Rural Health
Resources by State: Pennsylvania
Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Sponsoring organizations: Health Management Associates, KFF
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Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Sponsoring organizations: Health Management Associates, KFF
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Telelactation via Mobile App: Perspectives of Rural Mothers, Their Care Providers, and Lactation Consultants
Analyzes the efficacy of direct-to-consumer (DTC) telelactation services in rural Pennsylvania in areas that lack in-person availability of international board-certified lactation consultants (IBCLCs). Discusses potential challenges such as lack of personal relationships, preference for local resources, and limited WiFi in rural areas. Reflects on potential benefits including access to support and increased maternal breastfeeding confidence.
Author(s): Jill Demirci, Virginia Kotzias, Debra L. Bogen, Kristin N. Ray, Lori Uscher-Pines
Citation: Telemedicine Journal and E-Health, 25(9), 853-858
Date: 09/2019
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Analyzes the efficacy of direct-to-consumer (DTC) telelactation services in rural Pennsylvania in areas that lack in-person availability of international board-certified lactation consultants (IBCLCs). Discusses potential challenges such as lack of personal relationships, preference for local resources, and limited WiFi in rural areas. Reflects on potential benefits including access to support and increased maternal breastfeeding confidence.
Author(s): Jill Demirci, Virginia Kotzias, Debra L. Bogen, Kristin N. Ray, Lori Uscher-Pines
Citation: Telemedicine Journal and E-Health, 25(9), 853-858
Date: 09/2019
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The Use of and Experiences With Telelactation Among Rural Breastfeeding Mothers: Secondary Analysis of a Randomized Controlled Trial
Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
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Study exploring a telehealth video-based lactation service offered to rural Pennsylvania mothers through a Critical Access Hospital. Discusses data on study participation, number of telelactation video calls per participant, nature of the participants' concerns or questions, breastfeeding experience, and infant age. Describes challenges of providing lactation support in rural areas and presents telelactation services as a potential solution.
Author(s): Kandice Kapinos, Virginia Kotzias, Debra Bogen, et al.
Citation: Journal of Medical Internet Research, 21(9), e13967
Date: 09/2019
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Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care
Looks at patient satisfaction with telemedicine for pediatric fracture care based on a study conducted in rural central Pennsylvania. Compares satisfaction levels for real-time video consultation with a pediatric orthopedic surgeon facilitated by a physician's assistant to conventional outpatient clinic visits.
Author(s): Neha Sinha, Max Cornell, Benjamin Wheatley, et al.
Citation: JAAOS Global Research & Reviews, 3(9), e100
Date: 09/2019
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Looks at patient satisfaction with telemedicine for pediatric fracture care based on a study conducted in rural central Pennsylvania. Compares satisfaction levels for real-time video consultation with a pediatric orthopedic surgeon facilitated by a physician's assistant to conventional outpatient clinic visits.
Author(s): Neha Sinha, Max Cornell, Benjamin Wheatley, et al.
Citation: JAAOS Global Research & Reviews, 3(9), e100
Date: 09/2019
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Use of Apprenticeship to Meet Demand for Medical Assistants in the U.S.
Reports findings from a study of registered medical assistant (MA) apprenticeship programs in 12 states. Discusses the workforce needs these programs may help address, including workforce needs in rural communities. Describes the programs and discusses challenges with starting and maintaining MA apprenticeship programs.
Additional links: Policy Brief
Author(s): Andrew D. Jopson, Susan M. Skillman, Bianca K. Frogner
Date: 09/2019
Sponsoring organization: UW Center for Health Workforce Studies
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Reports findings from a study of registered medical assistant (MA) apprenticeship programs in 12 states. Discusses the workforce needs these programs may help address, including workforce needs in rural communities. Describes the programs and discusses challenges with starting and maintaining MA apprenticeship programs.
Additional links: Policy Brief
Author(s): Andrew D. Jopson, Susan M. Skillman, Bianca K. Frogner
Date: 09/2019
Sponsoring organization: UW Center for Health Workforce Studies
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Serving Rural America: Health Insurance Providers at Work
Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Sponsoring organization: AHIP
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Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Sponsoring organization: AHIP
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Sponsoring organization: Government Accountability Office
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Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Sponsoring organization: Government Accountability Office
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Report of Recommendations: Appalachian Regional Commission's Substance Abuse Advisory Council
Report outlines the recommendations of the ARC's Substance Abuse Advisory Council on designing and implementing a substance misuse recovery system in rural Appalachia. Details the need for workforce training and employment via support services post-treatment.
Date: 08/2019
Sponsoring organization: Appalachian Regional Commission
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Report outlines the recommendations of the ARC's Substance Abuse Advisory Council on designing and implementing a substance misuse recovery system in rural Appalachia. Details the need for workforce training and employment via support services post-treatment.
Date: 08/2019
Sponsoring organization: Appalachian Regional Commission
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Rural Access to MAT in Pennsylvania (RAMP): A Hybrid Implementation Study Protocol for Medication Assisted Treatment Adoption among Rural Primary Care Providers
Presents a study on the implementation of an intervention designed to expand access to medication-assisted treatment for people with opioid use disorder in rural Pennsylvania. Highlights the collaborators and roles within the intervention, breaking down the delivery and support infrastructure.
Author(s): Gerald Cochran, Evan S. Cole, Jack Warwick, et al.
Citation: Addiction Science & Clinical Practice, 14, 25
Date: 08/2019
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Presents a study on the implementation of an intervention designed to expand access to medication-assisted treatment for people with opioid use disorder in rural Pennsylvania. Highlights the collaborators and roles within the intervention, breaking down the delivery and support infrastructure.
Author(s): Gerald Cochran, Evan S. Cole, Jack Warwick, et al.
Citation: Addiction Science & Clinical Practice, 14, 25
Date: 08/2019
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Health Needs Assessment of Five Pennsylvania Plain Populations
Offers the results of a health needs assessment for 5 Anabaptist Pennsylvania Plain communities compared with the general state population. Discusses prevalence of genetic diseases and mental health conditions, screenings and vaccinations, and general health outcomes. Provides data on demographics, nutrition, environmental health, and health conditions taken from household surveys conducted in 2014 and 2015 which were designed to represent Plain community views of modern medicine.
Author(s): Kirk Miller, Berwood Yost, Christina Abbott, et al.
Citation: International Journal of Environmental Research and Public Health, 16(13), 2378
Date: 07/2019
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Offers the results of a health needs assessment for 5 Anabaptist Pennsylvania Plain communities compared with the general state population. Discusses prevalence of genetic diseases and mental health conditions, screenings and vaccinations, and general health outcomes. Provides data on demographics, nutrition, environmental health, and health conditions taken from household surveys conducted in 2014 and 2015 which were designed to represent Plain community views of modern medicine.
Author(s): Kirk Miller, Berwood Yost, Christina Abbott, et al.
Citation: International Journal of Environmental Research and Public Health, 16(13), 2378
Date: 07/2019
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