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Rural Health
Resources by Topic: Access

Using AI to Reach Rural Patients
Podcast focused on using artificial intelligence to identify and diagnose illnesses, injuries, and recommend treatment to improve access to primary care in areas isolated by distance, weather, or transportation. Features John Supplitt, senior director of the AHA Rural Health Services. Part of AHA's Advancing Health Podcast Series.
Date: 01/2020
Type: Audio
Sponsoring organization: American Hospital Association
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Child Maltreatment 2018
Reports on children who received a child protective services, children who died of abuse and neglect, and children who are victims of maltreatment on the national level using data collected from the National Child Abuse and Neglect Data System (NCANDS). Provides comments regarding the availability and access to child protective services in rural areas of Indiana, Iowa, Minnesota, Nevada, and North Dakota, and how some counties respond to child abuse and neglect screenings, referrals, and the provision of services.
Date: 01/2020
Type: Document
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Views of Rural US Adults About Health and Economic Concerns
Results of phone surveys of 1705 rural adults, conducted in 2018 and 2019. Explores their views on the most important problems facing their communities, including healthcare access and costs, suicide, and opioid or other drug abuse.
Author(s): Mary G. Findling, Robert J. Blendon, John M. Benson, Justin M. Sayde, Carolyn E. Miller
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Assessment of Rural-Urban Differences in Postacute Care Utilization and Outcomes Among Older US Adults
Results of a study of 2,044,231 Medicare beneficiaries who were hospitalized in 2011-2015 for pneumonia, stroke, heart failure, hip fracture, or COPD. Examines the frequency, type, and duration of postacute care, as well as readmission and mortality rates in people discharged to a community or to postacute care. Features statistics with breakdowns by urban area, rural community adjacent to urban area, or rural community nonadjacent to urban area.
Author(s): Cyrus M. Kosar, Lacey Loomer, Nasim B. Ferdows, et al.
Citation: JAMA Network Open, 3(1)
Date: 01/2020
Type: Document
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Public Transportation: Enhanced Federal Information Sharing on Coordination Could Improve Rural Transit Services
Report details the Federal Transit Administration's (FTA) efforts in improving rural public transit coordination and identifies areas for improvement. Highlights some of the challenges affecting the FTA's ability to effectively coordinate transportation for rural and tribal areas.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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340B Drug Discount Program: Increased Oversight Needed to Ensure Nongovernmental Hospitals Meet Eligibility Requirements
Provides an overview of the Government Accountability Office's (GAO) review of 258 nongovernmental hospitals that participate in the 340B Drug Pricing Program and their contracts with state and local governments. Evaluates the contracts to determine if they meet the eligibility requirement to serve low-income individuals. Outlines weaknesses in the Health Resources and Services Administration's review of the hospital contracts and offers six recommendations to improve the contract review process.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Availability of Grocery Delivery to Food Deserts in States Participating in the Online Purchase Pilot
Research letter describing a study of the Online Purchase Pilot (OPP), which allows beneficiaries in 8 states to use the Supplemental Nutrition Assistance Program (SNAP) to buy groceries online. Includes statistics on the availability of grocery delivery among rural food desert census tracts and SNAP households in the 8 OPP states.
Author(s): Eric J. Brandt, David M. Silvestri, Jerold R. Mandi, Margaret L. Holland, Joseph S. Ross
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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