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Rural Health Information Hub

Rural Health
Resources by Topic: Access

Supplemental Nutrition Assistance Program: Nebraska's Eligibility Decision
Details the benefits and eligibility requirements of the Supplemental Nutrition Assistance Program (SNAP). Offers statistics and demographics on households participating in Nebraska's SNAP. Highlights the effect inflation and the higher cost of food has on low-income populations. Makes recommendations for policymakers to consider when evaluating eligibility limits that affect the availability of food and safeguard against hunger for low-income households.
Author(s): Derrik Conard
Date: 01/2023
Sponsoring organization: Center for Rural Affairs
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Examining Rural Telehealth During the Public Health Emergency
Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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Travel Times to Facilities Offering Oral Medication Therapy for COVID-19
Results of a study exploring accessibility of oral COVID-19 therapeutics across the United States, by examining travel times to places where these medications are available. Features a county-level map with shadings showing ranges of travel time by census tract.
Author(s): Peter A. Kahn, Xiaohan Ying, Walter S. Mathis
Citation: JAMA Network Open, 6(1), e2249810
Date: 01/2023
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Telerehabilitation Has Potential, but More Research, Funding, and Advocacy Are Needed
Reviews existing evidence on the use of telerehabilitation in the delivery of rehabilitation services, including physical therapy. Identifies barriers to the effective implementation of telerehabilitation and suggests potential areas that professional advocacy and policy can address to improve access to telerehabilitation services.
Author(s): Elizabeth Cornforth
Citation: Health Affairs Forefront
Date: 01/2023
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Spatial Analysis of Access to Psychiatrists for US Military Personnel and Their Families
Examines the location and capacity of psychiatrists within a 30-minute driving time of TRICARE beneficiaries. Explores how geographic access to psychiatrists affects veteran TRICARE beneficiaries in rural and low-income communities. Breaks down community data by region, rural or urban status, and economic makeup, among other measures.
Author(s): Marigee Bacolod, Jennifer Heissel, Yu-Chu Shen
Citation: JAMA Network Open, 6(1), e2249314
Date: 01/2023
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Participation in Project ECHO to Advance Rural Primary Care Providers' Ability to Address Patient Mental Health Needs
Features a study on the role continuing education programs, such as Project ECHO, can play in aiding rural primary care providers (PCPs) to integrate behavioral healthcare into their practice. Focuses on the Advanced Primary Care (APC ECHO) Adult Psychiatry Module and evaluates its efficacy in facilitating behavioral health integration in to rural PCPs.
Author(s): Ariel Porto, Rosemary Motz, Maximillian Morris, et al.
Citation: Medical Education Online, 28(1), 2164470
Date: 01/2023
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Increasing Patient Activation in American Indian Families with or at Risk for Chronic Kidney Disease
Compares the efficacy of usual care versus usual care plus chronic kidney disease (CKD) education at home among American Indian people at risk for CKD caused by type 2 diabetes. Discusses the impact of home-based kidney care models and details chronic disease challenges and public health approaches in tribal areas.
Additional links: Research Summary
Author(s): Vallabh (Raj) Shah, V. Shane Pankratz, Monica Cardona, Mark Unruh, Kevin English
Date: 2023
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Michigan Center for Rural Health 2023 Annual Report
Provides an overview of the mission, programming, events, and outreach of the Michigan Center for Rural Health. Focuses on issues such as health workforce education, healthcare access, social determinants of health (SDOH), emergency medical services (EMS), hospital programs, and more.
Date: 2023
Sponsoring organization: Michigan Center for Rural Health
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Indiana Maternal Mortality Review Committee: 2023 Annual Report
Provides an overview of maternal mortality and its causes in Indiana. Includes county-level maps related to birthing care within a 30-minute drive and inpatient obstetric services, as well as mortality data on metro, micro, or rural residence at time of pregnancy-related death.
Date: 2023
Sponsoring organization: Indiana Department of Health
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2023 Alaska Scorecard: Key Issues Impacting Alaska Mental Health Trust Beneficiaries
Report explores mental health data for the state of Alaska and compares rates to national data and to a state-level baseline. Details data by indicator, such as healthcare access, economic and social well-being, and suicide prevention, among other measures.
Date: 2023
Sponsoring organization: Alaska Mental Health Trust Authority
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