2016
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Characteristics of Medicaid Beneficiaries Who Use Rural Health Clinics
Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research, using CMS Medicaid claim data from RHCs, or from healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 05/2016
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Identifying Rural Health Clinics in Medicaid Data
Describes and compares 6 different tested methods for identifying Rural Health Clinics (RHCs) within Medicaid claims, using data from 4 states, as a technique to better understand Medicaid enrollees’ use of RHC services.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, Mark Holmes
Sponsoring organization: North Carolina Rural Health Research Program
Date: 05/2016
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LGBTQ Healthcare: Building Inclusive Rural Practices
Discusses the challenges rural LGBTQ individuals face in accessing quality care and what rural healthcare providers can do to improve the healthcare experience for this patient population.
Author(s): Zachary Toliver
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor
Date: 05/2016
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Does ACA Insurance Coverage Expansion Improve the Financial Performance of Rural Hospitals?
Findings brief discussing perceptions of rural hospital administrators, state hospital associations, and State Offices of Rural Health, concerning changes in payer mix, changes in uncompensated care and unreimbursed cost, and financial performance in their respective hospitals or states.
Author(s): Kristie Thompson, Kristin Reiter, Rebecca Whitaker, Sharita Thomas
Sponsoring organization: North Carolina Rural Health Research Program
Date: 04/2016
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Meeting the Needs of the Whole Child through CATCH
Highlights the implementation of the Coordinated Approach To Child Health (CATCH) program, which supports healthy eating and physical activity, in rural Illinois elementary schools.
Author(s): Jenn Lukens
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor
Date: 04/2016
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Healthcare Costs in Maine: An Analysis of Price Disparities and What We Should Do About Them
Compares healthcare costs among providers across Maine, uncovering cost disparities between rural and urban healthcare providers. Highlights price transparency to better inform consumers as a possible solution to address the cost disparities.
Author(s): The Maine Heritage Policy Center
Date: 04/2016
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Risks of Developing Breast and Colorectal Cancer in Association with Incomes and Geographic Locations in Texas: A Retrospective Cohort Study
Reports on a study examining median household income with the occurrence of breast and colorectal cancer in Texas, and to determine if the risk of cancer is affected by race or ethnicity, and geographic location.
Author(s): Zheyu Liu, Kai Zhang, Xianglin L. Du
Location: BMC Cancer, 16, 294
Date: 04/2016
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Tribal Internet Access: Increased Federal Coordination and Performance Measurement Needed
Interviews officials from 21 tribal entities and 6 service providers to understand perspectives on high-speed internet access and barriers within remote tribal communities.
Sponsoring organization: Government Accountability Office
Date: 04/2016
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What Rural Women Want the Public Health Community to Know About Access to Healthful Food: A Qualitative Study, 2011
Results of a study in which 110 southern Illinois women identified physical, economic, and social barriers to acquiring healthy food. Features statistics including race, age group, and county of residence.
Author(s): Leslie R. Carnahan, Kristine Zimmermann, Nadine R. Peacock
Location: Preventing Chronic Disease, 13
Date: 04/2016
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2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy
Overview of healthcare quality and disparities of care received by the population of the United States. Identifies strength and weaknesses in the healthcare system including healthcare access, healthcare quality, and priorities of the National Quality Strategy.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 04/2016
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Evaluation of the Regional Extension Center Program: Final Report
Overview of methods and findings about the Regional Extension Center (REC) program implementation and impact on adoption and meaningful use of electronic health record systems. Includes discussion of ways in which RECs operating in rural areas structured their programs, given limited infrastructure.
Author(s): Brandy Farrar, Grace Wang, Johannes Bos, et al.
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 04/2016
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Improving Efficiency and Preserving Access to Emergency Care in Rural Areas
Provides an overview of the current policies and strategies in place to ensure access to emergency department services in rural areas and the challenges they face today. Guides a discussion to alternative strategies that support outpatient-only services, such as a stand alone emergency department and a clinic that offers ambulatory services. Slides from MedPAC public meeting held on April 12, 2016.
