Rural Health
Resources by Topic: Access
A Case Report on a Women's Residential Substance Use Program in a Rural and Urban Setting
Explores the characteristics and outcomes of residential substance use recovery programs for parenting and pregnant women in rural and urban counties in Kentucky. Breaks down participant data by age, race, number of children, and location in a rural or urban area, among other measures.
Author(s): Deborah Winders Davis, Yana Feygin, Madeline Shipley, et al.
Citation: Maternal and Child Health Journal, 28, pages 1870–1875
Date: 10/2024
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Explores the characteristics and outcomes of residential substance use recovery programs for parenting and pregnant women in rural and urban counties in Kentucky. Breaks down participant data by age, race, number of children, and location in a rural or urban area, among other measures.
Author(s): Deborah Winders Davis, Yana Feygin, Madeline Shipley, et al.
Citation: Maternal and Child Health Journal, 28, pages 1870–1875
Date: 10/2024
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Recruitment and Retention in the National Diabetes Prevention Program Lifestyle Change Program in Two Federally Qualified Health Centers in Rural Hawaiʻi
Examines factors influencing enrollment and participation in the National Diabetes Prevention Program lifestyle change program (National DPP LCP) which was administered by Federally Qualified Health Center coaches in Hawai'i. Identifies motivators, barriers, facilitators, and suggestions for program participation from interviews with 14 female enrollees. Highlights perspectives of Native Hawaiian, Other Pacific Islander, and Filipino interviewees.
Author(s): Kara Saiki, Alena Shalaby, Blythe Nett, et al.
Citation: Preventing Chronic Disease, 21, 240156
Date: 10/2024
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Examines factors influencing enrollment and participation in the National Diabetes Prevention Program lifestyle change program (National DPP LCP) which was administered by Federally Qualified Health Center coaches in Hawai'i. Identifies motivators, barriers, facilitators, and suggestions for program participation from interviews with 14 female enrollees. Highlights perspectives of Native Hawaiian, Other Pacific Islander, and Filipino interviewees.
Author(s): Kara Saiki, Alena Shalaby, Blythe Nett, et al.
Citation: Preventing Chronic Disease, 21, 240156
Date: 10/2024
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Access to Health Care in Rural America: Current Trends and Key Challenges
Highlights patterns in insurance coverage and uninsurance rates in rural and urban areas, explores non-financial challenges in accessing care faced by rural residents, and describes disparities in health outcomes between urban and rural areas. Features statistics on number of uninsured rural non-elderly adults by state, in 2010 and 2023.
Author(s): Gina Turrini, Eden Volkov, Christie Peters, Nancy De Lew, Thomas Buchmueller
Date: 10/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Highlights patterns in insurance coverage and uninsurance rates in rural and urban areas, explores non-financial challenges in accessing care faced by rural residents, and describes disparities in health outcomes between urban and rural areas. Features statistics on number of uninsured rural non-elderly adults by state, in 2010 and 2023.
Author(s): Gina Turrini, Eden Volkov, Christie Peters, Nancy De Lew, Thomas Buchmueller
Date: 10/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Resources for Dental Care Workforce in Health Centers
Discusses access to oral health in Federally Qualified Health Centers (FQHCs) and disparities experienced by underserved populations in rural and low-income communities. Provides examples and strategies from communities to effectively train, secure, and maximize the oral health workforce.
Additional links: 11 Shining Star Case Examples, State Policies & Strategies Brief Table, State Policies & Strategies Brief: Strengthen and Expand the Dental Workforce in Health Centers, State Policies & Strategies Guide: Strengthen and Expand The Dental Workforce In Health Centers
Date: 10/2024
Sponsoring organization: National Association of Community Health Centers
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Discusses access to oral health in Federally Qualified Health Centers (FQHCs) and disparities experienced by underserved populations in rural and low-income communities. Provides examples and strategies from communities to effectively train, secure, and maximize the oral health workforce.
Additional links: 11 Shining Star Case Examples, State Policies & Strategies Brief Table, State Policies & Strategies Brief: Strengthen and Expand the Dental Workforce in Health Centers, State Policies & Strategies Guide: Strengthen and Expand The Dental Workforce In Health Centers
Date: 10/2024
Sponsoring organization: National Association of Community Health Centers
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Consumer Survey: Barriers to Accessing Oral Health Services in New York State
Examines major access barriers to oral health services for adults in New York. Provides evidence-based insights for policymakers and stakeholders to develop strategies to reduce oral health disparities and improve access to care, especially for underserved populations. Features statistics with breakdowns by urban or rural locations.
