Rural Health
Resources by Topic: Access
Impact of the Affordable Care Act on Access to Accredited Facilities for Cancer Treatment
Examines access to cancer care at accredited hospitals in Pennsylvania due to expanded coverage under the Affordable Care Act (ACA). Analyzes patient characteristics before and after ACA implementation, with breakdowns according to sex, age, race/ethnicity, area deprivation, and urban, large town, small town, or rural location, among other characteristics. Provides commentary on ACA impacts for patients in nonurban areas.
Author(s): Lindsay M. Sabik, Youngmin Kwon, Coleman Drake, et al.
Citation: Health Services Research, 59(6)
Date: 12/2024
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Examines access to cancer care at accredited hospitals in Pennsylvania due to expanded coverage under the Affordable Care Act (ACA). Analyzes patient characteristics before and after ACA implementation, with breakdowns according to sex, age, race/ethnicity, area deprivation, and urban, large town, small town, or rural location, among other characteristics. Provides commentary on ACA impacts for patients in nonurban areas.
Author(s): Lindsay M. Sabik, Youngmin Kwon, Coleman Drake, et al.
Citation: Health Services Research, 59(6)
Date: 12/2024
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Farm Bill Primer: Rural Broadband Provisions
Highlights selected rural broadband programs and provisions included in the 2018 Farm Bill, including the Rural Broadband Program, Community Connect Grant Program, and Distance Learning and Telemedicine Program. Outlines considerations for Congress related to the ReConnect Program, rural health challenges, and expanding broadband to support increased telework opportunities.
Date: 12/2024
Sponsoring organization: Congressional Research Service
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Highlights selected rural broadband programs and provisions included in the 2018 Farm Bill, including the Rural Broadband Program, Community Connect Grant Program, and Distance Learning and Telemedicine Program. Outlines considerations for Congress related to the ReConnect Program, rural health challenges, and expanding broadband to support increased telework opportunities.
Date: 12/2024
Sponsoring organization: Congressional Research Service
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Rural-Urban Disparities and Trends in Cancer Screening: An Analysis of Behavioral Risk Factor Surveillance System Data (2018-2022)
Examines trends in up-to-date cancer screening in rural and urban populations, utilizing 2018, 2020, and 2022 Behavioral Risk Factor Surveillance System data. Identifies geographic disparities in screening by cancer type, with data on breast, cervical, and colorectal cancers.
Author(s): Gabriel A Benavidez, Ami E Sedani, Tisha M Felder, Matthew Asare, Charles R Rogers
Citation: JNCI Cancer Spectrum, 8(6), pkae113
Date: 11/2024
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Examines trends in up-to-date cancer screening in rural and urban populations, utilizing 2018, 2020, and 2022 Behavioral Risk Factor Surveillance System data. Identifies geographic disparities in screening by cancer type, with data on breast, cervical, and colorectal cancers.
Author(s): Gabriel A Benavidez, Ami E Sedani, Tisha M Felder, Matthew Asare, Charles R Rogers
Citation: JNCI Cancer Spectrum, 8(6), pkae113
Date: 11/2024
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H5N1 Focus Groups with Dairy Workers: June - September 2024
Offers findings from three listening sessions of dairy workers' attitudes, knowledge, and practices regarding H5N1 avian influenza and perceptions of barriers in healthcare access for infectious respiratory diseases. Includes recommendations to employers of dairy workers for sharing health information, personal protective equipment access, and reducing barriers to healthcare.
Date: 11/2024
Sponsoring organization: National Center for Farmworker Health
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Offers findings from three listening sessions of dairy workers' attitudes, knowledge, and practices regarding H5N1 avian influenza and perceptions of barriers in healthcare access for infectious respiratory diseases. Includes recommendations to employers of dairy workers for sharing health information, personal protective equipment access, and reducing barriers to healthcare.
Date: 11/2024
Sponsoring organization: National Center for Farmworker Health
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Texas Report on the Behavioral Health Matching Grant Programs
Reports on funding and areas served by state-level behavioral health matching grant programs in Texas. Includes discussion of the Rural Mental Health Initiative Grant Program (RIGP), and provides data on number of rural counties served by other grant programs.
Date: 11/2024
Sponsoring organization: Texas Health and Human Services
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Reports on funding and areas served by state-level behavioral health matching grant programs in Texas. Includes discussion of the Rural Mental Health Initiative Grant Program (RIGP), and provides data on number of rural counties served by other grant programs.
