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Rural Health
Resources by State: California

Community-based Palliative Care: Scaling Access for Rural Populations
Explains the role palliative care plays in meeting the needs of patients with serious illness and chronic medical conditions. Discusses challenges to accessing palliative care in rural areas and highlights work in Alaska, California, and Kansas to help address this need.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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California's Physician Assistants: How Scope of Practice Laws Impact Care
Describes regulations on scope of practice for physician assistants (PAs) in California and other states and discusses research on the legislation's effect on healthcare. Examines importance of PAs providing primary care in rural, low-income, and underserved areas. Features statistics including number of PAs per 100,000 population by state as of 2017 and by California region as of 2016, California PA demographics, and PA scope of practice elements by state as of 2018.
Author(s): Timothy Bates, Joanne Spetz, Miranda Werts
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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California's Nurse Practitioners: How Scope of Practice Laws Impact Care
Describes regulations on scope of practice for nurse practitioners (NPs) in California and other states, and discusses research on the legislation's effect on healthcare. Examines importance of NPs providing primary care in rural and underserved areas. Features statistics including field of educational specialization for California NPs, demographics, and distribution of NPs per 100,000 population.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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California’s Physician Assistants: How Scope of Practice Laws Impact Care
Provides an overview of physician assistants (PAs), focusing on scope of practice regulations in California and evidence for expanding their scope of practice. Discusses how PAs increase access to care, particularly in rural areas, and summarizes studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's PAs, such as their distribution, demographics, and practice setting. Appendix B identifies physician assistant scope of practice elements for each state.
Author(s): Timothy Bates, Joanne Spetz, Miranda Werts
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Calaveras County, Calif.: Connecting Justice-Involved People to Treatment and Services
Describes best practice strategies used by a rural northern California county as part of the national "Stepping Up" initiative, for the purpose of reducing the number of adults with mental illness in jails and connecting them to community-based treatment.
Author(s): Nastassia Walsh
Date: 09/2018
Type: Document
Sponsoring organization: National Association of Counties
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Implementing an Integrated Medication-Assisted Treatment Program at Community Health Centers: Lessons from a Pilot Project in California
Evaluates the implementation phase of a pilot project to treat patients with opioid use disorder at Federally Qualified Health Centers (FQHCs) in California, including rural FQHCs. The pilot focused on medication-assisted treatment (MAT) and integrating substance use and mental healthcare in a primary care setting.
Author(s): Jane Wishner, Lisa Clemans-Cope, Jeremy Marks, Marni Epstein
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Preventing Suicide, One Conversation at a Time
Describes how suicide is affecting Amador County, California. Discusses the underlying factors contributing to those numbers, such as poverty, stigma surrounding suicide, and a lack of mental health providers. Provides access to a Conversation Kit, a resource that was created to bring community members together to discuss suicide in rural areas. Kit covers multiple topics and provides instructions for individuals to be able to use this resource in their community.
Author(s): Vanessa S. Nelson
Date: 09/2018
Type: Website
Sponsoring organization: Capital Public Radio
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A Guide to Graduate Medical Education Funding in California
Addresses state, federal, and private sources of funding for graduate medical education (GME) in California. Includes several case studies, one focusing on a Teaching Health Center in a rural area. Provides data on GME graduates by sponsoring institution, direct and indirect Medicare funding, and more.
Author(s): Diane Rittenhouse, Alexandra Ament, Keven Grumbach, et al.
Date: 09/2018
Type: Document
Sponsoring organization: California Health Care Foundation
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California’s Nurse Practitioners: How Scope of Practice Laws Impact Care
Provides an overview of nurse practitioner (NP) scope of practice regulations in California and other states. Discusses how NPs increase access to care, particularly in rural areas, and reviews studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's NPs, such as their distribution, demographics, practice setting, and specialty.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Neonatal Abstinence Syndrome and Maternal Access to Treatment for Opioid Use Disorder in California Counties
Presents a study on maternal access to opioid use disorder (OUD) treatment in California. Discusses the role of Medication-Assisted Treatment (MAT) in treating neonatal abstinence syndrome (NAS) and highlights some of the barriers rural pregnant women with OUD must overcome to receive treatment.
Author(s): Anuj Gangopadhyaya, Lisa Clemans-Cope, Marni Epstein
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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