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Rural Health
Resources by State: Hawaii

Native Hawaiian and Pacific Islander Youth Substance Use Prevention in Rural Hawai'i
Offers an overview of substance use among rural Native Hawaiian and Pacific Islander (NHPI) youth including factors contributing to use. Describes a proposed research study using a community based participatory research approach to identify the influence of parents on substance use for NHPI youth.
Author(s): Sarah Momilani Marshall, Sophia Lau
Citation: Hawai'i Journal of Health & Social Welfare, 83(5), 144-145
Date: 05/2024
Type: Document
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How Does Hawai'i's Economic Geography Affect Its Healthcare Industry?
Reports on geographic factors influencing healthcare economics in Hawai'i, including discussion of geographic decentralization, productivity, workforce recruitment, reimbursement and payment, and more. Highlights barriers to healthcare access and service availability in rural, isolated, and remote communities.
Author(s): Steven Bond-Smith, Daniela Bond-Smith
Date: 04/2024
Type: Document
Sponsoring organization: The Economic Research Organization at the University of Hawai'i (UHERO)
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Cancer Care Coordination in Rural Hawaii: A Focus Group Study
Presents results from focus group discussions about challenges and facilitators of coordinated care with 8 rural cancer patients receiving active treatment in Hawaii. Identifies themes related to access to care, insurance, travel, electronic patient portal use, and more.
Author(s): Shin Chang, Michelle Liu, Christa Braun-Inglis, Randall Holcombe, Izumi Okado
Citation: BMC Health Services Research, 24, 518
Date: 04/2024
Type: Document
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The Health and Social Impacts of the Maui Wildfires: Post-Disaster Care from a Sociocultural Lens
Highlights the impact of a wildfire event on existing health and social service disparities in Maui, Hawaii. Discusses housing, employment, finances, mental health, suicide risk, culture, social isolation, rurality, and service limitations. Notes opportunities and challenges for addressing these impacts using telehealth and outside assistance.
Author(s): Ryan Holliday, Lauren S. Krishnamurti, Shiloh E. Jordan, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(3), 85-87
Date: 03/2024
Type: Document
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Primary Care Legislative Report to the Thirty-Third Legislature: State of Hawaii 2024
Annual legislative report covering Hawaii State Department of Health program activities and partnerships with Primary Health Care Partners (PHCP). Offers recommendations to address healthcare workforce issues, COVID-19 response, telehealth, and more.
Date: 12/2023
Type: Document
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Formative Evaluation of Colorectal Cancer Screening Practices at Two Hawaiʻi Rural Community Health Centers and One Urban Hospital
Reports on colorectal cancer screening (CRCS) practices in 2 rural community health centers and 1 urban hospital in Hawaii. Covers types of intervention provided, barriers and facilitators of CRCS, and recommendations for increasing CRCS. Identifies challenges related to rural access to care.
Author(s): David A. Stupplebeen, Whitney Watts
Date: 10/2023
Type: Document
Sponsoring organization: University of Hawaii and Mānoa Office of Public Health Studies
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Hawaii New Grad Nurse Residency Program: October 2023
Highlights activities of the 2023 Hawai'i Nurse Residency Program including enrollment, retention, and graduation data; curriculum and training; funding; and future plans. Discusses expansion into rural areas.
Date: 10/2023
Type: Document
Sponsoring organization: Hawai'i State Center for Nursing
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Native Hawaiian Health Care Systems Program: Services, Funding, and Oversight
Provides an overview of the Native Hawaiian Health Care Systems Program, which is administered by the Health Resources and Services Administration (HRSA) and aims to improve access to services for Native Hawaiians living in Hawaii. Describes the provision of culturally sensitive services, the size and other characteristics of the programs, how Native Hawaiian Health Care Systems Program funds are awarded, and how HRSA oversees the program. Includes a snapshot of each of the five Native Hawaiian Health Care Systems.
Additional links: Full Report
Date: 10/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Maternal and Child Health Services Title V Block Grant - Hawaii: FY 2024 Application/FY 2022 Annual Report
Describes Hawaii's maternal and child health programs, which include priorities related to family planning, food security, rates of child abuse and neglect, health screenings for children, wellness visits and vaccination, mental healthcare, telehealth access, and more. Discusses healthcare access issues for rural residents, activities by the Office of Primary Care and Rural Health, Medicaid provider shortages, and other rural-relevant issues.
Date: 09/2023
Type: Document
Sponsoring organization: Hawaii State Department of Health
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An Examination of Practices and Barriers of Procedures Performed by Physicians in Rural Hawai'i
Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
Type: Document
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