Rural Health
Resources by Topic: Access
Child Care in 25 States: What We Know and Don't Know
Compares the supply and demand for childcare services in 25 states, and examines potential reasons behind resulting child care gaps. Features state-by-state data on child care need, including urban versus rural comparisons. Discusses challenges with data collection and offers recommendations for improvement.
Additional links: Webinar Recording
Author(s): Linda K. Smith, Anubhav Bagley, Benjamin Wolters
Date: 10/2020
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Compares the supply and demand for childcare services in 25 states, and examines potential reasons behind resulting child care gaps. Features state-by-state data on child care need, including urban versus rural comparisons. Discusses challenges with data collection and offers recommendations for improvement.
Additional links: Webinar Recording
Author(s): Linda K. Smith, Anubhav Bagley, Benjamin Wolters
Date: 10/2020
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Rapid Detection of Tuberculosis in Remote Alaska
Study of a rapid testing method for active pulmonary tuberculosis (TB) administered in a remote area of western Alaska. Discusses challenges of diagnosing and treating TB in a timely manner in remote areas, and describes the process of creating and implementing a rapid testing program in partnership with healthcare organizations. Presents data from 223 patients who received the rapid test over 3 years, including positivity rates, test sensitivity and specificity, and effectiveness of the testing method.
Author(s): Ronald J. Bowerman
Citation: International Journal of Circumpolar Health, 79(1), 1827786
Date: 10/2020
Type: Document
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Study of a rapid testing method for active pulmonary tuberculosis (TB) administered in a remote area of western Alaska. Discusses challenges of diagnosing and treating TB in a timely manner in remote areas, and describes the process of creating and implementing a rapid testing program in partnership with healthcare organizations. Presents data from 223 patients who received the rapid test over 3 years, including positivity rates, test sensitivity and specificity, and effectiveness of the testing method.
Author(s): Ronald J. Bowerman
Citation: International Journal of Circumpolar Health, 79(1), 1827786
Date: 10/2020
Type: Document
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A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study
Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
Type: Document
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Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
Type: Document
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Barriers in Accessing Dental Care for Rural Iowa Seniors
Examines barriers to dental care for rural Iowa seniors. Discusses barriers including financial concerns, perceived overall physical health, and geographic limitations.
Author(s): Mallory Obenauf
Date: 10/2020
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Examines barriers to dental care for rural Iowa seniors. Discusses barriers including financial concerns, perceived overall physical health, and geographic limitations.
Author(s): Mallory Obenauf
Date: 10/2020
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Prevalence and Characteristics of Telehealth Utilization in the United States
Results of a survey of 2555 people conducted between February-April 2019 to estimate the use of different forms of telehealth and reasons for nonuse. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Shira H. Fischer, Kristin N. Ray, Ateev Mehrotra, Erika Litvin Bloom, Lori Uscher-Pines
Citation: JAMA Network Open, 3(10)
Date: 10/2020
Type: Document
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Results of a survey of 2555 people conducted between February-April 2019 to estimate the use of different forms of telehealth and reasons for nonuse. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Shira H. Fischer, Kristin N. Ray, Ateev Mehrotra, Erika Litvin Bloom, Lori Uscher-Pines
Citation: JAMA Network Open, 3(10)
Date: 10/2020
Type: Document
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Assessment of Changes in Rural and Urban Primary Care Workforce in the United States From 2009 to 2017
Results of a study comparing the primary care workforce and its growth between urban and rural counties or county-equivalents from 2009-2017. Features county-level maps showing the distribution of primary care physicians and non-physician clinicians, and statistics with breakdowns by provider type and rural or urban location.
Author(s): Donglan Zhang, Heejung Son, Ye Shen
Citation: JAMA Network Open, 3(10)
Date: 10/2020
Type: Document
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Results of a study comparing the primary care workforce and its growth between urban and rural counties or county-equivalents from 2009-2017. Features county-level maps showing the distribution of primary care physicians and non-physician clinicians, and statistics with breakdowns by provider type and rural or urban location.
Author(s): Donglan Zhang, Heejung Son, Ye Shen
Citation: JAMA Network Open, 3(10)
Date: 10/2020
Type: Document
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The American Opioid Epidemic in Special Populations: Five Examples
Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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The Evolving Landscape of National Telehealth Policies during a Public Health Emergency: Responsiveness to Rural Needs
Provides an overview of the telehealth policy landscape and the impact of the COVID-19 pandemic on telehealth utilization. Compares policy recommendations from the Bipartisan Policy Center's Rural Health Task Force to COVID-19-related policy changes. Includes considerations for additional telehealth policy changes.
Author(s): Keith J. Mueller, Hannah Rochford, Andrew F. Coburn, et al.
Date: 10/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Provides an overview of the telehealth policy landscape and the impact of the COVID-19 pandemic on telehealth utilization. Compares policy recommendations from the Bipartisan Policy Center's Rural Health Task Force to COVID-19-related policy changes. Includes considerations for additional telehealth policy changes.
Author(s): Keith J. Mueller, Hannah Rochford, Andrew F. Coburn, et al.
Date: 10/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telebehavioral Health: An Effective Alternative to In-Person Care
Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Type: Document
Sponsoring organization: Milbank Memorial Fund
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