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Rural Health
Resources by State: Hawaii

Insights in Public Health: Equitable Access to Abortion Care in Hawai'i: Identifying Gaps and Solutions
Examines gaps in access to abortion care in Hawaii and offers recommendations to address them. Analyzes issues specific to rural access to abortion care.
Author(s): Ghazaleh Moayedi, Chevelle Davis
Citation: Hawai'i Journal of Medicine and Public Health, 77(7), 169-172
Date: 07/2018
Type: Document
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The Validation of a School-Based, Culturally Grounded Drug Prevention Curriculum for Rural Hawaiian Youth
Details a study of a school-based drug prevention curriculum designed to be relevant to rural Native Hawaiian youth. Bases findings on faculty interviews. Breaks down the data by participants' gender, age, and position within the school.
Author(s): Scott K. Okamoto, Susana Helm, Lindsey K. Ostrowski, Lucille Flood
Citation: Health Promotion Practice, 19(3), 369-376
Date: 05/2018
Type: Document
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The Electronic Health Literacy and Utilization of Technology for Health in a Remote Hawaiian Community: Lana'i
Examines the use of communication technology by community, staff, and board members of Lanai Community Health Center in Hawaii. Evaluates their level of electronic health literacy and offers recommendations for rural communities regarding the use of technology-enabled care.
Author(s): Nash AK Witten, Joseph Humphry
Citation: Hawai'i Journal of Medicine and Public Health, 77(3), 51-59
Date: 03/2018
Type: Document
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Preventable Tooth Loss in Hawai'i: The Role of Socioeconomic Status, Diabetes, and Dental Visits
Results of a study examining association of tooth loss with health risk, dental care access, and sociodemographic factors including income level in 13,371 adults from 4 racial and ethnic groups in Hawaii. Features demographic statistics including breakdowns by residence in a city center, outside a city center, or a nonmetropolitan area.
Author(s): Mikako Deguchi, Marjorie K. Leimomi Mala Mau, James Davis, Richard Niederman
Citation: Preventing Chronic Disease, 14
Date: 11/2017
Type: Document
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Promising Practice: Helping Rural Hawaii THRIVE
Illustrates how community forums sponsored by the Hawaii Public Health Institute (HPHI) and supported by the Hawaii State Office of Primary Care and Rural Health (HI OPCRH) provide a venue for sharing "stories of health" to improve health and wellness in the state. Describes the THRIVE (Tools for Health Resilience in Vulnerable Environments) method used to develop multi-sector partnerships, particularly the opportunity to collectively focus on health equity, facilitate an understanding of social determinants of health, and establish a foundation for future action.
Author(s): Beth Blevins
Date: 08/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Housing Needs of Native Hawaiians: A Report From the Assessment of American Indian, Alaska Native, and Native Hawaiian Housing Needs
Report of housing conditions and needs for Native Hawaiians as part of a larger Native American housing study mandated by Congress in 2009. Includes discussion of population growth and distribution; demographic, social, and economic conditions; housing conditions and needs; circumstances of Native Hawaiians residing on Hawaiian Home Lands and those on the waiting list; and housing policy and programs. Rural and urban comparisons, particularly in the Home Lands discussion, are available.
Date: 05/2017
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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Promoting Optimal Native Outcomes (PONO) by Understanding Women's Stress Experiences
Examines psychosocial stressors in women, aged 18-35, living in a rural Hawaiian community with a large Native Hawaiian and Pacific Islander population to promote optimal native outcomes (PONO). Analyzes information from 36 women participating in focus groups and identifies seven stressor themes: intimate relationships; family and home life; child rearing; time for self; neighborhood environment; workplace; and finances.
Author(s): May Okihiro, Lisa Duke, Deborah Goebert, et al.
Citation: The Journal of Primary Prevention, 38(1-2), 159-173
Date: 04/2017
Type: Document
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Establishing Successful Patient-Centered Medical Homes in Rural Hawai'i: Three Strategies to Consider
Provides recommendations for effectively developing Patient-Centered Medical Homes (PCMHs) based on phone interviews with healthcare providers on Hawaii's islands and data from the state Area Health Education Center (AHEC). Includes strategies specific to improving care in rural Hawaii.
Author(s): Melissa Nelson Scriber, Kasey Kehoe
Citation: Hawai'i Journal of Medicine and Public Health, 76(3 Suppl 1), 18-23
Date: 03/2017
Type: Document
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Making Cancer Survivorship Care Plans More Inclusive of Asian American, Native Hawaiian, and Pacific Islander Communities
Describes reviews and assessments of 4 survivorship care plans and offers recommendations on how plans could be more inclusive of Asian American, Native Hawaiian, and Pacific Islanders.
Date: 03/2017
Type: Document
Sponsoring organization: Asian & Pacific Islander American Health Forum
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