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Rural Health
Resources by State: California

Rural Health Care Disparities Created by Medicare Regulations
Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults
Examines two methods of neurocognitive assessments, telepsychiatry and in-person, using the same Spanish-language battery for testing to determine whether they are comparable among Spanish-speaking older adults in a rural setting. Includes telepsychiatry and in-person assessment data by education, acculturation, health literacy, depression, and a mini mental state exam.
Author(s): Ipsit V. Vahia, Bernardo Ng, Alvaro Camacho, et al.
Citation: American Journal of Geriatric Psychiatry, 23(7), 666-670
Date: 07/2015
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Community Health Centers and Telehealth: A Cost Analysis Report & Recommendations
Summarizes the findings from a study undertaken by 3 Federally Qualified Health Centers (FQHCs) and 2 Rural Health Clinics (RHCs) in California to understand the costs and revenue sources for telehealth services. Includes a series of policy recommendations and suggestions for advancing the use of telehealth programs among community health centers.
Date: 07/2015
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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U.S.-Mexico Border Needs Assessment and Support Project: Phase II Assessment Report
Describes water and wastewater conditions in the colonias on the U.S. side of the U.S.-Mexico border. Provides county-by-county information on specific challenges in the colonias. Includes recommendations to address the remaining need.
Date: 07/2015
Sponsoring organization: Rural Community Assistance Partnership
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Assessing Child Obesity and Physical Activity in a Hard-to-Reach Population in California's Central Valley, 2012-2013
Results of a family-centered program to reduce obesity among Latino children in two rural towns by promoting nutrition education and assessing the quantity and quality of children's physical activity levels. Includes data with breakdowns by weight classification, sex, and average length of time spent daily in moderate to vigorous activity.
Author(s): Sara E. Schaefer, Rosa Camacho-Gomez, Banefsheh Sadeghi, et al.
Citation: Preventing Chronic Disease, 12
Date: 07/2015
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Healthy Border 2020: A Prevention & Health Promotion Initiative
Reports on the prevailing public health issues occurring in U.S.-Mexico border populations. Identifies an agenda focused on health promotion and disease prevention, and develops a strategy for implementing a coordinated public health response at binational, state and local levels.
Date: 06/2015
Sponsoring organization: United States-México Border Health Commission
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Adaptation of a Culturally Relevant Nutrition and Physical Activity Program for Low-Income, Mexican-Origin Parents With Young Children
Describes a 5-year community-based study on obesity intervention programs in children ages 2-8 in two rural Mexican-American communities in California's Central Valley. Discusses family-centered, culturally adapted programs promoting healthy eating and physical activity for children of rural agricultural workers.
Author(s): Lucia Kaiser, Judith Martinez, Marcel Horowitz, et al.
Citation: Preventing Chronic Disease, 12
Date: 05/2015
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Does Patient Rurality Predict Quality Colon Cancer Care? A Population Based Study
Study of 123,129 colon cancer patients listed on the California Cancer Registry from 1996-2008, 15% of whom lived in rural areas. Features demographic statistics with breakdowns by urban or rural residence.
Author(s): Christopher J. Chow, Waddah B. Al-Refaie, Anasooya Abraham, et al.
Citation: Diseases of the Colon & Rectum, 58(4), 415-422
Date: 04/2015
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The Status of Farm Labor Housing and the Health of Workers
Reviews the literature on housing for farmworkers with a focus on potential health impacts. Reports on data from California, Washington, Florida, Oregon, Texas, and North Carolina. Provides recommendations regarding farm labor housing and future research needed.
Author(s): Don Villarejo
Date: 03/2015
Sponsoring organization: California Institute for Rural Studies
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Accountable Care Communities in Rural: Laying the Groundwork in Humboldt County, California
Describes how Accountable Care Communities (ACCs) employ a unified approach to improving the health of a population and reducing costs, by emphasizing preventive health and wellness efforts, as well as promoting collaboration among community-based organizations, social services, and the local health care system. Examines the ways in which the ACC model may help rural communities face challenges associated with poorer health outcomes, transportation difficulties, and shortages of healthcare providers.
Author(s): Paula Weigel, Chance Finegan, Jocelyn Richgels, et al.
Date: 03/2015
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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