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Rural Health Information Hub

Rural Health
Resources by State: Missouri

No Wrong Door: Supporting Community Living for Veterans
Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Sponsoring organization: AARP Public Policy Institute
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Addressing Rural Health Challenges Head On
Describes challenges physicians encounter when practicing in rural and underserved areas of Missouri. Covers multiple issues including health professional shortages, limits of rural training opportunities, population health challenges, rural Missouri demographics, and more.
Author(s): Marci Nielsen, Darrin D'Agostino, Paula Gregory
Citation: Missouri Medicine, 114(5), 363-366
Date: 09/2017
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Overdose Deaths, Hospital Visits and Unfilled Jobs: The Opioid Crisis in Missouri and Kansas
Reports on the opioid crisis in Missouri and Kansas. Shows maps of county-by-county data for opioid dependence risk, unemployment rate, drug-related mortality rate, opioid-related hospital utilization rate, and the morphine milligram equivalents (MME) per capita rate in both states.
Author(s): Mat Reidhead, Leslie Porth, Karen Braman
Date: 09/2017
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Aging in Place in Small Urban and Rural Communities
Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Sponsoring organization: Upper Great Plains Transportation Institute
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An Assessment of Mobile and Portable Dentistry Programs to Improve Population Oral Health
Describes configurations of portable and mobile dental programs including models and applications, discusses targeted populations, details variations in regulations by state, and examines outcomes of preventive interventions in rural areas. Includes case studies of 7 programs initiated to improve access in rural areas.
Additional links: Policy Brief
Author(s): Margaret Langelier, Jean Moore, Rachel Carter, et al.
Date: 08/2017
Sponsoring organization: Oral Health Workforce Research Center
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The Status of Telemedicine in Missouri
Provides background information on rural healthcare issues in Missouri and discusses the value of using telehealth to improve rural healthcare access. Discusses policy recommendations such as broadband access and details about eligibility and payment requirements for telemedicine.
Author(s): Dave Dillon, Jim Mikes
Date: 08/2017
Sponsoring organization: Missouri Hospital Association
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Rural and Urban/Suburban Families' Use of a Web-Based Mental Health Intervention
Analyzes data from a web-based mental health intervention program serving adolescents and caregivers in disaster-affected areas of Missouri and Alabama, comparing rural and urban/suburban rates of accessing and completing web-based mental healthcare modules. Describes historic disparities in mental healthcare among rural communities, noting changes to access and engagement due to increased internet technology use among rural youth and adults. Discusses the potential of web-based healthcare interventions, including telehealth, to expand mental health services in rural areas.
Author(s): Brian Bunnell, Tatiana Davidson, Daniel Dewey, Matthew Price, Kenneth J. Ruggiero
Citation: Telemedicine Journal and E-Health, 23(5), 390-396
Date: 05/2017
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Teaming Up for Asthma Control: EPR-3 Compliant School Program in Missouri Is Effective and Cost-Efficient
Describes a 2011-2014 study in which 54 Missouri school nurses effectively assessed 178 students' asthma status, leading to program improvements and better health outcomes. Features demographic statistics with breakdowns by urban, suburban, large rural, or small town or isolated rural area.
Author(s): Benjamin Francisco, Tammy Rood, Rebekah Nevel, Paul Foreman, Sherri Homan
Citation: Preventing Chronic Disease, 14
Date: 05/2017
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Characteristics of Farm Equipment-Related Crashes Associated With Injury in Children and Adolescents on Farm Equipment
Explores data on injuries from farm equipment-related accidents involving children under 18 and aims to identify the factors that contribute to youth injuries. Breaks down data by crash characteristics, driver and passenger characteristics, and by type of injury, among other measures.
Author(s): Maisha Toussaint, Kayla Faust, Corinne Peek-Asa, Marizen Ramirez
Citation: Journal of Rural Health, 33(2), 127-134
Date: 04/2017
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Opportunities for Promoting Physical Activity in Rural Communities by Understanding the Interests and Values of Community Members
Describes the results of a telephone survey administered to 524 adults from 8 rural towns in southeastern Missouri to identify ways to improve rates of physical activity (PA). Includes individual characteristic data by percent trail utilization. Covers life pursuits and reasons for enjoying the trails from individuals who walk but do not meet the PA recommendations by level of enjoyment/importance.
Author(s): Thomas Park, Amy A. Eyler, Rachel G. Tabak, Cheryl Valko, Ross C. Brownson
Citation: Journal of Environmental and Public Health, 2017, 8608432
Date: 2017
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