Author(s): Jeff Stensland, Zach Gaumer
Sponsoring organization: Medicare Payment Advisory Commission
Date: 04/2016
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Association of Blood Lead Levels in Children 0-72 Months with Living in Mid-Appalachia: A Semi-Ecologic Study
A study comparing the blood lead levels in children ages 0 – 72 months in Mid-Appalachia with children of same age in the U.S. Includes a relational comparison of the number of housing units built before 1950 and 1940 in both regions. Data for the study was derived from the Centers for Disease Control and Prevention (CDC) and the U.S. Census Bureau.
Author(s): R. Constance Wiener, Richard Jurevic
Location: Rural and Remote Health, 16, 3597
Date: 04/2016
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Investing in America's Health: A State-by-State Look at Public Health Funding and Key Health Facts
Provides state-by-state information on public health funding. Includes information on funding provided to the states by the federal government, as well as state public health budgets
Sponsoring organization: Trust for America's Health
Date: 04/2016
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Rural Communities in Crisis: Strategies to Address the Opioid Crisis
An overview on the effects of the opioid and heroin crisis occurring in rural areas, and the challenges to rural healthcare organizations combating this issue. Identifies and discusses policy recommendations addressing the opioid and heroin crisis in rural communities, and in rural healthcare systems.
Author(s): John A. Gale, Dave Schmitz, Michael Meit, Robin Rose, et al.
Sponsoring organization: National Rural Health Association
Date: 04/2016
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Open Hearts, Open Minds: An Accomplishments Report of the Pacific Island Task Force
Summarizes U.S. government's response to recommendations from community leaders in Hawaii, the U.S. Pacific Territories, and U.S.-affiliated Pacific Islands on various topics, including health equity. Details successes in improving access to federal programs and resources, and increasing grant opportunities in the Pacific region.
Sponsoring organization: U.S. Department of Education
Date: 04/2016
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PACE Provides Much-Needed Rural Supports and Services for Older Adults
Describes advantages of PACE (Program of All-Inclusive Care for the Elderly), an interdisciplinary healthcare service designed to allow older residents of rural communities to remain in their homes as long as possible.
Author(s): Robert Greenwood, Samuel Kunjukunju
Sponsoring organization: American Society on Aging
Date: 04/2016
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Nebraska’s Rural Behavioral Healthcare Workforce Distribution and Relationship Between Supply and County Characteristics
Analyzes the rural-urban geographical distribution of behavioral healthcare professionals in all 93 counties of Nebraska, and discusses the association between county characteristics and supply of behavioral health professionals.
Author(s): Anh Nguyen, Kate Trout, Li-Wu Chen, et al.
Location: Rural and Remote Health, 16, 3645
Date: 04/2016
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Emergency Department Visits for Children and Young Adults With Diabetes, 2012
Reports on diabetes-related emergency department visits, which may be related to undetected or poorly controlled diabetes, among children and young adults aged 0-29 years. Includes data by location of patient residence, for urban and rural locations.
Author(s): Aitalohi Amaize, Kamila B. Mistry
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 04/2016
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Integration of Oral Health Into the Well-Child Visit at Federally Qualified Health Centers: Study of 6 Clinics, August 2014-March 2015
Results and analysis of observations and 39 interviews with 42 administrators and staff at 6 clinics in rural, small community, and urban areas in Massachusetts and Maryland. Includes patient demographics and structural characteristics of clinics.
Author(s): Judith Bernstein, Christina Gebel, Clemencia Vargas, et al.
Location: Preventing Chronic Disease, 13
Date: 04/2016
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Adverse Childhood Experiences in Rural and Urban Contexts
Reports on a study analyzing the rural prevalence of individual adverse childhood experiences (ACEs), the level of exposure to ACEs in rural regions, and the rural-urban differences of exposure to ACEs by adults using data from the Behavioral Risk Factor Surveillance System (BRFSS).
Author(s): Jean A. Talbot, Donald Szlosek, Erika C. Ziller,
Sponsoring organization: Maine Rural Health Research Center
Date: 04/2016
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The Economic Impact of Rural Broadband
Provides an estimate of the direct and indirect economic activities of the rural broadband industry on the Gross Domestic Product (GDP), and their effect on other rural industries, including healthcare.
