Rural Health
Resources by Topic: Access
Rural Healthy People 2030: New Decade, New Challenges
Examines survey of 1,475 rural stakeholders about their priorities from the Healthy People 2030 initiative to develop Rural Healthy People 2030. Data include tables ranking responses including mental heal, healthcare access, substance misuse, economic stability, and more. Discusses how priorities have shifted from Rural Healthy People 2010 and Rural Healthy People 2020.
Author(s): Timothy Callaghan, Morgan Kassabian, Natasha Johnson, et al.
Citation: Preventative Medicine Reports, 33(2023), 1-6
Date: 06/2023
Type: Document
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Examines survey of 1,475 rural stakeholders about their priorities from the Healthy People 2030 initiative to develop Rural Healthy People 2030. Data include tables ranking responses including mental heal, healthcare access, substance misuse, economic stability, and more. Discusses how priorities have shifted from Rural Healthy People 2010 and Rural Healthy People 2020.
Author(s): Timothy Callaghan, Morgan Kassabian, Natasha Johnson, et al.
Citation: Preventative Medicine Reports, 33(2023), 1-6
Date: 06/2023
Type: Document
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Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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New England Health System CEOs Address Rural Healthcare Crisis In A Live Conversation
Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available by clicking the three dots above the video description, then selecting Show Transcript.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Dartmouth Health
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Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available by clicking the three dots above the video description, then selecting Show Transcript.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Dartmouth Health
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Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services
Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Evidence-Based, Whole-Person Care for Pregnant People Who Have Opioid Use Disorder
Report presents care recommendations for treatment of opioid use disorder during pregnancy. Discusses the risks of opioid use during and after pregnancy and explores factors to consider when treating pregnant people. Highlights barriers for rural patients.
Date: 05/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report presents care recommendations for treatment of opioid use disorder during pregnancy. Discusses the risks of opioid use during and after pregnancy and explores factors to consider when treating pregnant people. Highlights barriers for rural patients.
Date: 05/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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State Medicaid and Private Telemedicine Coverage Requirements and Telemedicine Use, 2013–2019
Examines the association between state Medicaid and private telemedicine coverage requirements and live video-based telemedicine use by analyzing nationally representative survey data from the 2013–2019 Association of American Medical Colleges Consumer Survey of Health Care Access. Evaluates the impact of these requirements by rurality. Explores whether telemedicine coverage requirements were associated with healthcare access.
Author(s): Brandy J. Lipton, Michael F. Pesko
Citation: Health Services Research, 2023
Date: 05/2023
Type: Document
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Examines the association between state Medicaid and private telemedicine coverage requirements and live video-based telemedicine use by analyzing nationally representative survey data from the 2013–2019 Association of American Medical Colleges Consumer Survey of Health Care Access. Evaluates the impact of these requirements by rurality. Explores whether telemedicine coverage requirements were associated with healthcare access.
Author(s): Brandy J. Lipton, Michael F. Pesko
Citation: Health Services Research, 2023
Date: 05/2023
Type: Document
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Comparing Public Transportation Services for Rural States in the Upper Midwest and Great Plains Region
Analyzes the availability of public transportation in North Dakota, South Dakota, Montana, Wyoming, Nebraska, and Minnesota by comparing the availability of rural transit and urban transit services in these states. Includes county-level maps showing level of transportation services by days and hours available, rural trips per capita, and rural vehicle revenue miles (VRM) per capita. Provides a list of rural, tribal, and urban transit agencies by state, including those servicing medical trips.
Author(s): Jeremy Mattson, Bright Quayson, Zhila Dehdari Ebrahimi
Date: 05/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Analyzes the availability of public transportation in North Dakota, South Dakota, Montana, Wyoming, Nebraska, and Minnesota by comparing the availability of rural transit and urban transit services in these states. Includes county-level maps showing level of transportation services by days and hours available, rural trips per capita, and rural vehicle revenue miles (VRM) per capita. Provides a list of rural, tribal, and urban transit agencies by state, including those servicing medical trips.
Author(s): Jeremy Mattson, Bright Quayson, Zhila Dehdari Ebrahimi
Date: 05/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Understanding the U.S. Behavioral Health Workforce Shortage
Discusses the shortage of behavioral health professionals across the country and highlights some of the contributing factors. Breaks down factors affecting licensed providers, clinical supporters, community care workers, and frontline workers. Makes recommendations for policymakers and includes considerations for rural areas.
Author(s): Nathaniel Counts
Date: 05/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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Discusses the shortage of behavioral health professionals across the country and highlights some of the contributing factors. Breaks down factors affecting licensed providers, clinical supporters, community care workers, and frontline workers. Makes recommendations for policymakers and includes considerations for rural areas.
Author(s): Nathaniel Counts
Date: 05/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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Rural Healthy People 2030: Common Challenges, Rural Nuances
Policy brief reporting the findings of Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features statistics including the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Policy brief reporting the findings of Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features statistics including the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Accountable Health Communities (AHC) Model Evaluation: Second Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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