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Rural Health
Resources by State: Missouri

Rides to Health and Wealth: A Driving Force for Rural Health Network Action Webinar
Webinar featuring the Health and Wealth Network in Missouri, which increases access to transportation for rural residents through community coordination and scheduling. Discusses impacts of transportation and mobility on health and healthcare access for rural Missourians.
Additional links: Webinar transcript
Author(s): Kelly Ast
Date: 03/2020
Type: Video/Multimedia
Sponsoring organization: National Aging and Disability Transportation Center
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HIV Testing Outcomes Among Blacks or African Americans — 50 Local U.S. Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrences of HIV in Rural Areas, 2017
Reports on HIV testing and diagnoses by a variety of demographic characteristics, including race/ethnicity. Examines linkage to medical care for African Americans with newly diagnosed HIV infection. Study covers 50 U.S. jurisdictions with the majority of new diagnoses as well as the seven states — Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina — with high rural rates of HIV. Rural-specific data is not provided in the results.
Author(s): Aba D. Essuon, Hui Zhao, Guoshen Wang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(4), 97-102
Date: 01/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Assessing Health and Safety Concerns and Psychological Stressors among Agricultural Workers in the U.S. Midwest
Results of a 2018 study of 540 farmers in Iowa, Ohio, Missouri, Minnesota, and Nebraska, identifying agricultural work stressors including chemical and equipment safety, finances, and health concerns such as hearing loss, respiratory problems, depression, and acute illnesses. Examines differences between mail and in-person survey modes, and compares their effectiveness in promoting farm workers' willingness to participate in the surveys. Features demographics and statistics on the types of stress experienced.
Author(s): Kanika Arora, Marsha Cheyney, Fredric Gerr, et al.
Citation: Journal of Agricultural Safety and Health, 26(1), 45-58
Date: 01/2020
Type: Document
Sponsoring organization: American Society of Agricultural and Biological Engineers
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Telehealth and Telemedicine in Missouri
Discusses telehealth programs in Missouri, including the early contributions of the Missouri Telehealth Network to the growth of telehealth and the MO HealthNet program. Discusses telehealth's impact on rural healthcare access and state-level approaches to reimbursement, licensing, restrictions, and telemedicine delivery.
Author(s): Mirna Becevic, Lincoln R. Sheets, Emmanuelle Wallach, et al.
Citation: Missouri Medicine, 117(3), 228-234
Date: 2020
Type: Document
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2020 Missouri Poverty Report
Report describing county-level statistics for Missouri as well as state-by-state comparisons on poverty rates and related factors. Provides statistics and data on poverty prevalence, health factors, access to hospitals, food uncertainty, and more. Includes rural/urban differences and offers suggestions for statewide improvements. Publication is free to access after providing a name and email address.
Date: 2020
Type: Document
Sponsoring organizations: Missouri Community Action Network, Missourians to End Poverty
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Imported Infections in Rural Mid-West United States - A Report from a Tertiary Care Center
Analyzes data on imported infections that were seen, diagnosed, and/or treated from 2001-2018 within the Division of Infectious Diseases at the University of Missouri Hospital and Clinics to inform rural mid-west healthcare professionals about the importance of travel medicine. Includes a focused list of imported infectious diseases, information on the geographic origin of various diseases, and on the reasons for travel.
Author(s): Amy Meyer, Hariharan Regunath, Christian Rojas-Moreno, William Salzer, Gordon Christensen
Citation: Missouri Medicine, 117(2), 89–94
Date: 2020
Type: Document
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Responding to Crisis: Farmer Mental Health Programs in the Extension North Central Region
Provides an overview of programs and resources to address the mental health needs of farmers and farm families in Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. Discusses outreach efforts in the region and best practices in developing materials.
Author(s): Shoshanah Inwood, Florence Becot, Andrea Bjornestad, Carrie Henning-Smith, Andrew Alberth
Citation: Journal of Extension, 57(6)
Date: 12/2019
Type: Document
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Taney County Health Department: Accreditation and Holding to a Higher Standard
Describes how Missouri's Taney County Health Department has used voluntary national and state accreditation to help meet their county's public health needs. Offers tips for other rural public health departments considering accreditation.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Understanding Rural Health Departments: Do They Have Unique Accreditation Needs?
Discusses how governance, organizational size, and other factors impact rural local health departments' ability to pursue voluntary accreditation.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents-Payment Reform
Third annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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