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Rural Health
Resources by State: Washington

The Role of Diet in Children's Exposure to Organophosphate Pesticides
Examines associations between pesticide exposure and fruit and vegetable consumption in children of farmworkers and non-farmworkers in a rural agricultural setting throughout multiple growing seasons.
Author(s): Francesca Holme, Beti Thompson, Sarah Holte, et al.
Citation: Environmental Research, 147, 133-140
Date: 05/2016
Type: Document
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Proactively Pursuing Value-Based Payment
Profiles a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract to help the facility fund the continued transition to value-based care and hopefully create a payment model other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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State Variations in the Rural Obstetric Workforce
Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals (CAHs) and other rural hospitals having at least 10 births in 2010 by analyzing data derived from a telephone survey conducted in 9 states. Includes data for each state on hospital and provider characteristics, and services provided for labor and delivery.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Breaking the Silence: Sexual Harassment of Mexican Women Farmworkers
Study of Mexican women farmworker experiences of workplace sexual harassment in rural Yakima Valley, Washington. Data taken from 2 focus group sessions of 10 participants each, reflecting frequency of sexual harassment and hostile work environment experiences. Discusses negative health effects of workplace and harassment-related stress, barriers to reporting, and prevention strategies.
Author(s): Nicole Jung-Eun Kim, Victoria Breckwich Vásquez, Elizabeth Torres, R. M. Bud Nicola, Catherine Karr
Citation: Journal of Agromedicine, 21(2), 154-162
Date: 03/2016
Type: Document
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Factors Associated with High-Risk Rural Women Giving Birth in Non-NICU Hospital Settings
Identifies risk factors for childbirth among high-risk rural women in a hospital without a neonatal intensive care unit (NICU). Analyzes information from maternal hospital discharge data from childbirth hospitalizations for rural residents from Colorado, Iowa, Kentucky, New York, North Carolina, Oregon, Vermont, Washington, and Wisconsin. Includes statistics for women with multiple gestation and preterm delivery by age, primary payer, race, rurality, state, and local NICU capacity.
Author(s): K. B. Kozhimannil, P. Hung, M. M. Casey, S. A. Lorch
Citation: Journal of Perinatology, 36, 510–515
Date: 02/2016
Type: Document
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Training Future Physicians for Rural Medicine
Describes the four-year curriculum called the Target Rural Underserved Track (TRUST) developed by the University of Washington School of Medicine that allows students to train in rural and underserved areas of Washington, Wyoming, Alaska, Montana and Idaho (WWAMI region).
Date: 01/2016
Type: Document
Sponsoring organization: American Medical Association
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The WWAMI Targeted Rural Underserved Track (TRUST) Program: An Innovative Response to Rural Physician Workforce Shortages
Discusses a four-year medical education curriculum through the University of Washington School of Medicine called the Targeted Rural Underserved Track (TRUST) where students are required to participate in a four-year clinical longitudinal continuity experience. The curriculum links students to a rural community identified as their TRUST continuity community or TCC with the objective to engage students in learning how a healthcare team functions in a rural community and to address the physician workforce needs in rural Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI region).
Author(s): Thomas Greer, Amanda Kost, David V. Evans, et al.
Citation: Academic Medicine, 91(1), 65-69
Date: 01/2016
Type: Document
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Washington State Suicide Prevention Plan
Outlines a statewide suicide prevention plan for rural and urban individuals, families, and communities in Washington based on the National Strategy for Suicide Prevention. Describes strategies to prevent suicide and make treatment and support services more accessible. Includes statistics on suicide rates by age, race, and rural or urban location.
Date: 01/2016
Type: Document
Sponsoring organization: Washington State Department of Health
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Columbia Gorge Region, Oregon and Washington: 2016 RWJF Culture of Health Prize Winner
Describes how the communities within the Columbia Gorge region took a collaborative approach by developing a 15-member community advisory committee that included Medicaid recipients and Latino residents. Top concerns addressed by this committee were food, housing, jobs and transportation, along with improved access to dental and mental health, and better coordination among social services and healthcare providers. Projects included expanding the use and training of community health workers (CHWs) to assist Latino residents when navigating programs outside of healthcare and the development of a fruit and vegetable prescription program to support increased intake of healthy foods. A collective impact specialist was hired to help solve community problems through collaborative efforts, and to find grants and other sources of funding to support their projects. Columbia Gorge Region is a recipient of the 2016 Robert Wood Johnson Foundation's Culture of Health Prize.
Date: 2016
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Practical Solutions for Pesticide Safety: A Farm and Research Team Participatory Model
Highlights a study of a participatory research program which produced the Practical Solutions for Pesticide Safety guide. Input from farm managers and workers was key to the development of the guide, which is now used as an educational tool for agricultural safety across the Pacific Northwest region.
Author(s): Kit Galvin, Jen Krenz, Marcy Harrington, Pablo Palmández, Richard A. Fenske
Citation: Journal of Agromedicine, 21(1), 113-122
Date: 2016
Type: Document
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