Author(s): Hudson Institute
Date: 04/2016
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Indian Health Service: Actions Needed to Improve Oversight of Patient Wait Times
Reviews Indian Health Services (IHS) oversight policies and finds healthcare access measurement issues within IHS due to poor performance tracking in place. Highlights inadequate services at some facilities that have resulted in long wait times and lower quality of care provided.
Sponsoring organization: Government Accountability Office
Date: 04/2016
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 11
Discusses payment adequacy for hospice and palliative support services. Includes statistics with breakdowns by urban and rural locations and demographics on Medicare decedents who used hospice during 2000 and 2011-2014.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 03/2016
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Sexual Assault: Information on Training, Funding, and the Availability of Forensic Examiners
GAO survey of the 2013 grantees who used funding established by the Violence Against Women Reauthorization Act to support the training of forensic examiners in the case of sexual assault. Rural areas are highlighted as particularly underserved due to limited availability of training, reluctance of hospitals to fund training of examiners, and low examiner retention rates overall.
Sponsoring organization: Government Accountability Office
Date: 03/2016
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AzCRH 2015 Arizona Pharmacist Supply and Demand Study Report
An analysis update on Arizona’s pharmacist, pharmacy technician, and pharmacy data trends in rural and urban areas, from 2006 to 2013, to determine potential supply and demand needs for the next 5 years.
Author(s): Howard Eng, Nicholas Jennings, Joe Tabor, Tara Montgomery, Daniel Derksen
Sponsoring organization: Arizona Center for Rural Health
Date: 02/2016
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Virginia’s Registered Nurse Workforce: 2015
Provides an overview of the registered nurse workforce in Virginia based on data from the 2015 Registered Nurse Workforce Survey. Offers insight into the number of registered nurses in rural Virginia as well as how many originate from rural areas of Virginia.
Sponsoring organization: Virginia Department of Health Professions
Date: 02/2016
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Virginia's Licensed Practical Nurse Workforce: 2015
Provides an overview of the licensed practical nurse workforce in Virginia based on data from the 2015 Registered Nurse Workforce Survey. Offers insight into the number of licensed practical nurse in rural Virginia as well as how many originate from rural areas of Virginia.
Sponsoring organization: Virginia Department of Health Professions
Date: 02/2016
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Virginia's Licensed Nurse Practitioner Workforce: 2015
Provides an overview of the licensed nurse practitioners in Virginia based on data from the 2015 Registered Nurse Workforce Survey. Offers insight into the number of licensed nurse practitioners in rural Virginia as well as how many originate from rural areas of Virginia.
Sponsoring organization: Virginia Department of Health Professions
Date: 02/2016
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Virginia Certified Nurse Aide Workforce: 2015
Provides an overview of the certified nurse aide workforce in Virginia for year 2015. Offers insight into the number of certified nurse aides in rural Virginia as well as how many originate in rural areas of Virginia.
Sponsoring organization: Virginia Department of Health Professions
Date: 02/2016
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Wisconsin Divided Six Ways: A Review of Rural-Urban Classification Systems
A report looking at Wisconsin through the lens of maps, methodology descriptions, and demographic data to illustrate the differences in metropolitan, micropolitan, and rural classifications and how they affect policy and programming on a state level. Includes core, county-based, census tract, and ZIP code data and statistics.
Author(s): Penny Black
Sponsoring organization: Wisconsin Office of Rural Health
Date: 02/2016
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Child Poverty in Rural America
A policy brief describing the needs, challenges, and experiences of rural children and families living in poverty, and how poverty affects their health. Offers recommendations to the Secretary of Health and Human Services to develop appropriate and integrated health and human service delivery programs, and to create flexible grant opportunities that will reach children and families in need.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 12/2015
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Delivery System Reform and Implications for Rural Communities
A policy brief discussing how rural health providers can benefit from participation in Delivery System Reform (DSR) and continue to provide accessible quality health services. Offers recommendations to the Secretary of Health and Human Services requiring rural health providers to participate in CMS quality programs, and for CMS to develop rural-relevant quality measures that are appropriate for rural health providers.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 12/2015
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