Date: 11/2024
Sponsoring organization: Texas Health and Human Services
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Wait Time Standards for Behavioral Health Network Adequacy
Presents findings from an environmental scan, key informant interviews, and case studies exploring efforts to measure and monitor provider networks through wait time standards. Describes how wait time standards can vary by provider type, service type, patient characteristics, and geographic region. Discusses challenges faced by state regulators in setting such standards. Includes rural references throughout.
Author(s): Anna Sommers, Elysha Theis, Kenneth Fassel, Brent Gibbons, Miku Fujita
Date: 11/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Presents findings from an environmental scan, key informant interviews, and case studies exploring efforts to measure and monitor provider networks through wait time standards. Describes how wait time standards can vary by provider type, service type, patient characteristics, and geographic region. Discusses challenges faced by state regulators in setting such standards. Includes rural references throughout.
Author(s): Anna Sommers, Elysha Theis, Kenneth Fassel, Brent Gibbons, Miku Fujita
Date: 11/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Understanding the Optimal Balance of Using Telehealth and In-person Services to Support Adults with Serious Mental Illness and Children with Serious Emotional Disturbance
Explores the balance between telehealth and in-person care for serious mental illness (SMI) and children with serious emotional disturbance (SED). Summarizes findings from an environmental scan and focus groups with mental health providers, adults with SMI, and parents of children with SED. Discusses how focus group participants made decisions about using telehealth versus in-person mental healthcare and how telehealth impacted access to care and engagement in treatment relative to in-person services.
Author(s): Jasmine Little, Megan Dormond, Sarah Croake, et al.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores the balance between telehealth and in-person care for serious mental illness (SMI) and children with serious emotional disturbance (SED). Summarizes findings from an environmental scan and focus groups with mental health providers, adults with SMI, and parents of children with SED. Discusses how focus group participants made decisions about using telehealth versus in-person mental healthcare and how telehealth impacted access to care and engagement in treatment relative to in-person services.
Author(s): Jasmine Little, Megan Dormond, Sarah Croake, et al.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Ohio Farmer Stress and Wellbeing Report
Discusses lifestyle and stress factors that impact farmer mental health in Ohio. Provides information and background on the Ohio Agricultural Mental Health Alliance (OAMHA) and their survey data focused on farmer mental health, anxiety, depression, feelings of loneliness, access to mental health services, and more.
Date: 11/2024
Sponsoring organization: Ohio Rural Health Association
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Discusses lifestyle and stress factors that impact farmer mental health in Ohio. Provides information and background on the Ohio Agricultural Mental Health Alliance (OAMHA) and their survey data focused on farmer mental health, anxiety, depression, feelings of loneliness, access to mental health services, and more.
Date: 11/2024
Sponsoring organization: Ohio Rural Health Association
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Roadblocks to Reporting: Examining Barriers that Deter Domestic Violence Victim-Survivors from Reporting to Law Enforcement in Rural Communities of Pennsylvania
Explores the lack of reporting from victim-survivors and the barriers they might face when reporting domestic violence and intimate partner violence to law enforcement. Highlights how barriers might differ among rural and urban Pennsylvanians, and how this might impact their ability to access services or resources from local victim service agencies.
Additional links: Executive Summary
Author(s): Emily R. Strohacker
Date: 11/2024
Sponsoring organization: Center for Rural Pennsylvania
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Explores the lack of reporting from victim-survivors and the barriers they might face when reporting domestic violence and intimate partner violence to law enforcement. Highlights how barriers might differ among rural and urban Pennsylvanians, and how this might impact their ability to access services or resources from local victim service agencies.
Additional links: Executive Summary
Author(s): Emily R. Strohacker
Date: 11/2024
Sponsoring organization: Center for Rural Pennsylvania
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Ever Use of Telehealth in Nebraska by March 2021: Cross-Sectional Analysis
Analyzes telehealth usage in Nebraska according to sociodemographic variables as well as health status and healthcare access. Analyzes survey data from 1,101 respondents and discusses the impact of the digital divide, age, and race/ethnicity on telehealth use in a mostly rural state.
Author(s): Lisa C Smith, George Johnson, Snehal Jadhav, et al.
Citation: Journal of Medical Internet Research, 26
Date: 11/2024
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Analyzes telehealth usage in Nebraska according to sociodemographic variables as well as health status and healthcare access. Analyzes survey data from 1,101 respondents and discusses the impact of the digital divide, age, and race/ethnicity on telehealth use in a mostly rural state.
Author(s): Lisa C Smith, George Johnson, Snehal Jadhav, et al.
Citation: Journal of Medical Internet Research, 26
Date: 11/2024
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