Author(s): Simona Surdu, Nozomi Sasaki, Jinman Pang, Jean Moore
Date: 10/2024
Sponsoring organization: Center for Health Workforce Studies
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Examines major access barriers to oral health services for adults in New York. Provides evidence-based insights for policymakers and stakeholders to develop strategies to reduce oral health disparities and improve access to care, especially for underserved populations. Features statistics with breakdowns by urban or rural locations.
Author(s): Simona Surdu, Nozomi Sasaki, Jinman Pang, Jean Moore
Date: 10/2024
Sponsoring organization: Center for Health Workforce Studies
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Recovery From COVID-19–Related Disruptions in Cancer Detection
Examines changes in cancer screening and diagnosis during the COVID-19 pandemic, utilizing 2000-2021 SEER Program data. Identifies trends in overall cancer incidence and diagnosis, and provides data on clinical and demographic disparities in diagnosis, including breakdowns by level of rurality. Discusses the significance of pandemic-influenced missed cancer diagnoses for underserved patients.
Author(s): Uriel Kim, Johnie Rose, Bryan T. Carroll, et al.
Citation: JAMA Network Open, 7(10), e2439263
Date: 10/2024
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Examines changes in cancer screening and diagnosis during the COVID-19 pandemic, utilizing 2000-2021 SEER Program data. Identifies trends in overall cancer incidence and diagnosis, and provides data on clinical and demographic disparities in diagnosis, including breakdowns by level of rurality. Discusses the significance of pandemic-influenced missed cancer diagnoses for underserved patients.
Author(s): Uriel Kim, Johnie Rose, Bryan T. Carroll, et al.
Citation: JAMA Network Open, 7(10), e2439263
Date: 10/2024
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A Qualitative Study of Rural Plant-Based Eaters' Knowledge and Practices for Nutritional Adequacy
Examines nutritional knowledge, strategies, and access to nutritional expertise among 28 adults who follow a flexitarian, pescatarian, vegan, or vegetarian diet in rural Vermont. Discusses factors influencing the nutritional adequacy of plant-based diets, and identifies gaps in nutritional support for rural people following plant-based diets.
Author(s): Michelle Leonetti, Jane Kolodinsky, Amy Trubek, Emily H. Belarmino
Citation: Nutrients, 16(20), 3504
Date: 10/2024
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Examines nutritional knowledge, strategies, and access to nutritional expertise among 28 adults who follow a flexitarian, pescatarian, vegan, or vegetarian diet in rural Vermont. Discusses factors influencing the nutritional adequacy of plant-based diets, and identifies gaps in nutritional support for rural people following plant-based diets.
Author(s): Michelle Leonetti, Jane Kolodinsky, Amy Trubek, Emily H. Belarmino
Citation: Nutrients, 16(20), 3504
Date: 10/2024
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CMS-Approved Waivers Break New Ground for Medicaid Coverage of American Indian and Alaska Native Traditional Health Care Practices
Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Sponsoring organization: Center for Health Care Strategies
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Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2024 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and June 2024, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 10/2024
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and June 2024, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 10/2024
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Impacts of the COVID-19 Pandemic on Intimate Partner Violence and Child Maltreatment Services in Rural Northwest North Carolina
Results of a study using data from interviews with 6 regional agencies, conducted in early 2022 with professionals working in intimate partner violence and child maltreatment in rural North Carolina. Explores challenges and risk factors encountered by clients, including isolation, financial barriers, chronic stress, abuse, barriers to care, and mental illness.
Author(s): Elisabeth G. Galphin, Adam Hege, Amy Dellinger Page
Citation: Journal of Appalachian Health, 6(3), 93-98
Date: 10/2024
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Results of a study using data from interviews with 6 regional agencies, conducted in early 2022 with professionals working in intimate partner violence and child maltreatment in rural North Carolina. Explores challenges and risk factors encountered by clients, including isolation, financial barriers, chronic stress, abuse, barriers to care, and mental illness.
Author(s): Elisabeth G. Galphin, Adam Hege, Amy Dellinger Page
Citation: Journal of Appalachian Health, 6(3), 93-98
Date: 10/2024
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